AzTrials
AzTrials

Primipara PregnantbreathingNCT06520930

The Effect of Breathing Exercises on Comfort Level in Primiparous Pregnant Women

A study testing breathing exercise therapy in people with Primipara Pregnant, run by Sibel Kucuk at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Pregnancy is a special period in which some changes occur in bio-psycho-social areas and adaptation to these changes is achieved (Üzar and Erkan; 2019). While this special period creates happiness and peace in some women, it can cause emotional and relational changes in some women, create anxiety and anxiety, and… Read more about this study

Who is it for?
Ages 19 years and older, women onlyHealthy volunteers can take part
Conditions the study is for
Primipara Pregnant
What is being tested?
breathing exercise therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteTurkey (Türkiye)
Study dates
19 Mar 2024to 15 Jul 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Volunteer to participate in the study, Those aged 19 and over, non-smoker Without a risky pregnancy diagnosis (without obstetric complications, psychiatric diagnosis, ear, nose or throat problems and systemic disease) Literate and without communication difficulties 2nd trimester primiparous pregnant women who are 21st week of pregnancy and later

Who cannot join

  • They want to withdraw from the research at any point during the research. Those who accept face-to-face application and then give up or do not continue the application, Not doing daily breathing exercises, Couldn\'t be reached by the researcher even though he called at most three times a day, Changing hospital, Women who fill out the research data collection forms incompletely will be excluded from the sample.
  • -

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Harran University

    Sanliurfa, Türkiye, 63000

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of the Structured Supportive Approach Based on Kolcaba Comfort Theory Applied to Primiparous Pregnant Women on the Comfort Level in the Last Trimester

Pregnancy is a special period in which some changes occur in bio-psycho-social areas and adaptation to these changes is achieved (Üzar and Erkan; 2019). While this special period creates happiness and peace in some women, it can cause emotional and relational changes in some women, create anxiety and anxiety, and negatively affect their comfort level (Al-Mutawtah et al., 2023; Yar and Yılmaz, 2021). In order to reduce the effects of complaints experienced during pregnancy and ensure adaptation, nurses who provide holistic, innovative, effective and supportive care, determine the comfort needs of the individual and the family, and improve their comfort levels by planning and applying interventions specific to the areas needed.

It increases. (Arslankılıç and Göl, 2020; Kolcaba1991). In this context, breathing exercises, which are defined as an invisible spirit that provides the connection between body, mind and soul, gives life to its owner, has an important place in order to increase the comfort level and ensure adaptation to the pregnancy process (Kartal, 2018). Because breathing exercises stimulate the parasympathetic nervous system, increase blood oxygenation and, as a result, trigger the secretion of endorphins. The increased release of endorphins reduces the heart rate, resulting in a feeling of calm. In addition, endorphin suppresses the sympathetic nervous system and reduces the release of cortisol, the stress hormone, thus keeping psychotic emotions under control (Issac, et al., 2023).Thus, the complaints that occur during pregnancy can be minimized with correct and effective breathing techniques and the comfort level can be increased. As a result of literature reviews; Regular breathing exercises increase lung volume, increase the endurance and efficiency of the diaphragm muscle, reduce dyspnea, provide easier breathing, and help eliminate bronchial secretions (Özulus, 2018; Tucker and Jenkins 1996). It has been found that it is effective in reducing hypertension, fatigue and anxiety, and that a 30-session intervention lasting 5 minutes per day for women who have given birth prematurely significantly reduces anxiety (Ölçer and Oskay; 2015; Chang et al., 2009). For this reason, the concept of comfort should be evaluated multidimensionally during pregnancy and holistic nursing interventions should be implemented to increase the comfort level.

