Guided Imagery Exercise
Conditions
Keywords
Guided Imagery Exercise, Transurethral Prostate Resection, surgical fear
Brief summary
Objective: This randomized controlled trial aims to evaluate the impact of guided imagery exercises on surgical fear and perioperative comfort in patients undergoing Transurethral Resection of the Prostate (TURP). Background: Transurethral Resection of the Prostate (TURP) remains the gold standard surgical treatment for Benign Prostatic Hyperplasia (BPH). Despite its efficacy, a significant majority of patients (60-80%) experience substantial surgical fear, which can negatively affect their recovery and perioperative comfort. Guided imagery is a non-pharmacological, cognitive-behavioral technique that utilizes mental visualization to activate the mind-body connection, reduce sympathetic activity, and promote relaxation. Methods: Grounded in Kolcaba's Comfort Theory, this study investigates the relationship between guided imagery and the multi-dimensional aspects of patient comfort (physical, psycho-spiritual, environmental, and socio-cultural). The intervention group will receive structured guided imagery sessions designed to reduce physiological stress responses and enhance emotional regulation, while the control group will receive standard care.
Interventions
OTHERGuided Imagery
The first session will include information on preoperative procedures, while the second and third sessions will cover postoperative procedures. Guided imagery exercises will be administered using wireless over-ear headphones in a total of three sessions: once before surgery, once on the first day after surgery, and once on the second day after surgery.
Sponsors
Atlas University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Intervention model description
This randomized controlled trial divides patients into control and experimental groups. While the control group receives standard care, the experimental group receives three sessions (pre-op, post-op days 1 and 2) of guided imagery via wireless headphones. The 40-minute audio, prepared by a psychiatric nursing specialist, consists of 10 minutes of relaxation training and 30 minutes of positive visualization focusing on surgical success and rapid recovery.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* TUR-T surgery performed on Patients over 18 years of age
Exclusion criteria
* Patients undergoing emergency surgery Patients under 8 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| surgical fear | Preoperative period, postoperative days 1 and 2. | The scale was developed by Burton et al. in 2018. The Turkish validity and reliability study was conducted by Topçu et al. (2023). The scale has four sub-dimensions: health-related anxieties (items 7, 9, 10, 11, 12, and 13), recovery-related anxieties (items 14, 15, 16, and 17), surgical procedure-related anxieties (items 1, 2, 4, and 8), and invasive procedure-related anxieties (items 3, 5, and 6). The items are scored as follows: 0 = "I am not anxious at all", 1 = "I am slightly anxious", 2 = "I am somewhat anxious", 3 = "I am very anxious", and 4 = "I am extremely anxious". The scale contains a total of 17 items. There are no reversed items in the scale. Total and subscale total scores are calculated by summing the total scores of the items they contain. The lowest possible score on the scale is 0 and the highest is 68. The scale has no cutoff point, and higher scores indicate higher levels of anxiety in patients. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Surgical Recovery Scale | pre-surgery, post-operative day 1, day 2 | The Surgical Recovery Scale reliably measures functional patient recovery after surgery. The scale was developed by Paddison et al. (2011) to measure postoperative recovery. The Turkish validity and reliability study was conducted by Yılmaz and Yayla (2025). The scale consists of two sub-dimensions: "Impact on energy" and "Impact on daily activities." For the first sub-dimension, responses such as "Not exactly", "Almost never", "Sometimes", "Quite often", "Very often", and "Always" are expected, while for the second sub-dimension, these responses are "Not exactly", "Occasionally", "Less than normal", "Almost as often as usual", "As often as usual", and "None". The scale consists of 13 items; items 2, 4, 5, 6, and 7 of the first 8 items belonging to the first dimension are reverse Likert-type, and the second sub-dimension consists of the last 5 items. Scores obtained from the scale range from 8 to 73. An increase in the scores obtained from the scale indicates that the improvement is a |
Contacts
CONTACTçağla toprak Dr
Outcome results
None listed