CClinicalTrials.gg
CompletedNCT07259551Updated Dec 2, 2025

Effect of the Palming Technique on Preoperative Anxiety and Hemodynamic Responses in Thyroid Surgery

An observational study in Preoperative Anxiety and Associated Hemodynamic Changes, sponsored by Yuzuncu Yil University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-12-02.

Sponsored by Yuzuncu Yil University · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
80
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Purpose of the Observational Study: The purpose of this observational study was to evaluate the effects of the palmar technique on preoperative anxiety, hemodynamic parameters, and intubation-related hemodynamic responses in patients undergoing thyroidectomy.

Primary Research Question: Does the palmar technique applied preoperatively reduce preoperative anxiety and associated hemodynamic changes in thyroidectomy patients? Study Design: Type: Prospective, single-blind, observational study Location: A single-center tertiary care hospital in Turkey Sample: 80 patients aged 18-65, ASA I-II

Methods:

Patients were divided into two groups using a sealed envelope method:

Group P: Patients who received the palm-based technique Group N: Control group without intervention

When admitted to the preoperative waiting room (T1), all patients:

Baseline vital signs (SpO₂, heart rate, blood pressure) State-Trait Anxiety Inventory (STAI) scores were recorded. Patients in Group P received the palm-based technique; Group N received no intervention.

The same parameters were measured again 15 minutes later (T2).

After transfer to the operating room, standard monitoring was performed, and hemodynamic data were recorded at the following times:

Pre-intubation (T3)

1 min (T4), 3 min (T5), 5 min (T6), and 10 min (T7) after intubation Main Outcome Measures: Changes in preoperative anxiety level Changes in hemodynamic parameters after the palmar technique Sample Size:Total: 80 patients

Read the detailed description

Purpose of the Observational Study: The purpose of this observational study was to evaluate the effects of the palmar technique on preoperative anxiety, hemodynamic parameters, and intubation-related hemodynamic responses in patients undergoing thyroidectomy.

Primary Research Question: Does the palmar technique applied preoperatively reduce preoperative anxiety and associated hemodynamic changes in thyroidectomy patients? Study Design: Type: Prospective, single-blind, observational study Location: A single-center tertiary care hospital in Turkey Sample: 80 patients aged 18-65, ASA I-II

Methods:

Patients were divided into two groups using a sealed envelope method:

Group P: Patients who received the palm-based technique Group N: Control group without intervention

When admitted to the preoperative waiting room (T1), all patients:

Baseline vital signs (SpO₂, heart rate, blood pressure) State-Trait Anxiety Inventory (STAI) scores were recorded. Patients in Group P received the palm-based technique; Group N received no intervention.

The same parameters were measured again 15 minutes later (T2).

After transfer to the operating room, standard monitoring was performed, and hemodynamic data were recorded at the following times:

Pre-intubation (T3)

1 min (T4), 3 min (T5), 5 min (T6), and 10 min (T7) after intubation Main Outcome Measures: Changes in preoperative anxiety level Changes in hemodynamic parameters after the palmar technique Sample Size:Total: 80 patients

02

Conditions studied

  • Preoperative Anxiety and Associated Hemodynamic Changes

Keywords

  • Hemodynamics
  • intubation
  • preoperative anxiety
  • relaxation techniques
  • thyroidectomy
03

In context

Lead sponsor

Yuzuncu Yil University is the lead sponsor of 66 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The study population consisted of adult patients scheduled to undergo thyroidectomy at a tertiary care hospital in Türkiye. A total of 80 patients aged 18-65 years and classified as ASA I-II according to the American Society of Anesthesiologists physical status classification were included. All participants were thoroughly informed about the study procedures and provided written informed consent. Eligible patients had no active psychiatric or neurological disorders, no history of glaucoma, and no prior ophthalmic surgery. Following randomization, patients were assigned to either the palming group (n = 40) or the control group (n = 40).

Inclusion criteria

  • Patients aged 18-65 years
  • Patients classified as ASA I-II
  • Patients scheduled for thyroid surgery
  • Patients without a history of glaucoma
  • Patients without active psychiatric or neurological disease
  • Patients who were informed about the study and provided written informed consent

Exclusion criteria

Exclusion Criteria:

  • Patients with a diagnosed psychiatric disorder
  • Patients using sedatives, antidepressants, or antiepileptic medications
  • Patients with impaired cooperation, comprehension, vision, or hearing
  • Patients with a history of ophthalmic surgery
  • Patients classified as ASA III or higher
05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
80 participants (actual)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Group P

    Patients who received the palm-based technique

    Behavioral: Group P

  • Group N

    Control group without intervention

Interventions

  • BehavioralGroup P

    When admitted to the preoperative waiting room (T1), all patients: Baseline vital signs (SpO₂, heart rate, blood pressure) State-Trait Anxiety Inventory (STAI) scores were recorded. Patients in Group P received the palm-based technique; Group N received no intervention. The same parameters were measured again 15 minutes later (T2). After transfer to the operating room, standard monitoring was performed, and hemodynamic data were recorded at the following times: Pre-intubation (T3) 1 min (T4), 3 min (T5), 5 min (T6), and 10 min (T7) after intubation Main Outcome Measures: Changes in preoperative anxiety level Changes in hemodynamic parameters after the palmar technique

06

What researchers measure

Primary outcomes

  1. Change in Preoperative Anxiety Score (State-Trait Anxiety Inventory - STAI-State)

    Baseline (TPreoperative anxiety will be assessed using the State-Trait Anxiety Inventory - State (STAI-State) scale (range: 20-80; higher scores indicate higher anxiety). The primary outcome is the change in STAI-State score from baseline (T1) to 15 minutes after the palming technique (T2).1) and 15 minutes after intervention (T2)

    Time frame: Baseline (T1) and 15 minutes after intervention (T2)

  2. Change in Heart Rate

    Change in heart rate (beats per minute) between baseline (T1) and 15 minutes after the palming technique (T2).

    Time frame: Baseline (T1) and 15 minutes after intervention (T2)

07

Study locations

1 site
  • Van Yüzüncü Yıl Universitesi
    Van, 65080, Turkey (Türkiye)
08

References and documents

Publications

  • Wang R, Huang X, Wang Y, Akbari M. Non-pharmacologic Approaches in Preoperative Anxiety, a Comprehensive Review. Front Public Health. 2022 Apr 11;10:854673. doi: 10.3389/fpubh.2022.854673. eCollection 2022. PubMed 35480569 ↗

Individual participant data

Plan to share: No — Individual participant data will not be made available to other researchers due to confidentiality considerations and because data sharing was not included in the informed consent obtained from participants.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07259551
Lead sponsor
Yuzuncu Yil University
Responsible party
Nureddin YUZKAT (Associate professor, Yuzuncu Yil University) — Principal investigator
First posted
Dec 2, 2025
Start date
Feb 1, 2022
Primary completion
Apr 15, 2022
Completion
May 1, 2022
Last update
Dec 2, 2025

Study contacts

Nureddin Yuzkat
principal investigator · Yuzuncu Yil University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion