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Effects of Preoperative Relaxation and Intensified Surgery Education in Patients Undergoing Herniotomy (MBM_Hernio)

Primary Purpose

Hernia, Inguinal, Anxiety, Postoperative Pain

Status
Unknown status
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
relaxation program
surgery education
Sponsored by
Universität Duisburg-Essen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hernia, Inguinal

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • referral for herniotomy
  • preoperative anxiety at least 4/10 points on a numeric rating scale
  • physical and mental capability to participant
  • written informed consent

Exclusion Criteria:

  • Emergency surgery
  • malignoma
  • recurrence of inaugural hernia
  • severe comorbidity
  • severy psychological disorders
  • immunosuppression
  • coagulation disorders

Sites / Locations

  • Abteilung für Allgemein-, Viszeral-, Gefäßchirurgie und Koloproktologie, Johanniter-Krankenhaus RheinhausenRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

No Intervention

Experimental

Experimental

Experimental

Arm Label

Usual care

preoperative relaxation program

preoperative surgery education

preoperative relaxation program+preoperative surgery education

Arm Description

Does not receive a specific study intervention

preoperative relaxation program

single education unit to understand the complete surgical procedures

preoperative relaxation program AND single education unit

Outcomes

Primary Outcome Measures

preoperative anxiety (State Anxiety (STAI-S)
State Anxiety (STAI-S) (Spielberger 1970)
postoperative pain intensity (numeric rating scale)
numeric rating scale for pain at rest, pain at mobilization, coughing, washing, breathing and moving

Secondary Outcome Measures

preoperative anxiety Trait Anxiety (STAI-T)
(Spielberger 1970)
preoperative anxiety Amsterdam Preoperative Anxiety and Information Scale (APAIS)
Amsterdam Preoperative Anxiety and Information Scale (APAIS) (Berth 2007)
preoperative anxiety Anaesthesia- and Surgery-dependent Preoperative Anxiety (ASPA)
Anaesthesia- and Surgery-dependent Preoperative Anxiety (ASPA) (Wetsch 2009)
postoperative disability
interference of pain with movement, coughing, waking up at night and disturbed mood
postoperative disability
interference of pain with movement, coughing, waking up at night and disturbed mood
postoperative disability
interference of pain with movement, coughing, waking up at night and disturbed mood
postoperative fatigue Fatigue measured by 0-10 Numeric Rating Scale
Fatigue measured by 0-10 Numeric Rating Scale
postoperative fatigue Fatigue measured by 0-10 Numeric Rating Scale
Fatigue measured by 0-10 Numeric Rating Scale
postoperative fatigue Fatigue measured by 0-10 Numeric Rating Scale
Fatigue measured by 0-10 Numeric Rating Scale
postoperative nausea Nausea measured by 0-10 Numeric Rating Scale
Nausea measured by 0-10 Numeric Rating Scale
postoperative nausea Nausea measured by 0-10 Numeric Rating Scale
Nausea measured by 0-10 Numeric Rating Scale
postoperative nausea Nausea measured by 0-10 Numeric Rating Scale
Nausea measured by 0-10 Numeric Rating Scale
postoperative complications
postoperative complications such as wound healing, haematoma, seroma, swelling, nausea, vomiting, bleeing, fever
Satisfaction with care
Satisfaction with the operation, the hospital care
Satisfaction with interventions
Satisfaction with the interventions

Full Information

First Posted
June 16, 2015
Last Updated
May 23, 2017
Sponsor
Universität Duisburg-Essen
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1. Study Identification

Unique Protocol Identification Number
NCT02476370
Brief Title
Effects of Preoperative Relaxation and Intensified Surgery Education in Patients Undergoing Herniotomy
Acronym
MBM_Hernio
Official Title
Effects of Preoperative Relaxation and Intensified Surgery Education on Preoperative Wellbeing and Postoperative Complaints in Patients Undergoing Herniotomy - a Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Unknown status
Study Start Date
June 2015 (undefined)
Primary Completion Date
June 2017 (Anticipated)
Study Completion Date
June 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universität Duisburg-Essen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study aims to test the effects of a Preoperative Relaxation intervention and an Intensified Surgery Patient Education on pre- and postoperative wellbeing and health in Patients Undergoing Herniotomy.
Detailed Description
see above

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hernia, Inguinal, Anxiety, Postoperative Pain

