[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100657928":3},{"organization":4,"outcomesModule":7,"designInfo":23,"detailedDescription":32,"studyPopulation":22,"armGroups":33,"interventions":44,"overallOfficials":49,"centralContacts":53,"locations":61,"responsibleParty":79,"collaborators":22,"id":81,"slug":82,"hasResults":83,"nctId":84,"briefTitle":85,"officialTitle":86,"acronym":22,"eligibilityCriteria":87,"healthyVolunteers":83,"sex":88,"minAge":89,"maxAge":22,"enrollmentInfo":90,"targetDuration":22,"studyType":93,"phases":94,"briefSummary":96,"conditions":97,"keywords":101,"overallStatus":107,"whyStopped":22,"lastUpdateSubmitDate":108,"lastUpdatePostDateStruct":109,"startDateStruct":112,"completionDateStruct":114,"leadSponsor":116,"locationsCount":117},{"fullName":5,"class":6},"Mersin University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":22},[9],{"measure":10,"description":11,"timeFrame":12},"Catheter-Related Bladder Discomfort (CRBD) Severity Score","Catheter-related bladder discomfort severity is assessed using the 4-point rating scale developed by Agarwal et al. The scale classifies discomfort as: 0 = none; 1 = mild (reported by the patient only upon direct questioning); 2 = moderate (reported spontaneously by the patient without being asked, but not accompanied by behavioral responses); and 3 = severe (reported spontaneously and accompanied by behavioral manifestations such as vocal complaints, restless limb movements, or attempting to pull out the urinary catheter). Higher scores indicate greater severity of bladder discomfort.","Measured at the 1st, 2nd, 6th, 12th, and 24th postoperative hours",[14,18],{"measure":15,"description":16,"timeFrame":17},"Postoperative Pain Intensity Score","Postoperative pain is assessed using the Numeric Rating Scale (NRS). Patients rate their perceived pain intensity on an 11-point scale from 0 to 10, where 0 represents \"no pain\" and 10 represents the \"worst possible pain\". Higher scores reflect higher pain intensity. In addition, total analgesic consumption and medication types will be recorded during the first 24 postoperative hours.","Measured at the 1st, 2nd, 6th, 12th, and 24th postoperative hours.",{"measure":19,"description":20,"timeFrame":21},"Postoperative Sleep Quality Score","Sleep quality is assessed using the Richard-Campbell Sleep Questionnaire (RCSQ). The instrument evaluates 5 domains (sleep depth, sleep latency, awakenings, time spent awake, and overall sleep quality) using a 0-100 mm Visual Analog Scale (VAS). Total scores range from 0 to 100, with higher scores indicating superior sleep quality (scores \\>50 denote good sleep quality).","On the morning of postoperative day 1 (upon awakening)",null,{"allocation":24,"interventionModel":25,"interventionModelDescription":26,"primaryPurpose":6,"observationalModel":22,"timePerspective":22,"maskingInfo":27},"RANDOMIZED","PARALLEL","This study is designed as a prospective, two-arm, parallel-group randomized controlled clinical trial with a 1:1 allocation ratio. Eligible participants undergoing transurethral resection (TUR) will be assigned to either the experimental intervention group receiving cyclic sighing breathing exercises or the control group receiving standard postoperative nursing care. Allocation will be performed using a block randomization list created by an independent biostatistician, and allocation concealment will be ensured through sequentially numbered, sealed, opaque envelopes.",{"masking":28,"maskingDescription":29,"whoMasked":30},"SINGLE","Due to the behavioral nature of the cyclic sighing breathing exercise, participants, ward clinical care providers, and the field investigator who provides the instruction and collects measurements cannot be masked. However, allocation concealment is strictly maintained using sequentially numbered, sealed, opaque envelopes. Additionally, an independent biostatistician who is completely blinded to group allocations (Group A and Group B) will perform data entry, computerized processing, and final statistical outcome evaluations.",[31],"OUTCOMES_ASSESSOR","This prospective, two-arm, parallel-group, randomized controlled clinical trial will be conducted in the Urology Ward of Hatay İskenderun State Hospital. A total of 76 patients scheduled for TUR (TUR-P or TUR-B\u002FTUR-M) will be allocated into either the intervention group (n=38) or the control group (n=38) using block randomization with sealed opaque envelopes. The intervention group will receive pre-operative training on cyclic sighing breathing exercise. Postoperatively, participants in this group will perform cyclic sighing (two deep nasal inhalations followed by prolonged oral exhalation) for 5 minutes at the 1st, 2nd, 6th, 12th, and 24th postoperative hours under researcher supervision (completed before 22:00 to avoid nocturnal sleep disruption). The control group will receive routine standard postoperative nursing care. CRBD severity and pain intensity will be assessed at the 1st, 2nd, 6th, 12th, and 24th postoperative hours. Sleep quality will be evaluated on the morning of the first postoperative day (after awakening).",[34,40],{"label":35,"type":36,"description":37,"interventionNames":38},"Experimental group","EXPERIMENTAL","Patients in