The Effect of Acupressure on Preoperative Anxiety and Postoperative Pain and Nausea-Vomiting

NCT ID: NCT06040411

Last Updated: 2023-09-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-06-01
• Study Completion Date: 2021-12-01

Brief Summary

The study was conducted in the ENT Clinic of Mersin Şehir Training and Research Hospital between June 1 and December 1, 2021, with a total of 60 adult patients, 30 in the study group and 30 in the control group, who met the inclusion and exclusion criteria.

Detailed Description

In the study, 60 patients were randomly assigned to the study and control groups. The study group (n = 30) included Shen Men, the 7th acupuncture point (HT7) of the heart meridian located between the ulna and pisiform bones on the radial side of the flexor carpi ulnaris tendon, EX-HN3 (Yintang) located in the middle of the beginning of both eyebrows and the thumb and the LI4 points located in the space between the index finger (between the 1st and 2nd metacarpal bones of the hand, in the middle of the 2nd metacarpal bone on the radial side) were applied for an average of 15 minutes. No intervention didn't made to the control group (n = 30). The primary outcome of the study is the effect of acupressure on the state and trait anxiety level of patients. The secondary outcome of the study is the effect of acupressure on pain and nausea and vomiting level in patients. Anxiety levels of the patients were evaluated before and 15 minutes after acupressure application; pain levels were evaluated at the 4th postoperative hour, before going to bed at night (22.00), waking up in the morning (08.00) and at discharge; nausea and vomiting levels were evaluated in the first 24 hours after surgery.

Conditions

Anxiety State; Pain; Vomiting; Nausea

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

Study Group (experimental)

The order of application was determined by lottery. HT7, LI4 and EX-HN3 points were applied respectively. Before starting the application, the area around to be pressurized was gently rubbed with the palm of the hand for 20-30 seconds. The surrounding tissue was relieved by rubbing gently. After rubbing, pressure was applied to the point determined based on the pain threshold level of each individual with a depth of 1-1.5 cm with the thumb for 5 seconds, rested for 2 seconds and the application was continued for 2 minutes. Acupressure was applied to each point for 2 minutes and the total application time was 15 minutes on average (for 5 points).

Group Type: EXPERIMENTAL

Acupressure

Intervention Type: OTHER

Acupressure was applied to each point for 2 minutes and the total application time was 15 minutes on average (for 5 points). During the application, the most appropriate position in which the individual would be comfortable was preferred, taking into account the privacy of the individual. First of all, the supine position was preferred, and alternatively, the sitting position was preferred. At the end of the application, it was ensured that the person was in a position that he/she was comfortable.

Standard of care

Standard care was given.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Acupressure

Acupressure was applied to each point for 2 minutes and the total application time was 15 minutes on average (for 5 points). During the application, the most appropriate position in which the individual would be comfortable was preferred, taking into account the privacy of the individual. First of all, the supine position was preferred, and alternatively, the sitting position was preferred. At the end of the application, it was ensured that the person was in a position that he/she was comfortable.

Intervention Type: OTHER

Other Intervention Names

Acupress

Eligibility Criteria

Inclusion Criteria

• Emergency ENT surgery,
• Refused to participate in the research,
• Did not sign the Informed Consent Form,
• Have a physical problem that prevents the application of acupressure to EX-HN3 (Yintang), LI4 and HT7 points,
• Diagnosed with anxiety, panic attacks and taking medication for anxiety,
• Previous surgical experience,
• Under 18 and over 65,
• People with vision, hearing and perception problems,
• unable to read and write Turkish,
• Have any problem that prevents them from communicating cognitively, emotionally and verbally,
• Experience in acupressure,
• Patients who have received sedative medication before surgical intervention didn't be included in the study.

Exclusion Criteria

• Emergency ENT surgery,
• Refused to participate in the research,
• Did not sign the Informed Consent Form,
• Diagnosed with anxiety, panic attacks and taking medication for anxiety,
• Previous surgical experience
• Under 18 and over 65,
• People with vision, hearing and perception problems,
• unable to read and write Turkish,
• Have any problem that prevents them from communicating cognitively, emotionally and verbally,
• Experience in acupressure,
• Patients who have received sedative medication before surgical intervention didn't be included in the study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Mersin University

OTHER

Sponsor Role: lead

Responsible Party

Tugba CAM YANIK

Principal Investigator Research Assistant

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Gülay ALTUN UĞRAŞ, PhD

Role: STUDY_DIRECTOR

Mersin University

Serpil YÜKSEL, PhD

Role: PRINCIPAL_INVESTIGATOR

Necmettin Erbakan University

Bahar TAŞDELEN, PhD

Role: PRINCIPAL_INVESTIGATOR

Mersin University

Seda TÜRKİLİ, Doctor

Role: PRINCIPAL_INVESTIGATOR

Mersin City Hospital

Serkan TÜRKİLİ, Doctor

Role: PRINCIPAL_INVESTIGATOR

Mersin City Hospital

Ahmet KARAMAN, PhD

Role: PRINCIPAL_INVESTIGATOR

Mersin University

Locations

Tuğba ÇAM YANIK

Yenişehir, Mersin, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

Mersin University.

Identifier Type: -

Identifier Source: org_study_id