The effect of stress ball on anxiety and pain levels during endometrial biopsy: A randomized controlled trial

This study aims to evaluate the effect of using a stress ball on anxiety and pain levels during the endometrial biopsy procedure. The impact of stress ball use on vital sign scores was also assessed as a secondary objective. The sample of this randomized controlled study design consisted of 70 women (stress ball group n = 35 and control group n = 35). Data collection tools included the Personal Information Form, Visual Analog Scale (VAS) for Pain and Anxiety, State-Trait Anxiety Inventory (STAI), and a Satisfaction Form. The primary outcome showed no statistically significant difference in mean anxiety scores between the stress ball and control groups during the procedure (Wilcoxon test, W = -1.045, p = 0.296). As a secondary outcome, a significant decrease in heart rate was observed in the control group before and after the procedure. Additionally, reductions in anxiety levels were associated with corresponding decreases in pain scores. The reduction in anxiety levels during endometrial biopsy correspondingly decreased the pain that was experienced. Nonetheless, the utilization of a stress ball shown no statistically meaningful impact on decreasing anxiety, stress, or pain.