Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2024/271 | Other Identifier | Erciyes Üniversitesi |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study aims to evaluate the effectiveness of U-shaped travel neck pillow use in improving cervical comfort, reducing neck pain and stiffness, and enhancing cervical range of motion in adults undergoing total thyroidectomy surgery. It is the first randomized controlled trial in Turkey to examine the use of a travel neck pillow as a non-pharmacological intervention during the immediate postoperative period (day 0).
The study will be conducted at Erciyes University Gevher Nesibe Hospital between December 5, 2024 and June 5, 2025. Participants will be randomly assigned to either the pillow group or the control group. Those in the pillow group will use a U-shaped neck pillow for the first 24 hours after surgery while at rest.
Outcomes will be assessed using the Visual Analog Scale (VAS) for pain and comfort, the McGill Pain Questionnaire for pain localization and intensity, and goniometric measurements of cervical range of motion. Data will be collected preoperatively and at 24 hours postoperatively.
This study is expected to provide clinical evidence supporting the use of travel neck pillows to improve postoperative comfort and mobility, offering a simple and cost-effective nursing intervention for thyroidectomy recovery.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| U-shaped Travel Neck Pillow | Experimental | Participants in the intervention group will receive a U-shaped travel neck pillow immediately after surgery upon arrival to the ward. The pillow will be used only during rest (supine or semi-Fowler's position) for the first 24 hours postoperatively and removed before mobilization begins. After removal, assessments will include cervical comfort using the Visual Analog Scale (VAS), pain scores during neck movements (flexion, rotation, lateral flexion-excluding extension) via VAS, the McGill Pain Questionnaire for pain localization and severity, and cervical range of motion using a universal goniometer. This intervention aims to evaluate the pillow's effectiveness in reducing neck pain, stiffness, and discomfort, and improving mobility after thyroidectomy. |
|
| Routine Care | No Intervention | Participants in the control group will receive standard postoperative care following total thyroidectomy, without the use of a neck pillow. No additional non-pharmacological interventions will be provided. Pain management, mobilization, and other postoperative procedures will follow the hospital's routine clinical protocol. At 24 hours postoperatively, participants will be assessed for cervical comfort using the Visual Analog Scale (VAS), neck pain during movements (excluding extension) using VAS, pain localization and severity via the McGill Pain Questionnaire, and cervical range of motion using a universal goniometer. This group serves as a comparison to evaluate the effectiveness of the neck pillow intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| U-shaped Travel Neck Pillow | Device | Participants in the intervention group will receive a U-shaped travel neck pillow immediately after surgery upon arrival to the ward. The pillow will be used only during rest (supine or semi-Fowler's position) for the first 24 hours postoperatively and removed before mobilization begins. After removal, assessments will include cervical comfort using the Visual Analog Scale (VAS), pain scores during neck movements (flexion, rotation, lateral flexion-excluding extension) via VAS, the McGill Pain Questionnaire for pain localization and severity, and cervical range of motion using a universal goniometer. This intervention aims to evaluate the pillow's effectiveness in reducing neck pain, stiffness, and discomfort, and improving mobility after thyroidectomy. |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of Patient Comfort Using the Visual Analog Scale (VAS) | The Visual Analog Scale (VAS) is used to measure patient comfort. It is a 10 cm (100 mm) long line that can be oriented either horizontally or vertically. On this scale, 0 indicates "extremely uncomfortable" and 100 indicates "completely comfortable." In this study, the 10 cm VAS will be used in a horizontal orientation. | The scale was filled in the baseline |
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of Pain Using the Visual Analog Scale (VAS) | The Visual Analog Scale (VAS) is a 10 cm line, drawn either horizontally or vertically, with one end labeled "no pain" and the other end labeled "worst imaginable pain." Participants are asked to mark the point on the line that best represents their level of pain. In this study, the horizontal format will be used, as it has been reported to be more reliable. |
Inclusion Criteria:
Classified as ASA physical status I or II
Aged 18 years or older
No communication impairments
Willing to participate and provide informed consent
Exclusion Criteria:
Patients who have previously undergone thyroidectomy
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Erciyes Üniversitesi | Kayseri | Talas | 38280 | Turkey (Türkiye) |
Not provided
Not provided
Not provided
Not provided
Not provided
| Type | Date | Date Unknown |
|---|---|---|
| Release | Nov 16, 2025 | |
| Reset | Dec 3, 2025 | |
| Release | Dec 4, 2025 | |
| Reset | Dec 19, 2025 |
Not provided
Not provided
| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Nov 16, 2025 | Dec 3, 2025 | |||
| Dec 4, 2025 |
Not provided
Not provided
Not provided
Not provided
Not provided
|
|
| The scale was filled in the baseline |
| McGill Pain Questionnaire | The McGill Pain Questionnaire (MPQ) was developed by Melzack and Torgerson in 1971 and validated in Turkish by Kuğuoğlu, Eti Aslan, and Olgun in 2003. It consists of four parts: (1) Participants indicate the pain location on a body diagram and specify whether the pain is deep (D), surface-level (Y), or both (D-Y). (2) They select descriptive words from 20 word groups that reflect the sensory, affective, and evaluative qualities of their pain. (3) The form includes items that evaluate the temporal characteristics of pain and factors that increase or reduce it. (4) Pain intensity is rated using five levels from mild to unbearable. Each response has a point value, and total scores range from 0 to 112. Higher scores indicate more severe pain. | The scale was filled in the baseline |
| Cervical Spine Range of Motion Assessment | Cervical spine range of motion will be assessed using a universal goniometer, a simple protractor-like tool designed to measure joint angles. The evaluation will follow the Kendall-McCreary criteria, which define normal cervical motion as 45-65° for flexion, 45-50° for extension, 55° for rotation, and 40° for lateral flexion. To avoid compromising the surgical incision, extension will not be performed in this study. Measurements will focus on flexion, rotation, and lateral flexion. | The scale was filled in the baseline |
| Dec 19, 2025 |