The Effectiveness of Acupressure for Managing Postoperative Pain and Anxiety in Patients With Thoracoscopic Surgery

NCT ID: NCT04595253

Last Updated: 2021-08-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-20

Study Completion Date

2021-09-30

Brief Summary

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The purpose of this study is to explore the effectiveness of acupressure for managing postoperative pain, anxiety, analgesia consumption, early ambulation, and comfort in patients with thoracoscopic surgery.

Detailed Description

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Thoracoscopic surgery is the surgical used to removal of a section or a segment of a lung lobe. One US national survey reported that 80% of patients undergoing pulmonary surgery experienced acute pain. 75-86% of these patients pointed out that experienced moderate, severe, or extreme pain, especially, on the 1st day after thoracoscopic surgery. However, inappropriate pain management after surgery is associated with limited the healing process, increased workload of heart, prolonged pulmonary rehabilitation, and increased medical costs, and can be a prediction of developing chronic pain. Acupressure is a nonpharmacological treatment for the management of postoperative pain. Recent studies have found that the application of acupressure is effective in decreasing operative pain intensity, morphine related side effects, and opioid consumptions after surgery. However, there was no further research about the role of acupressure applied to thoracoscopic surgery.

Conditions

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Lung Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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acupressure

After recruitment, participants will be randomized to receive acupressure or control group. In the acupressure group, participants will receive acupressure treatment.

Group Type EXPERIMENTAL

acupressure

Intervention Type OTHER

The acupressure involves the " Vaccaria Semen" within skin-colored adhesive tape that placed on the "Neiguan" and "Shenmen" acupoints as an intervention measure. Continue to massage the acupoints with fingertips for 10 minutes, 3 times per day (8 and 12 in the morning, and 4 in the afternoon) . The adhesive tape will be retained in situ for 2 days.

routine care

After recruitment, participants will be randomized to receive acupressure or control group. In the control group, participants will receive routine care, including routine pain control.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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acupressure

The acupressure involves the " Vaccaria Semen" within skin-colored adhesive tape that placed on the "Neiguan" and "Shenmen" acupoints as an intervention measure. Continue to massage the acupoints with fingertips for 10 minutes, 3 times per day (8 and 12 in the morning, and 4 in the afternoon) . The adhesive tape will be retained in situ for 2 days.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* pulmonary lung disease and will be scheduled to undergo a thoracoscopic wedge resection, segmentectomy, or lobectomy.
* American Society of Anesthesiologist physical status of Classes I-II,
* both forearms without missing limbs or arteriovenous fistula
* ability to communicate in Taiwanese or Chinese, and
* agreement to participate in this study.

Exclusion Criteria

* diagnosed as malignant neoplasm with lung meta,
* Had a stroke or peripheral vascular disease
* Platelet count less than 20 x 10\^3/mm\^3
* Using the patient controlled analgesia, and
* any known mental illness or memory dysfunction.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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China Medical University Hospital

OTHER

Sponsor Role collaborator

Wei-Fen Ma

OTHER

Sponsor Role lead

Responsible Party

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Wei-Fen Ma

Professor, School of Nursing

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Wei-Fen Ma, Ph.D

Role: PRINCIPAL_INVESTIGATOR

China Medical University, China

Locations

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China Medical University

Taichung, , Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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Wei-Fen Ma, Ph.D

Role: CONTACT

04-22053366 Ext. 7107

Wei-Fen Ma, Ph.D

Role: CONTACT

Facility Contacts

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Wei-Fen Ma, PHD

Role: primary

04-22053366 ext. 7107

Wei-Fen Ma, PHD

Role: backup

04-22053366 ext. 7107

References

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system

American Society of Anesthesiologists Physical Status Classification System.

Other Identifiers

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CMUH109-REC2-131

Identifier Type: -

Identifier Source: org_study_id

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