Condition 1: anxiety following coronary artery bypass graft (CABG) surgery. Condition 2: acute pain following coronary artery bypass graft (CABG) surgery. Condition 3: Hemodynamic instability following coronary artery bypass graft (CABG) surgery. Condition 4: fatigue following coronary artery bypass graft (CABG) surgery. Condition 5: sleep disturbances following coronary artery bypass graft (CABG) surgery. Condition 6: depression following coronary artery bypass graft (CABG) surgery. Condition 7
Conditions
Interventions
Intervention 1: Intervention group 1: Participants in this group will receive auricular acupressure. The procedure begins on the second postoperative day. After disinfecting the ear with 70% alcohol,
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 70 years. No prior history of coronary artery bypass surgery. Undergoing non-emergency coronary artery bypass surgery. Uniform anesthesiologist and anesthesia conditions for the patient. Surgery performed using a heart-lung machine. No history of psychological disorders (e.g., depression or major anxiety disorder) and no use of psychotropic medications No auricular acupressure received in at least the past 5 months. No intra-aortic balloon pump or pacemaker. No addiction to alcohol or drugs. No history of chronic pain (e.g., severe arthritis). Healthy external ear structure without abnormalities. Not concurrently participating in a similar study.
Exclusion criteria
Exclusion criteria: Impaired consciousness (GCS score less than 15). Inability to communicate or understand instructions. Patient's statement of unwillingness to participate in the intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Level of anxiety. Timepoint: Before surgery (baseline), at the time of transfer from the intensive care unit to the general surgical ward (the third day after surgery and the second day of receiving the intervention), at the time of hospital discharge (the seventh day after surgery and the sixth day of receiving the intervention), and one month after discharge (one month after the completion of the intervention). Method of measurement: The Hospital Anxiety and Depression Scale (HADS) questionnaire.;Pain intensity. Timepoint: From the second postoperative day, measurements will be taken before and immediately after each intervention session (twice daily for 6 days). Method of measurement: Visual Analogue Scale (VAS).;Depression level. Timepoint: Before surgery (baseline), at the time of transfer from the intensive care unit to the general surgical ward (the third day after surgery and the second day of receiving the intervention), at the time of hospital discharge (the seventh day after surgery and the sixth day of receiving the intervention), and one month after discharge (one month after the completion of the intervention). Method of measurement: The Hospital Anxiety and Depression Scale (HADS) questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Delirium. Timepoint: Before surgery (baseline), at the time of transfer from the intensive care unit to the general surgical ward (the third day after surgery and the second day of receiving the intervention), at the time of hospital discharge (the seventh day after surgery and the sixth day of receiving the intervention), and one month after discharge (one month after the completion of the intervention). Method of measurement: Confusion Assessment Method (CAM)-ICU-7 delirium severity scale.;Severity of fatigue. Timepoint: Before surgery (baseline), at the time of transfer from the intensive care unit to the general surgical ward (the third day after surgery and the second day of receiving the intervention), at the time of hospital discharge (the seventh day after surgery and the sixth day of receiving the intervention), and one month after discharge (one month after the completion of the intervention). Method of measurement: Multidimensional Fatigue Inventory (MFI) questionnaire.;Sleep quality. Timepoint: Before surgery (baseline), at the time of transfer from the intensive care unit to the general surgical ward (the third day after surgery and the second day of receiving the intervention), at the time of hospital discharge (the seventh day after surgery and the sixth day of receiving the intervention), and one month after discharge (one month after the completion of the intervention). Method of measurement: Richards-Campbell Sleep Questionnaire in ICU and Pittsburgh Sleep Quality Index (PSQI) questionnaire.;Heart rate. Timepoint: From the second postoperative day, measurements will be taken before and immediately after each intervention session (twice daily for 6 days). Method of measurement: Cardiac monitoring device.;Respiratory rate. Timepoint: From the second postoperative day, measurements will be taken before and immediately after each intervention session (twice daily for 6 days). Method of measurement: direct observation.;Body temperature. Timepoint: From | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAefeh Allahbakhshian
Tabriz University of Medical Sciences
Outcome results
None listed