Directed Imagery Technique Applied to Patients Undergoing Lumbar Disc Herniation Surgery

TC Erciyes University

Status: Unknown

Conditions: Intervertebral Disc Disorder Lumbar With Radiculopathy; Nurse-Patient Relations; Surgical or Other Invasive Procedure on Wrong Patient

Treatments: Behavioral: Directed Imagery Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05283291

ErciyesU-Albayrak-001

Details and patient eligibility

About

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.

Full 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.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

İmaginary group

Experimental group

Description:

Expert opinion for the scenario will be taken from a psychologist and a psychiatric nurse. The flow of the script; It will start with breathing exercises and continue with the safe place application, after affirming the functionality that is said while in a safe place in the mind, it will be in the form of waking up by turning to the body and returning to the present. 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. The audio recording will be played twice, in the evening before the operation and on the evening of the operation day.

Treatment:

Behavioral: Directed Imagery Technique

Control group

No Intervention group

Description:

In the routine care applied to the patients, the vitals of the patients are followed, drug treatments are administered and the motor functions of the patients are monitored. In addition, analgesics are routinely administered in the ward for pain and no attempt is made for sleep.