The effect of a stress ball on pain and anxiety during sharp debridement in patients with diabetic foot ulcers: A randomized controlled, single-blind study

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability Pub Date : 2025-01-26 DOI:10.1016/j.jtv.2025.100861

Fatma Aslan , Betul Tosun , Neşe Altınok Ersoy , Nurten Ozen

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引用次数: 0

Abstract

Objective

The aim of this study was to investigate the effect of using a stress ball during sharp debridement on the pain and anxiety in patients with diabetic foot ulcers.

Methods

This study with a randomized, controlled and single-blind design was conducted at a single-center on patients diagnosed with diabetic foot ulcers who were being treated at the endocrinology and metabolic diseases clinic of a university hospital. Patients in the intervention group started using a stress ball before the debridement procedure and continued to use it until the procedure ended. No intervention was made to the patients in the control group. Data were collected by using the Descriptive Information Form, Diabetic Foot Meggit-Wagner Classification, Visual Analogue Scale (VAS), and State Anxiety Inventory (STAI).

Results

The study was completed with a total of 76 patients, 38 each in the intervention and control groups. The use of stress balls led to a reduction in anxiety and pain symptoms in the intervention group. The anxiety score of the patients in the intervention group was also found to be statistically significantly lower than those in the control group after the procedure (p = 0.008; η2 = 0,091). The VAS scores of the patients in the intervention group were found to be statistically significantly lower than those in the control group both during (p < 0.001; η2 = 0.348) and after (p < 0.001; η2 = 0.438) the procedure.

Conclusions

The use of a stress ball was found to be an effective method of reducing the level of pain and anxiety that occurs during the sharp debridement procedure. Stress ball application is a practical, easy, and cost-effective non-pharmacological method.

Clinical trial number

The study was recorded in the ClinicalTrials.gov website with the number NCT06316115.

查看原文本刊更多论文

压力球对糖尿病足溃疡患者急性清创期间疼痛和焦虑的影响：一项随机对照单盲研究。

目的：探讨急性清创过程中使用压力球对糖尿病足溃疡患者疼痛和焦虑的影响。方法：本研究采用随机、对照、单盲设计，在一所大学附属医院内分泌与代谢疾病门诊诊断为糖尿病足溃疡的患者进行单中心研究。干预组患者在清创手术前开始使用压力球，并一直使用到手术结束。对对照组患者不进行干预。采用描述性信息表、糖尿病足Meggit-Wagner分类、视觉模拟量表（VAS）和状态焦虑量表（STAI）收集数据。结果：共76例患者完成研究，干预组和对照组各38例。在干预组中，使用压力球减少了焦虑和疼痛症状。干预组患者术后焦虑评分也明显低于对照组(p = 0.008；η2 = 0,091)。干预组患者的VAS评分显著低于对照组(p)。结论：使用压力球是一种有效的方法，可以减少急剧清创过程中出现的疼痛和焦虑水平。压力球应用是一种实用、简单、经济的非药物方法。临床试验编号：该研究记录在ClinicalTrials.gov网站上，编号为NCT06316115。

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来源期刊

Journal of tissue viability DERMATOLOGY-NURSING

CiteScore

3.80

自引率

16.00%

发文量

110

审稿时长

>12 weeks

期刊介绍： The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management. The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.