In this study, it is envisaged that breathing exercise practices will increase the general comfort level of primiparous women, such as adaptation to pregnancy, increase in sleep quality, decrease in pain, decrease in anxiety levels, improvement in vital signs and conscious management of third trimester changes. At the same time, these research findings will constitute an important data source in research on the general comfort level effectiveness of breathing exercises to be performed on primiparous pregnant women from the 2nd trimester onwards in the 3rd trimester. Because, no randomized controlled study has been conducted in Turkey regarding the effect of breathing exercise on the general comfort level of last trimester pregnant women.

Read the detailed description

The population of the research consists of primiparous women who applied to the Private Metrolife Hospital Obstetrics and Gynecology outpatient clinic. The sample size of the study was determined using post hoc power analysis G-Power 3.1.9.4 program. In the power analysis conducted for the research, it was determined that a total of 72 primiparous women, including at least 36 people in both groups, were included in the study in order to reach a 95% confidence interval, an effect size of 0.6, an α-type error estimate of 0.05 and 80% power in the experimental and control groups with the pretest-posttest. It was determined that there was a need for inclusion. In view of the possibility that primiparous pregnant women who will participate in the study may withdraw from the study for various reasons, the total number of primiparous pregnant women was determined as 80, 40 for the control group and 40 for the experimental group. The research was completed with 40 primiparous pregnant women in the intervention group and 40 primiparous pregnant women in the control group, according to the CONSORT flow chart.

The breathing exercises to be applied were taught face to face to each pregnant woman by the researcher who has a \"Breathing Therapy\" certificate. The taught practice was then repeated by the pregnant woman and the researcher together. In the next step, pregnant women were asked to perform the application themselves. In this way, it was determined whether individual breathing exercise practices were performed correctly and effectively. After the one-on-one training was completed, the pregnant women were divided into groups of maximum six people and breathing exercise exercises were performed 7 days a week, once a day and once a week face-to-face for 8 weeks. Breathing exercises were administered face to face to a maximum of two groups per day, and each session lasted approximately 45 minutes. In addition, for 8 weeks, a short reminder message was sent to pregnant women every morning (between 10:00-11:00) to prevent them from disrupting their daily breathing exercise practices, and they were called in the evening (between 17:00-18:00) to check whether they had performed the application correctly or not. It was checked whether they were experiencing any problems.

Data collection tools; Introductory Information Form: This form was prepared by the researcher by scanning the relevant literature; Socio-demographic characteristics of primiparous pregnant women (age, age at marriage, duration of marriage, education level, profession, income level, social security status, place of residence, family structure), obstetric characteristics (gestational age, planned pregnancy, problems experienced during pregnancy, any relaxing practice) and pulse, respiratory rate and saturation values were checked.

General Comfort Scale (GAS) was used. The intervention group had data collection tools filled out before and after therapy.

Statistical significance level will be accepted as p\<0.05.

Being tested
breathing exercise therapy
Keywords
primipara pregnant, comfort, breathing therapy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • breathing exercise therapyBehavioural

    Description: The breathing exercises to be applied were taught to each pregnant woman face to face with one-on-one training. The taught practice was then repeated by the pregnant woman and the researcher together. In the next step, pregnant women were asked to perform the application themselves. In this way, it was determined whether individual breathing exercise practices were performed correctly and effectively. After the one-on-one training was completed, the pregnant women were divided into groups of maximum six people and breathing exercise exercises were performed 7 days a week, once a day and once a week face-to-face for 8 weeks. Each session lasted approximately 45 minutes. For 8 weeks, a short reminder message was sent to pregnant women every morning to ensure that they did not interrupt their daily breathing exercise practices, and they were called in the evening to check whether they had performed the application correctly and whether they had any problems.

