The Effect of Stress Ball Utilization on Dyspnea Severity and Anxiety Level in Patients Receiving Nebulizer Therapy: Randomized Controlled Study

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dc.authoridsahan, seda/0000-0003-4071-2742
dc.contributor.authorCeyhan, Yasemin
dc.contributor.authorGuler, Sevil
dc.contributor.authorSahan, Seda
dc.date.accessioned2025-03-20T09:50:46Z
dc.date.available2025-03-20T09:50:46Z
dc.date.issued2025
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractAim: The study primarily aimed at examining the effect of stress ball utilization on dyspnea and anxiety during nebulizer therapy. The secondary aim was to determine the effect of stress ball utilization on the duration of therapy and vital signs. Methods: The study has a randomized controlled experimental design. The study population consisted of inpatients receiving nebulizer therapy. A total of 80 patients, 40 in the intervention group and 40 in the control group, were included in the sample. The study was conducted between October 2023 and March 2024. Patients in the intervention group were asked to use a stress ball during nebulizer therapy. Data were collected using a Patient Information Form, the Visual Analog Scale, and the State-Trait Anxiety Inventory. Descriptive statistics, Chi-square, paired test, and one sample t-test were used in data analysis. Results: The mean age of the patients was 65 years and over and 78% of them had COPD. Stress ball utilization caused a significant effect on the severity of dyspnea (intervention: t = 2.862, p < 0.001; control: t = 2.755, p < 0.001) and anxiety levels (intervention: t = 4.647, p < 0.001; control: t = 6.597, p < 0.001) in intragroup comparisons. In intergroup comparisons, a significant difference (t(& imath;) = 4.455, p < 0.001) was obtained in anxiety level with a high effect (d = 0.70). In addition, the durations of nebulizer (minutes) administration were significantly (p < 0.001) longer in the intervention group (19.10 +/- 11.95) than in the control group (13.16 +/- 3.02). Stress ball utilization did not affect vital signs and saturation values (p > 0.05). Conclusions: Utilization of a stress ball during nebulizer therapy has a positive effect on reducing anxiety levels and prolonging the duration of nebulizer use.
dc.identifier.doi10.1155/ijcp/9770027
dc.identifier.issn1368-5031
dc.identifier.issn1742-1241
dc.identifier.issue1
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1155/ijcp/9770027
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2303
dc.identifier.volume2025
dc.identifier.wosWOS:001428819500001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofInternational Journal of Clinical Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250319
dc.subjectanxiety
dc.subjectdyspnea
dc.subjectnebulizer therapy
dc.subjectnursing
dc.subjectstress ball
dc.titleThe Effect of Stress Ball Utilization on Dyspnea Severity and Anxiety Level in Patients Receiving Nebulizer Therapy: Randomized Controlled Study
dc.typeArticle

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