Effect of 4-7-8 Breathing Technique on Pain and Anxiety During Electromyography in Diabetic Neuropathy

Sponsor
Nurgül Gün
Study ID
NCT07702175
Status
Not Yet Recruiting

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Conditions

  • Anxiety
  • Diabetes Mellitus (Type 2)
  • Diabetic Neuropathies
  • Pain

Eligibility Criteria

Sex
ALL
Age
18 Years - 70 Years
Healthy Volunteers
Not accepted

Interventions

  • 4-7-8 Breathing Technique — BEHAVIORAL
    A controlled breathing exercise involving inhaling for 4 seconds, holding the breath for 7 seconds, and exhaling completely for 8 seconds.

Study Details

This study aims to determine the effect of the 4-7-8 breathing technique, applied during Electromyography (EMG) for the diagnosis of diabetic peripheral neuropathy, on the pain and anxiety levels experienced by patients with Type 2 diabetes. EMG is a diagnostic method that can cause pain and anxiety in patients. Due to the limited number of non-pharmacological studies in the literature focusing on pain management in diabetic individuals during this process, the investigation of the effectiveness of the 4-7-8 breathing technique, which strengthens parasympathetic activity, using a randomized controlled design constitutes the unique value of this study. The research will be conducted in a randomized controlled experimental design. The sample will consist of individuals diagnosed with Type 2 diabetes who are referred to the EMG outpatient clinic of Osmaniye Training and Research Hospital. The experimental group will receive training on the 4-7-8 breathing technique and will be instructed to apply it during the procedure, while the control group will receive the routine clinical protocol. Data will be collected using the Patient Identification Form, Numerical Rating Scale (NRS), State Anxiety Scale (SAS), and Neuropathic Pain Questionnaire (DN4). The study expects the 4-7-8 breathing technique to significantly reduce pain and anxiety levels. It aims to improve the comfort of diabetic patients during procedures and the quality of diagnostic data, and to introduce this method into the literature as a low-cost and independent pain management strategy in nursing care. Furthermore, the study aligns with the "Health and Quality of Life" (SDG3) goal, which is part of the Sustainable Development Goals set by the United Nations. SDG3 offers a comprehensive global framework aimed at ensuring healthy living for all individuals and promoting well-being at all ages; it includes increasing access to health services, improving the quality of care, and strengthening patient-centered approaches.

Key Dates

First listed
Jul 14, 2026
Start date
Jul 13, 2026
Status verified
Jul 2026
Primary completion
Feb 15, 2027
Completion
Apr 15, 2027

Study Design

Enrollment
100 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Experimental: Intervention Group
    Participants in this group will receive training on the 4-7-8 breathing technique and will actively practice this controlled breathing cycle throughout the diagnostic Electromyography (EMG) procedure.
  • No Intervention: Control Group
    Participants in this group will undergo the standard routine diagnostic Electromyography (EMG) procedure without any breathing technique intervention.

Primary Outcome Measure

Pain Score [ Time Frame: Pain levels will be assessed at multiple specific time points throughout the study: baseline (immediately before the EMG procedure), during the EMG procedure,and immediately following the completion of the EMG procedure ]

Central Contacts

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