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Anesthetics

The study is planned to consist of two groups as experimental and control.

No intervention will be given to the control group.

In the study, the experimental group was given a round, compressible ball for stress ball application and it was planned to squeeze this ball in their hands as often as they wanted during anaesthesia and endometrial biopsy application. The endometrial biopsy procedure is a procedure that usually takes between 8-10 minutes. The results will be evaluated considering these average times. As it is foreseen that individuals may experience the most intense anxiety and stress during anaesthesia and biopsy, it was preferred to cover this time period.

stress ball

In the study, the no intervention group ( control group) will receive no intervention and blood pressure and stress measurements will be made with routine care and nursing interventions.

control

The aim of this study is to determine the effect of stress ball application on the anxiety level during the endometrial biopsy procedure.

This research is planned as a randomised controlled study. Place and time of the research: The research is planned with patients who will undergo endometrial biopsy procedure in Zonguldak Obstetrics and Gynecology Hospital affiliated to the Ministry of Health.

While there are various experimental studies in the literature on the effect of stress ball on anxiety during many painful procedures, there is no study in the literature on the effect of stress ball on anxiety level during endometrial biopsy procedure (Akarsu, Kuş \& Akarsu 2021, Genç 2021Nurdina, Anggraini \& Novyanda 2022, Srivarsan, Sridevi \& Preetha 2021, Yanks et al. 2018,) In this study, it was aimed to evaluate the effect of stress ball application on anxiety level during endometrial biopsy procedure

Endometrial biopsy is a simple, inexpensive and effective method to rule out endometrial cancer.

Endometrial biopsy is the gold standard method in the diagnosis of endometrial pathologies and is widely used in gynaecological practice. Although endometrial biopsy is a common gynaecological procedure, its psychological effects have not been emphasised. In particular, the potential stress before and during the procedure, exposure to the test and the waiting time for the biopsy result have been mostly ignored. Patients with bleeding in the postmenopausal period already present to the physician with anxiety, and when it is stated that a biopsy should be taken for diagnosis, their anxiety increases due to both the procedure itself and the possibility of an unfavourable outcome at the end of the procedure.

While there are various experimental studies in the literature on the effect of stress ball on anxiety during many painful procedures, there is no study in the literature on the effect of stress ball on anxiety level during endometrial biopsy procedure .In this study, it was aimed to evaluate the effect of stress ball application on anxiety level during endometrial biopsy procedure.

Effect of Stress Ball Use on Anxiety Level During Endometrial Biopsy Procedure

The study is planned to be completed within 1 year and published as a publication within 3 years.

The state and trait anxiety scale consists of two parts and contains a total of 40 questions. The first 20 questions of the scale measure state anxiety, and the last 20 questions measure trait anxiety. The results of the state anxiety section of the scale will be used in this research. The State Anxiety Scale requires the individual to describe how he or she feels at a particular moment and under certain circumstances.

It constitutes another parameter for measuring the stress level.

The aim is to determine the changes caused by stress on blood pressure before and after the procedure.

Zonguldak Bulent Ecevit University

Dr, Principle İnvestigator

Constriction, Pathologic

Jaundice

Jaundice, Obstructive

Pathological Conditions, Anatomical

biliary biopsy through a percutaneous approach during a percutaneous biliary drainage

biliary biopsy

Audrey Fohlen

To evaluate during a 7 months period the efficacy, safety and accuracy of percutaneous transluminal forceps biopsy combined with transhepatic biliary drainage in patients with biliary stricture

Biological parameters of liver function, histopathology of specimens, comparison with others clinical and pathological data (imaging follow up, percutaneous biopsy, surgical biopsy, endoscopic biopsy) were recorded Comparison between pathological findings of surgery or endoscopy or percutaneous biopsy and specimens coming from biliary forceps biopsy follow up of the patient 12 months after biopsy Evaluation of complications, accuracy

Percutaneous Transluminal Forceps Biopsy

Percutaneous Transluminal Forceps Biopsy Combined With Transhepatic Biliary Drainage in the Management of Patients With Obstructive Jaundice: Efficacy, Safety and Accuracy

Efficacy of PTBD : bilirubinemia after PTFB at Day 7

Accuracy of PTFB : percentage of true positive and true negative results by pathologists

Number of patients with PTFB related adverse-events as assessed by Society of Interventional Radiology Standards of Practice Committee classification

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Effect of Stress Ball Use on Anxiety Level During Endometrial Biopsy Procedure	NCT06171581	Biopsy Wound Endometrial Hyp... Endometrial Neo...	stress ball control	18 Years -	Zonguldak Bulent Ecevit University
Percutaneous Transluminal Forceps Biopsy	NCT06039670	Biliary Strictu... Biopsy Wound Oncology	biliary biopsy	18 Years -	University Hospital, Caen
Percutaneous Transluminal Forceps Biopsy	NCT06039670	Biliary Strictu... Biopsy Wound Oncology	biliary biopsy	18 Years -	University Hospital, Caen

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