The effect of box breathing before chest tube removal after Open-Heart surgery on pain, anxiety, dyspnea, and hemodynamic parameters: a randomized controlled trial
NCT ID NCT07808658
First seen Sep 09, 2026 · Last updated Sep 09, 2026
Summary
This randomized controlled trial aims to evaluate the effects of box breathing performed before chest tube removal on pain, anxiety, dyspnea, and hemodynamic parameters in patients undergoing open-heart surgery. A total of 86 patients will be randomly assigned in a 1:1 ratio to either the box breathing group or the control group. Participants in the intervention group will perform the 4-4-4-4 box breathing technique for approximately five minutes before chest tube removal in addition to routine care, while participants in the control group will receive routine care only. Pain, anxiety, dyspnea, and hemodynamic parameters will be assessed before and at specified time points after chest tube removal.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 86 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Patients who have undergone open-heart surgery and have a chest tube Aged 18 years or older Willing to participate in the study and providing written informed consent Conscious, oriented, and cooperative Able to read and understand Turkish Clinically and hemodynamically stable Having no more than three chest tubes (up to two mediastinal and one thoracic chest tube) No diagnosed psychiatric disorder Not receiving psychiatric medications and/or local neuromuscular blocking agents Exclusion Criteria: Patients who have not undergone open-heart surgery Unconscious, disoriented, or uncooperative patients Unable to read and understand Turkish Intubated patients Receiving additional analgesic medication other than routine analgesia Receiving local anesthesia at the chest tube insertion site Having four chest tubes (two mediastinal and two thoracic) Unwilling to participate in the study Having a diagnosed psychiatric disorder or mental health condition
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Turkey, Mersin University Hospital
Yenişehir, Mersin, 33120, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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