<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20190426043375N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-01-29</date_registration>
      <primary_sponsor>Arak University of Medical Sciences</primary_sponsor>
      <public_title>Effect of diaphragmatic breathing on anxiety, quality of sleep and pain of patients candidate for lumbar discectomy</public_title>
      <acronym></acronym>
      <scientific_title>Effect of diaphragmatic breathing on anxiety, quality of sleep and pain of patients candidate for lumbar discectomy</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-02-09</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>70</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/45274</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be selected based on inclusion criteria. Purposeful sampling and then patients are randomly divided into intervention and control groups. In order to comply with the Concealment, the problem of imbalance between the groups is solved by Balanced block randomization with the size of 2, 4 and 6 blocks. These blocks will then be arranged randomly using a random number table, and individuals will be assigned to two groups according to A and B. This process is repeated until the sample volume is complete, Blinding description: Outcome evaluators and expert statistics are not aware of the type of intervention and grouping.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: anxiety. Condition 2: sleep. Condition 3: pain.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:The researcher visits patients the night before surgery and completes a demographic questionnaire. Patients' anxiety will be measured using the Spielberger questionnaire. The researcher will practically teach the diaphragmatic breathing and ensure that the breathing is learned by the patient doing it correctly. Research units are required to perform this breathing exercise an hour before bedtime. Diaphragmatic breathing One hour before bedtime, a researcher in the test group will be reminded of the diaphragmatic respiratory test unit's presence in the hospital. At 7am after patients wake up, sleep quality of last night will be measured by St. Mary's Hospital Sleep Questionnaire. One hour before transferring the research units to the operating room, they will be asked to breathe in the diaphragm. Then, before entering the operating room, patients' anxiety levels will be measured by the Spielberger questionnaire. Postoperative pain will be measured immediately after the patient's full consciousness after surgery using visual analogue scale. Intervention 2: Control group:The researcher will meet patients at the beginning of the night shift and complete a demographic questionnaire and patients' anxiety will be measured using the Spielberger questionnaire. At 7 o'clock in the morning after the patients wake up, the quality of their sleep last night will be measured by the St. Marie Questionnaire. Then, immediately before entering the operating room, the anxiety level will be measured by the Spielberger questionnaire. Postoperative pain will be measured immediately after the patient's complete consciousness after surgery using a visual scale.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is Given that this study is a thesis and has not yet been completed, no decision has yet been made to publish it.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Yasaman Pourandish</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Nursing; University Complex Payambar Azam; Sq Basij; Sardasht.</address>
        <city>Arak</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3831667493</zip>
        <telephone>+98 86 3417 3507</telephone>
        <email>y.pourandish@gmail.com</email>
        <affiliation>Arak University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Davood Hekmatpou</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Nursing ; University Complex Payambar Azam; Sq Basij; Sardasht.</address>
        <city>Arak</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3848176941</zip>
        <telephone>+98 86 3417 3505</telephone>
        <email>hekmatpou@yahoo.com</email>
        <affiliation>Arak University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Over 18 years of age
fluency in Persian
No chronic pain
No history of surgery
No drug addiction
No use of any sedative and analgesics in the past 24 hours
mental health
Not knowing about diaphragmatic breathing</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Withdrawal from continuing study
death
possible complications of surgery and anesthesia.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F06.4</hc_code>
      <hc_code>F51</hc_code>
      <hc_code>G89.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Anxiety disorder due to known physiological condition</hc_keyword>
      <hc_keyword>Sleep disorders not due to a substance or known physiological condition</hc_keyword>
      <hc_keyword>Acute pain, not elsewhere classified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group:The researcher visits patients the night before surgery and completes a demographic questionnaire. Patients' anxiety will be measured using the Spielberger questionnaire. The researcher will practically teach the diaphragmatic breathing and ensure that the breathing is learned by the patient doing it correctly. Research units are required to perform this breathing exercise an hour before bedtime. Diaphragmatic breathing One hour before bedtime, a researcher in the test group will be reminded of the diaphragmatic respiratory test unit's presence in the hospital. At 7am after patients wake up, sleep quality of last night will be measured by St. Mary's Hospital Sleep Questionnaire. One hour before transferring the research units to the operating room, they will be asked to breathe in the diaphragm. Then, before entering the operating room, patients' anxiety levels will be measured by the Spielberger questionnaire. Postoperative pain will be measured immediately after the patient's full consciousness after surgery using visual analogue scale.</i_keyword>
      <i_keyword>Control group:The researcher will meet patients at the beginning of the night shift and complete a demographic questionnaire and patients' anxiety will be measured using the Spielberger questionnaire. At 7 o'clock in the morning after the patients wake up, the quality of their sleep last night will be measured by the St. Marie Questionnaire. Then, immediately before entering the operating room, the anxiety level will be measured by the Spielberger questionnaire. Postoperative pain will be measured immediately after the patient's complete consciousness after surgery using a visual scale.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Level of anxiety. Timepoint: Measurement of the anxiety level at the night before surgery, one hour before the surgery. Method of measurement: State-Trait Anxiety Inventory (STAI).</prim_outcome>
      <prim_outcome>Sleep quality. Timepoint: The morning of surgery. Method of measurement: St. Mary's Hospital Sleep Questionnaire.</prim_outcome>
      <prim_outcome>Postoperative pain. Timepoint: Immediately after the patient's consciousness after surgery. Method of measurement: Visual Analogue Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Arak University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-12-01</approval_date>
        <contact_name>Ethics committee of Arak University of Medical Sciences</contact_name>
        <contact_address>Floor 3; Bldg Emam Mosaa Kazem; University of Medical Sciences Complex; Sq Basij; Sardasht Arak Markazi Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
