The effect of self-affirmation on anxiety and perceived discomfort in patients who have undergone open-heart surgery. A randomized controlled trial

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dc.authoridSen, Sevim/0000-0002-6216-2342
dc.authorwosidSen, Sevim/JAC-3274-2023
dc.contributor.authorYildirim, Meltem
dc.contributor.authorAkbal, Sevim
dc.contributor.authorTurkoglu, Meryem
dc.date.accessioned2024-06-12T10:52:12Z
dc.date.available2024-06-12T10:52:12Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Self-affirmations help one focus on positive outcomes and adapt to new situations both psycho-logically and physiologically by the repetition of positive affirmation sentences. This method, which has promising results in symptom management, is predicted to have effective results in the management of pain and discomfort in patients undergoing open-heart surgery.Aim: To investigate the effect of self-affirmation on anxiety and perceived discomfort in patients who have undergone open-heart surgery.Methods: This study adopted a randomized controlled pretest-posttest follow-up research design. The study was conducted at a public training and research hospital (Istanbul, Turkey) specialized in thoracic and cardiovascular surgery. The sample consisted of 61 patients randomized into two groups: intervention (n = 34) and control (n = 27). The participants of the intervention group listened to a self-affirmation audio recording for three days after surgery. Anxiety levels and perceived discomfort regarding pain, dyspnoea, palpitations, fatigue and nausea were measured daily. The State Trait Anxiety Inventory (STAI) was used to measure the level of anxiety, meanwhile perceived discomfort regarding pain, dyspnoea, palpitations, fatigue and nausea were measured by a 0 to 10 Numeric Rating Scale (NRS).Results: The control group had significantly higher anxiety than the intervention group three days after surgery (P < 0.001). The intervention group had less pain (P < 0.01), dyspnoea (P < 0.01), palpitations (P < 0.01), fatigue (P < 0.001) and nausea (P < 0.01) than the control group.Conclusions: Positive self-affirmation helped reduce anxiety and perceived discomfort in patients who underwent open-heart surgery. ClinicalTrials.gov Identifier: NCT05487430.en_US
dc.identifier.doi10.1016/j.apnr.2023.151687
dc.identifier.issn0897-1897
dc.identifier.issn1532-8201
dc.identifier.pmid37423676en_US
dc.identifier.scopus2-s2.0-85160324980en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.apnr.2023.151687
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18631
dc.identifier.volume72en_US
dc.identifier.wosWOS:001011453700001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofApplied Nursing Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnxietyen_US
dc.subjectDiscomforten_US
dc.subjectOpen-Heart Surgeryen_US
dc.subjectSelf-Affirmationen_US
dc.subjectRandomized Controlled Trialen_US
dc.subjectHealth-Benefitsen_US
dc.subjectPainen_US
dc.subjectPopulationen_US
dc.subjectDyspneaen_US
dc.subjectStressen_US
dc.subjectMusicen_US
dc.subjectWorken_US
dc.titleThe effect of self-affirmation on anxiety and perceived discomfort in patients who have undergone open-heart surgery. A randomized controlled trialen_US
dc.typeArticleen_US

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