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IRCT20180103038211N4 IRCT 2018-06-05 Arak University of Medical Sciences The effect of diaphragmatic pursed lip breathing on the anxiety of hysterectomy Comparison of diaphragmatic and pursed lip breathing on the anxiety of patients undergoing hysterectomy surgery 2018-01-21 anticipated 126 Complete https://irct.ir/trial/28822 interventional Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, block randomization was used. Random numbers table was used to determine the blocks, Blinding description: Individuals in one group are unaware of the type of intervention in other groups. Also, the person who collects data for each group is unaware of the intervention of other groups. The data analyzer will be unaware of the type of intervention assigned to each group. N/A ANEXITY. Intervention 1: Intervention group 1: First, diaphragmatic breathing (DB) is taught to patients using simple and intelligible sentences through individualized face to face training .In order to ensure that the type of respiration is taught in the correct way in each group, trained patients will perform the trained breathing in the presence of the researcher in two 20-minute sessions with a two hour interval just a day before the surgery.Diaphragmatic breathing technique is as follows: Patient lies in a comfortable position on the back. Then, puts one hand on the chest and the other hand on the abdomen. In this position, patient exhales somehow, the hand on the abdomen to be pulled forward while pushing in and brings out the air from lungs slowly. During the expiration, holds the hand on the chest in the same condition. Intervention 2: Intervention group 2: First, pursed lip breathing (PLB) is taught to patients using simple and intelligible sentences through individual face to face training .In order to ensure that the type of respiration is taught in the correct way in each group, trained patients will perform the trained breathing in the presence of the researcher in two 20-minute sessions with a two hour interval just a day before the surgery. Breathing technique: The patient sits in a comfortable position and closes his/her mouth and breathes a deep breath through the nose and with the lips of the bud (whistling mode) exhales air through the mouth. The patient should breathe so that expiration time (exhale through the mouth) will be twice of the inspiration time (inhale air through the nose). That means inspiration time will be 2 seconds and expiration time will be 4 seconds. Intervention 3: Control group: Individuals in the control group do not receive any intervention. Only the researcher will be present at the bedside for 20 minutes without giving the education to the patient and will fill in the demographic questionnaire and the Spielberger anxiety test. This action will be done to remove the effect of the researcher's presence. No - There is not a plan to make this available Justification or reason for not sharing IPD is No more information.
public Fahimeh Davodabady
Arak University of Medical Sciences, Basij Square, Sardasht
Arak Iran (Islamic Republic of) 6941-7-38481 +98 86 3417 3503 fahimedavodabady@gmail.com Arak University of Medical Sciences scientific Fahimeh Davodabady
Arak University of Medical Sciences, Basij Square, Sardasht
Arak Iran (Islamic Republic of) 6941-7-38481 +98 86 3417 3503 fahimedavodabady@gmail.com Arak University of Medical Sciences Iran (Islamic Republic of) The presence of benign and malignant gynecological problems Being alert after surgery being hospitalized at least one day before and two days after the surgery Patient Satisfaction to Participate in Research 20 years 59 years Female Having another surgery in addition to ovariectomy Having a history of using breathtaking techniques to control anxiety Haveing a history of taking sedative, analgesic or antianxiety drugs for more than a month Incidence of surgical complications such as severe bleeding, acute infection and hospitalization in intensive care unit Having diseases like psychological disorders, sensory and motor disorders, visual impairment and hearing loss Having drug addiction Treatment - Other Treatment - Other Treatment - Other Intervention group 1: First, diaphragmatic breathing (DB) is taught to patients using simple and intelligible sentences through individualized face to face training .In order to ensure that the type of respiration is taught in the correct way in each group, trained patients will perform the trained breathing in the presence of the researcher in two 20-minute sessions with a two hour interval just a day before the surgery.Diaphragmatic breathing technique is as follows: Patient lies in a comfortable position on the back. Then, puts one hand on the chest and the other hand on the abdomen. In this position, patient exhales somehow, the hand on the abdomen to be pulled forward while pushing in and brings out the air from lungs slowly. During the expiration, holds the hand on the chest in the same condition. Intervention group 2: First, pursed lip breathing (PLB) is taught to patients using simple and intelligible sentences through individual face to face training .In order to ensure that the type of respiration is taught in the correct way in each group, trained patients will perform the trained breathing in the presence of the researcher in two 20-minute sessions with a two hour interval just a day before the surgery. Breathing technique: The patient sits in a comfortable position and closes his/her mouth and breathes a deep breath through the nose and with the lips of the bud (whistling mode) exhales air through the mouth. The patient should breathe so that expiration time (exhale through the mouth) will be twice of the inspiration time (inhale air through the nose). That means inspiration time will be 2 seconds and expiration time will be 4 seconds. Control group: Individuals in the control group do not receive any intervention. Only the researcher will be present at the bedside for 20 minutes without giving the education to the patient and will fill in the demographic questionnaire and the Spielberger anxiety test. This action will be done to remove the effect of the researcher's presence. Level of anxiety. Timepoint: Measurement of the anxiety level at the night before surgery, half an hour before the surgery, and after full vigilance after surgery. Method of measurement: Spielberg-er Questionnaire, State-Trait Anxiety Inventory (STAI). Arak University of Medical Sciences Approved 2017-11-22 Ethics committee of Arak University of Medical Sciences Arak University of Medical Sciences, Basij Square, Sardasht Arak Markazi Iran (Islamic Republic of)