Box Breathing and Physiological Feedback Before Endoscopy

Condition(s) studied

Investigational drug(s) / intervention(s)

Box Breathing Exercise and Real-Time Physiological Feedback: A pulse oximeter will be attached to the patient's finger so they can instantly see or sense the relaxing effect. The patient will be asked to monitor changes in their pulse and oxygen levels in relation to their breathing and level of relaxation. The following statement will be made to the patient: "We are now going to do a few minutes of breathing exercises. This exercise will help relax your body, regulate your heart rate, increase your oxygen levels, and help you feel more at ease before the upcoming procedure. All you need to do is follow my breathing instructions and observe your pulse and oxygen levels on the device attached to your finger." Box Breathing Technique (3-4 minutes) Each cycle consists of: inhale for 4 seconds - hold for 4 seconds - exhale for 4 seconds - hold for 4 seconds. Box Breathing Exercise (to be repeated 6-8 times) "Take a deep breath in through your nose 1…2…3…4. Hold your breath 1…2…3…4. Now, exhale slowly 1…2…3…4. Hold your breath out 1…2…3...4

Routine Maintenance: No interventions will be performed on patients in the control group; they will receive routine nursing care before and after the endoscopy.

Study summary

This study aims to evaluate the effects of box breathing exercises and real-time physiological feedback-administered alongside standard nursing care prior to endoscopy-on patients' stress levels, comfort levels, and vital signs. Endoscopy procedures can induce pre-procedural stress and anxiety in patients, potentially affecting their comfort and physiological status. The study will be conducted as a two-group randomized controlled trial. Participants will be randomly assigned to either the study group or the control group. In addition to standard nursing care, the study group will receive guided box breathing exercises and real-time physiological feedback before the endoscopy. The control group will receive only standard nursing care. The study will assess the impact of the intervention on patients' stress levels, comfort levels, and vital signs. It is hypothesized that box breathing exercises and real-time physiological feedback will reduce stress levels, enhance patient comfort, and positively influence vital signs. The findings are expected to contribute to the development of non-pharmacological nursing interventions for managing patient stress and comfort during the pre-endoscopy period.

Eligibility

Primary outcome measure(s)

• Stress Level — From 45 minutes before endoscopy to 15 minutes after completion of endoscopy.
  Patients' stress levels will be assessed using the Visual Analog Scale (VAS). VAS measurements will be taken at three different times: 45 minutes before the endoscopy procedure without intervention (measurement 1), 30 minutes before the endoscopy procedure immediately after box breathing exercises and immediate physiological feedback (measurement 2), and 15 minutes after the completion of the endoscopy procedure (measurement 3). Changes in VAS scores in the study and control groups will be compared.

Trial sites (1)

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