Directed Imagery Technique Applied to Patients Undergoing Lumbar Disc Herniation Surgery

Nurse-Patient Relations Clinical Trial

Official title:

The Effect of Directed Imagery Technique Applied to Patients Who Have Had Lumbar Disc Herniation Surgery on Patients' Pain, Anxiety, and Sleep Levels: A Randomized Controlled Study

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05283291
• Other study ID #: ErciyesU-Albayrak-001
• Status: Active, not recruiting
• Phase: N/A
• Start date: February 8, 2022
• Est. completion date: June 2022

Study information

• Verified date: February 2022
• Source: TC Erciyes University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The Directed Imagery technique (YIT) is a set of stories that people create by first giving relaxation exercises and then visualizing the symbols given by the practitioner. Guided imagery is based on the understanding that the body and mind are interconnected and that the mind can affect the body. In directed imagery, the person's thoughts and imagination are focused and directed to a specific goal by the practitioner, usually through a sound recording. The directed imagery technique can be effective in solving problems such as pain, stress, fatigue, and anxiety in nursing care.

Description:

1. Patients in the control group; Nursing care will be applied according to the routine care protocol of the clinic where the research was conducted.

2. Patients in the experimental group; In addition to the nursing care given according to the routine care protocol of the clinic where the research was conducted, the "imagery method" will be applied four times in total, once before the operation, once on the 1st day, 2nd day and 3rd day after the operation. It will be ensured that the patients to be imaged are in the supine or semifawler position in a comfortable way and listen to the audio recording with headphones.

Before the application, the patient will be told to listen to the audio recording with headphones at the most convenient time of the day for him, in an environment where he will not be disturbed by others, by putting his phone in airplane mode, after giving advance notice to avoid disturbing family members. Headphones will be provided for each patient by the researcher. In the first meeting, the voice recordings will be transferred to the phones of the individuals via the phone in the Neurosurgery Service. Communication with the patient will be provided in accordance with the pandemic rules. In the preoperative period, "Descriptive Information Form", "Operation-Specific Anxiety Scale", "Richard-Campbell Sleep Scale", "Visual Analog Scale (VAS)", "State Anxiety Scale" will be applied to the experimental and control groups before imagery is performed. After the interventions applied to the experimental group are completed, the scales will be re-administered to the individuals in the experimental and control groups.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 60
• Est. completion date: June 2022
• Est. primary completion date: May 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

1. Those who will undergo lumbar disc hernia surgery

2. Compliant with ASA 1 and 2 classification

3. Preoperative hospitalizations

4. Patients without cognitive clouding

5. Patients who can speak Turkish

6. Patients without hearing and vision problems will be included in the study.

Exclusion Criteria:

1. Those over the age of eighty or under the age of 18

2. Having a psychiatric disease and using medication

3. Having trouble sleeping and taking medication

4. Those who are classified as ASA 3 and above,

5. Those who have laparoscopic surgery,

6. Those with chronic pain, alcohol, drug and substance addiction,

7. Oncological cases,

8. Those with hearing, vision, speech and cognitive dysfunction,

9. Those who do not speak Turkish,

10. People with high anxiety who use anxiolytics

11. Patients who do not accept the procedure will not be included in the study.

Related Conditions & MeSH terms

• Nurse-Patient Relations
• Radiculopathy

Intervention

Behavioral:
• Directed Imagery Technique
The sound recording will include a soothing light background music for approximately 30 minutes. Imagination will be practiced, starting with the patient's focusing his/her attention on his/her breath, relaxation, and relaxation with the suggestions given in the recording with the accompaniment of relaxing music.

Locations

Country	Name	City	State
Turkey	Eda Albayrak	Kayseri

Sponsors (1)

Lead Sponsor	Collaborator
TC Erciyes University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Preoperative Anxiety Scale	The range of scores that can be taken from the scale is 10-50 points, and high scores reflect high anxiety.	Change: [Time Frame: 3 days: Preoperative assessment (Time 1), morning of surgery day (Time 2)]
Primary	Richards Campbell Sleep Scale	Each item is evaluated on a chart between 0 and 100 using the visual analog scale technique. A score of "0-25" from the scale indicates "very bad sleep" and a score of "76-100" indicates "very good sleep".	Change: [Time Frame: 3 days: Preoperative assessment (Time 1), morning of the day of surgery (Duration 2), postoperative (Duration 3)
Primary	Visual Analog Scale (VAS)	"0" describes no pain, "100" describes the most unbearable pain. A score of "0-30" indicates mild pain, a score of "31-60" indicates moderate pain, and a score of "61 and above" indicates severe pain.	Change: [Time Frame: 3 days: Preoperative assessment (Time 1), morning of the day of surgery (Duration 2), postoperative (Duration 3)