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Effects of a Head and Neck Stretching Exercise Program With Teach-Back-Based Education on Voice Quality, Anxiety, and Psychological Resilience After Thyroidectomy
Sponsor: Ataturk University
Summary
The aim of this clinical randomized controlled trial is to evaluate the effects of head and neck stretching exercises performed after thyroidectomy on voice function, anxiety, and psychological resilience, and to examine the effectiveness of this intervention in adult patients undergoing thyroidectomy. The primary questions to be answered are: Do head and neck stretching exercises improve voice function (Voice Handicap Index) after thyroidectomy? Do head and neck stretching exercises reduce patients' anxiety levels and increase psychological resilience? As a comparison group, researchers will compare the effects of head and neck stretching exercises to a control group receiving only routine care to assess the effects of exercises on voice, anxiety, and psychological resilience. Participants will be asked to participate in the following procedures: Patients in the experimental group will undergo head and neck stretching exercises in the early post-thyroidectomy period. Voice function, anxiety, and psychological resilience will be measured in both groups before surgery and at postoperative day 1, week 1, week 2, and month 1.
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
103
Start Date
2023-05-12
Completion Date
2024-01-12
Last Updated
2026-10-29
Healthy Volunteers
No
Conditions
Interventions
Structured patient education + neck stretching exercises
The intervention is a nurse-led, structured patient education program based on the, combined with a supervised head-neck stretching exercise program. Unlike routine postoperative care, this intervention includes: (1) preoperative individualized education using the Teach-Back method, (2) a printed educational booklet specifically developed for thyroidectomy patients, and (3) a standardized 30-day head-neck stretching exercise program initiated in the early postoperative period (starting on postoperative day 1). The exercise program is performed daily at home with visual and written guidance. In addition, patients receive regular follow-up and reinforcement during the postoperative period. This comprehensive and multimodal structure distinguishes the intervention from standard care and other single-component educational approaches.
Locations (1)
Atatürk University Research Hospital, Erzurum, Türkiye
Erzurum, Turkey (Türkiye)