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NCT Number: NCT07126054

The Effect of Bibliotherapy Administered During the Preoperative Period on Vital Signs, Anxiety, and Coping With Illness in Adolescent Patients

This study aimed to evaluate the effects of bibliotherapy administered to adolescent patients in the preoperative period on vital signs, anxiety levels, and coping attitudes using a pretest-posttest controlled experimental design. The main hypotheses:

H1: Bibliotherapy administered to adolescent patients during the preoperative period positively affects at least one of the patients' vital signs.

H2: Bibliotherapy administered to adolescent patients during the preoperative period reduces the patients' state anxiety level.

H3: Bibliotherapy administered to adolescent patients during the preoperative period reduces the patients' trait anxiety level.

H4: Bibliotherapy administered to adolescent patients during the preoperative period increases the patients' level of coping with illness.

Researchers will compare control group to see if vital signs, anxiety and coping with illnes levels. Bibliotherapy was applied to the intervention group, while the control group received routine clinical care.

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Key information

Conditions

Psycho-educational Anxiety Anxiety Disorders Critical Illness Disease Attributes Illness, Critical Mental Disorders Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

10 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istanbul Medipol University Hospital, Istanbul, Bağcılar, Turkey (Türkiye)

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About this study

The study was conducted with 90 adolescent patients scheduled for surgical intervention at the pediatric surgery clinic of a city hospital. Data were collected using the "Personal Information Form," "Vital Signs Monitoring Form," "State-Trait Anxiety Inventory for Children," and the "Coping Attitudes Assessment Scale. In the intervention group, a three-stage process (pre-test, bibliotherapy, and post-test) was implemented; as part of bibliotherapy, the book "My Surgery Journey" was read to the patients and discussed individually to help them understand the surgical process and reduce anxiety. In the control group, only pre-test and post-test measurements were conducted at the same time intervals, without any psychoeducational intervention. In both groups, vital signs, anxiety levels, and coping with illness were assessed using standardized scales and measurement methods.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • who were between 10 and 17 years old,
  • literate (able to read and write),
  • diagnosed with appendicitis and scheduled for surgery,
  • without any prior major surgical interventions,
  • who, along with their parents, consented to participate in the study.

Exclusion criteria

  • Failure of the patient to recover physiologically on the 1st and 2nd postoperative days
  • Presence of postoperative complications
  • Early discharge from the clinic

Treatment and study plan

Bibliotherapy

Behavioral

Bibliotherapy is a therapeutic approach that uses carefully prepared reading materials (My Surgery Story) to support individuals' understanding, coping, and anxiety, facilitated through guided reading and discussion.

Primary outcomes

  1. Vital sign: pulse

    Time frame: Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

    Pulse is the rhythmic expansion of an artery caused by the ejection of blood from the heart, reflecting the heart rate and rhythm.

  2. Vital sign: blood pressure

    Time frame: Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

    Blood pressure is the force exerted by circulating blood against the walls of the arteries, indicating the pressure during heartbeats (systolic) and between beats (diastolic).

    Ask ChatGPT Blood pressure is the force exerted by circulating blood against the walls of the arteries, indicating the pressure during heartbeats (systolic) and between beats (diastolic).

    Ask ChatGPT Blood pressure is the force exerted by circulating blood against the walls of the arteries, indicating the pressure during heartbeats (systolic) and between beats (diastolic).

  3. vital sign: body temperature

    Time frame: Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

    Body temperature is the measure of the body's ability to generate and dissipate heat, reflecting the balance between heat production and heat loss.

  4. vital sign: respiratory rate

    Time frame: Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

    Breathing, or respiratory rate, is the number of breaths taken per minute, indicating how effectively the body is exchanging oxygen and carbon dioxide.

  5. vital sign: Oxygen saturation

    Time frame: Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1)

    Oxygen saturation is the percentage of hemoglobin in the blood that is saturated with oxygen, indicating how efficiently oxygen is being transported to body tissues.

  6. State-Trait Anxiety Inventory for Children

    Time frame: Day 1: 1 hour after the decision for surgery is explained to the patient and and at after eigth hours from surgery (Day 1)

    The State-Trait Anxiety Inventory for Children measures both the temporary (state) and general (trait) levels of anxiety experienced by children. The highest possible score on the State Anxiety Inventory is 60, and the lowest is 20. An increase in the score indicates a higher level of anxiety.

  7. Coping Attitudes Assessment Scale

    Time frame: Day 1: 1 hour after the decision for surgery is explained to the patient and and at after eigth hours from surgery (Day 1)

    The Coping Attitudes Assessment Scale evaluates an individual's strategies and attitudes toward managing stress and adapting to challenging situations. The highest possible score on the scale is 160, and the lowest is 40. A higher score on the scale indicates a higher level of coping attitude.

Sponsors and collaborators

Lead sponsor

Istanbul Medipol University Hospital

Other

Registry information

Acronym: Bibliotherapy

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Aug 17, 2025
Registry last updated
Aug 17, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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