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
108 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Usual care
Arm Type
No Intervention
Arm Description
Does not receive a specific study intervention
Arm Title
preoperative relaxation program
Arm Type
Experimental
Arm Description
preoperative relaxation program
Arm Title
preoperative surgery education
Arm Type
Experimental
Arm Description
single education unit to understand the complete surgical procedures
Arm Title
preoperative relaxation program+preoperative surgery education
Arm Type
Experimental
Arm Description
preoperative relaxation program AND single education unit
Intervention Type
Behavioral
Intervention Name(s)
relaxation program
Intervention Description
relaxation and mindfulness techniques such as body scan, breathing meditation or imagination exercises 1 week programm, one introductory session and daily home practice
Intervention Type
Behavioral
Intervention Name(s)
surgery education
Intervention Description
intensified education unit to reduce anxiety and stress, by using pictures and videos of rooms, and procedures of the planned surgery 1 single unit in the week before the surgery
Primary Outcome Measure Information:
Title
preoperative anxiety (State Anxiety (STAI-S)
Description
State Anxiety (STAI-S) (Spielberger 1970)
Time Frame
day of surgery
Title
postoperative pain intensity (numeric rating scale)
Description
numeric rating scale for pain at rest, pain at mobilization, coughing, washing, breathing and moving
Time Frame
day after the surgery, before medication
Secondary Outcome Measure Information:
Title
preoperative anxiety Trait Anxiety (STAI-T)
Description
(Spielberger 1970)
Time Frame
day of surgery
Title
preoperative anxiety Amsterdam Preoperative Anxiety and Information Scale (APAIS)
Description
Amsterdam Preoperative Anxiety and Information Scale (APAIS) (Berth 2007)
Time Frame
day of surgery
Title
preoperative anxiety Anaesthesia- and Surgery-dependent Preoperative Anxiety (ASPA)
Description
Anaesthesia- and Surgery-dependent Preoperative Anxiety (ASPA) (Wetsch 2009)
Time Frame
day of surgery
Title
postoperative disability
Description
interference of pain with movement, coughing, waking up at night and disturbed mood
Time Frame
day after surgery
Title
postoperative disability
Description
interference of pain with movement, coughing, waking up at night and disturbed mood
Time Frame
2 days after surgery
Title
postoperative disability
Description
interference of pain with movement, coughing, waking up at night and disturbed mood
Time Frame
10 days after surgery
Title
postoperative fatigue Fatigue measured by 0-10 Numeric Rating Scale
Description
Fatigue measured by 0-10 Numeric Rating Scale
Time Frame
Day after surgery
Title
postoperative fatigue Fatigue measured by 0-10 Numeric Rating Scale
Description
Fatigue measured by 0-10 Numeric Rating Scale
Time Frame
2 days after surgery
Title
postoperative fatigue Fatigue measured by 0-10 Numeric Rating Scale
Description
Fatigue measured by 0-10 Numeric Rating Scale
Time Frame
10 days after surgery
Title
postoperative nausea Nausea measured by 0-10 Numeric Rating Scale
Description
Nausea measured by 0-10 Numeric Rating Scale
Time Frame
Day after surgery
Title
postoperative nausea Nausea measured by 0-10 Numeric Rating Scale
Description
Nausea measured by 0-10 Numeric Rating Scale
Time Frame
2 days after surgery
Title
postoperative nausea Nausea measured by 0-10 Numeric Rating Scale
Description
Nausea measured by 0-10 Numeric Rating Scale
Time Frame
10 days after surgery
Title
postoperative complications
Description
postoperative complications such as wound healing, haematoma, seroma, swelling, nausea, vomiting, bleeing, fever
Time Frame
10 days after surgery
Title
Satisfaction with care
Description
Satisfaction with the operation, the hospital care
Time Frame
10 days after surgery
Title
Satisfaction with interventions
Description
Satisfaction with the interventions
Time Frame
10 days after surgery
Other Pre-specified Outcome Measures:
Title
course of surgery
Description
blood pressure, use of medication during operation, amount of gases during insufflation
Time Frame
day of surgery

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: referral for herniotomy preoperative anxiety at least 4/10 points on a numeric rating scale physical and mental capability to participant written informed consent Exclusion Criteria: Emergency surgery malignoma recurrence of inaugural hernia severe comorbidity severy psychological disorders immunosuppression coagulation disorders
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Gustav Dobos, Prof, MD
Phone
+49201174
Ext
25001
Email
g.dobos@kliniken-essen-mitte.de
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gustav Dobos, Prof, MD
Organizational Affiliation
Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, University of Duisburg-Essen
Official's Role
Principal Investigator
Facility Information:
Facility Name
Abteilung für Allgemein-, Viszeral-, Gefäßchirurgie und Koloproktologie, Johanniter-Krankenhaus Rheinhausen
City
Duisburg
ZIP/Postal Code
47228
Country
Germany
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Georg Omlor, Prof, MD
Phone
+49206597
Ext
1201
Email
chirurgie1@johanniter-rheinhausen.de

12. IPD Sharing Statement

Citations:
PubMed Identifier
10829320
Citation
Omlor G, Kiewitz S, Pietschmann S, Roesler S. [Effect of preoperative preoperative visualization therapy on postoperative outcome after inguinal hernia surgery and thyroid resection]. Zentralbl Chir. 2000;125(4):380-5; discussion 385-6. German.
Results Reference
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Effects of Preoperative Relaxation and Intensified Surgery Education in Patients Undergoing Herniotomy

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