this arm will receive preoperative training on the cyclic sighing breathing exercise technique from the researcher upon clinical admission. Following transurethral resection (TUR) surgery, participants will perform cyclic sighing breathing exercises under researcher supervision at the 1st, 2nd, 6th, 12th, and 24th postoperative hours. Each exercise session will last for 5 minutes and consists of taking a deep breath in through the nose, followed immediately by a second short breath to fully inflate the lungs, and then exhaling slowly and fully through the mouth. In addition to the breathing intervention, patients will receive standard postoperative clinical nursing care.",[39],"Other: Cyclic Sighing Breathing Exercise",{"label":41,"type":42,"description":43,"interventionNames":22},"Control Group","NO_INTERVENTION","Patients in this arm will receive routine standard postoperative nursing care and physician-prescribed clinical treatments (such as standard continuous bladder irrigation and routine analgesic or antispasmodic medications as needed) without any structured breathing exercise education or intervention.",[45],{"type":6,"name":46,"description":47,"armGroupLabels":48,"otherNames":22},"Cyclic Sighing Breathing Exercise","The cyclic sighing intervention consists of structured breathing sessions taught preoperatively and supervised postoperatively. The patient assumes a comfortable supine or semi-Fowler position in bed. The exercise involves taking a slow, deep inhalation through the nose, immediately followed by a second short nasal inhalation to achieve maximum lung expansion, and then slowly and fully exhaling through the mouth, ensuring that exhalation lasts longer than inhalation. Patients perform this cycle continuously for 5 minutes at the 1st, 2nd, 6th, 12th, and 24th postoperative hours under researcher supervision. To protect nocturnal sleep patterns, sessions scheduled after 22:00 will be completed by 22:00.",[35],[50],{"name":51,"affiliation":5,"role":52},"Gülay Altun Uğraş","STUDY_DIRECTOR",[54,60],{"name":55,"role":56,"phone":57,"phoneExt":58,"email":59},"Hasan Şeren","CONTACT","+903266153750","1237","hasanseren94@gmail.com",{"name":55,"role":56,"phone":22,"phoneExt":22,"email":22},[62],{"facility":63,"status":22,"city":64,"state":22,"zip":65,"country":66,"countryCode":22,"cosmosGeoPoint":67,"geoPoint":72,"contacts":73},"Hatay Iskenderun State Hospital","Hatay","31000","Turkey (Türkiye)",{"type":68,"coordinates":69},"Point",[70,71],27.10486,38.40227,{"lat":71,"lon":70},[74,76,78],{"name":55,"role":56,"phone":75,"phoneExt":22,"email":59},"+90326 615 37 50",{"name":55,"role":77,"phone":22,"phoneExt":22,"email":22},"PRINCIPAL_INVESTIGATOR",{"name":51,"role":77,"phone":22,"phoneExt":22,"email":22},{"type":77,"investigatorFullName":55,"investigatorTitle":80,"investigatorAffiliation":5,"oldNameTitle":22,"oldOrganization":22},"Principal Investigator","100657928","effect-of-cyclic-sighing-breathing-exercise-on-crbd-pain-and-sleep-quality-in-patients-undergoing-tur-100657928",false,"NCT07843602","Effect of Cyclic Sighing Breathing Exercise on CRBD, Pain, and Sleep Quality in Patients Undergoing TUR","The Effect of Cyclic Sighing Breathing Exercise on Catheter-Related Bladder Discomfort, Pain, and Sleep Quality in Patients Undergoing Transurethral Resection: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Aged 18 years or older\n* Undergoing Transurethral Resection of the Prostate (TUR-P) or Transurethral Resection of Bladder Tumor (TUR-M\u002FTUR-BT)\n* Having an indwelling urethral catheter placed postoperatively\n* Fully conscious, oriented, and cooperative\n* Able to speak and understand Turkish\n* Volunteering to participate and providing written informed consent\n\nExclusion Criteria:\n\n* American Society of Anesthesiologists (ASA) physical status score of IV or higher\n* Presence of any medical condition or physical impairment that prevents performing breathing exercises\n* Diagnosed history of sleep apnea\n* Regular use of sedative, hypnotic, or sleep-inducing medications\n* Neurological or psychiatric disorders severely impeding hearing, vision, or verbal communication\n* Refusal to participate in the study","ALL","18 Years",{"count":91,"type":92},76,"ESTIMATED","INTERVENTIONAL",[95],"NA","Transurethral resection (TUR) is a common minimally invasive surgical procedure for lower urinary tract diseases. However, postoperative urinary catheterization often causes catheter-related bladder discomfort (CRBD) and pain due to bladder spasms, which negatively impact recovery and sleep quality. Pharmacological agents used to alleviate CRBD and pain may cause adverse side effects. This study aims to evaluate the effects of cyclic sighing breathing exercises on CRBD severity, pain intensity, and sleep quality in patients undergoing TUR.",[98,99,100],"Transurethral Resection of Bladder Tumor","Transurethral Resection of the Prostate (TURP)","Transurethral Resection of the Bladder",[102,103,104,105,106],"Sleep quality","Transurethral resection","Breathing exercises","pain","Urinary catheterization","NOT_YET_RECRUITING","2026-09-30",{"date":110,"type":111},"2026-10-05","ACTUAL",{"date":113,"type":92},"2026-10-01",{"date":115,"type":92},"2027-10-01",{"name":5,"class":6},1]