Study groups in NCT06520930
Study groupRoleWhat they receive
ArmsNo interventionFirst Stage: As a pre-test, pulse, respiratory rate and saturation values will be checked, Descriptive Questionnaire and General Comfort Scale (GAS) will be applied to primiparous pregnant women in the control group. Second Stage: As the final test, the heart rate, respiratory rate, blood pressure and saturation values will be checked again at the end of the 8th session for primiparous pregnant women, and the Descriptive Questionnaire and General Comfort Scale (GAS) will be applied.
Intervention GroupExperimentalAs a pre-test, pulse, respiratory rate, blood pressure and saturation values will be checked, Descriptive Questionnaire and General Comfort Scale (GAS) will be applied to the primiparous pregnant women in the experimental groups. Breathing therapy exercises based on Kolcaba's comfort theory were designed as face-to-face training by the researcher himself, who received breathing therapy training for primiparous pregnant women once a week, for a total of 8 sessions. 6 pieces will be created within the session. Each session lasts approximately 45-60 minutes. As the final test, pulse, respiratory rates, blood pressure and saturation values will be checked again at the end of the 8th session/week to determine the change in primiparous pregnant women, and the Descriptive Questionnaire and General Comfort Scale (GAS) will be applied.
Receives: Behavioral: breathing exercise therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Introductory Information Form

    socio-demographic characteristics of primiparous pregnant women (age, age at marriage, duration of marriage, education level, profession, income level, social security status, place of residence, family structure), obstetric characteristics (gestational age, planned pregnancy, pregnancy It will be used to obtain information about the problems experienced, any relaxing practice during pregnancy) and pulse, respiratory rate and saturation values.

    Measured: Pregnant women in the experimental and control groups will be evaluated with the start of the study

Secondary outcomes (1)
  1. General Comfort Scale (GAS)

    The general comfort scale was developed by Katherine Kolcaba in 1992. The Turkish validity and reliability study of the scale was conducted by Kuğuoğlu and Karabacak (2008). The scale is a four-point Likert type and consists of a total of 48 items. Comfort levels of the scale; relief (16 items), relaxation (17 items) and overcoming problems (15 items). The response patterns of the scale, which consists of positive and negative items, are given in a mixed manner. Accordingly, in positive items, a high score (4) indicates high comfort and a low score (1) indicates low comfort. In the evaluation of the scale, the negative scores obtained (5, 6, 8, 12, 13, 14, 18, 19, 20, 21, 22, 24, 2526, 28, 32, 34, 35, 39, 40, 41, 42, 45, 48) are reverse coded and summed with positive items. The highest total score that can be obtained from the scale is 192, and the lowest total score is 48. Low comfort is expressed with one point, high comfort with four points. In the validity and reliability study, t

    Measured: It will be filled out before starting the study for the experimental and control groups, and will be filled in again to compare both groups in the 3rd trimester after the training is completed for the experimental group in the 8th week.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jul 2024
  2. Study start19 Mar 2024
  3. Primary completion15 Jul 2024
  4. Study completion15 Jul 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Parallel Assignment two groups
Masking
Single blind
Who is masked
Participant
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06520930
Sponsor's protocol ID
HRN-SK-44
Acronym
breathing
Status last verified
Jul 2024
First submitted
20 Jul 2024
Last updated
25 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Al-Mutawtah M, Campbell E, Kubis HP, Erjavec M. Women's experiences of social support during pregnancy: a qualitative systematic review. BMC Pregnancy Childbirth. 2023 Nov 10;23(1):782. doi: 10.1186/s12884-023-06089-0.

    PubMed 37950165
  • Kucuk S, Sevil U, Sak S. Effects of Kolcaba's comfort theory-based breathing awareness intervention initiated in the second trimester on third-trimester comfort in primiparous women: a randomised controlled trial. Midwifery. 2026 Aug;159:104831. doi: 10.1016/j.midw.2026.104831. Epub 2026 May 1.

    PubMed 42102778

Questions about this trial

What is this clinical trial studying?

A study testing breathing exercise therapy in people with Primipara Pregnant, run by Sibel Kucuk at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Introductory Information Form (time frame: Pregnant women in the experimental and control groups will be evaluated with the start of the study). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06520930, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jul 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in