Lung Diseases
Conditions
Keywords
acupressure, thoracoscopic surgery, acute pain, anxiety, comfort
Brief summary
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
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.
Interventions
OTHERacupressure
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.
Sponsors
China Medical University Hospital
Wei-Fen Ma
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
Yes
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain:Changes from baseline pain scale at post-operative day 2, after intervention. | Measure at before operation day, 7 post meridiem (PM), before operation; post-operative day1, 8 ante meridiem (AM), before intervention; post-operative day 1, 5 PM, after intervention; and post-operative day 2, 5 PM, after intervention | as assessed by Visual Analogue Scale-Pain (VAS-P). The VAS-P scale is comprised of a horizontal line 100mm long with the indication no pain to the left and worst possible pain to the right. possible scores varied between 0-100. A higher scores mean a worse outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety | Measure at before operation day, 7 post meridiem (PM), before operation; post-operative day1, 9 ante meridiem (AM), before intervention; post-operative day 1, 5 PM, after intervention; and post-operative day 2, 5 PM, after intervention. | as assessed by Visual Analogue Scale-Anxiety(VAS-A). The VAS-A scale is comprised of a horizontal line 100mm long with the indication no anxiety to the left and worst possible anxiety to the right. possible scores varied between 0-100. A higher scores mean a worse outcome. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Analgesia Consumption | during the whole admission, an average of 4 day. | Injection time of morphine and ketorolac would be recorded. |
| Comfort | Measure at before operation day,7 post meridiem (PM), before operation; post-operative day 1, 8 ante meridiem (AM), before intervention; and post-operative day 2, 5pm, after intervention | as assessed by Shortened General Comfort Questionnaire |
| Heart rate variability | Measure at before operation day, 7 post meridiem (PM), before operation; post-operative day1, 8 ante meridiem (PM), before intervention; post-operative day 1, 5 post meridiem (PM), after intervention; and post-operative day 2, 5 PM, after intervention. | as assessed by Nexus-10, wireless Biofeedback/Neurofeedback system |
| Early ambulation | The first ambulation time after operation would be recorded, assessed up to 7 days. | The first ambulation time: act to walk with or without any kind of assistant after operation. |
Countries
Taiwan
Contacts
Primary ContactWei-Fen Ma, Ph.D
Backup ContactWei-Fen Ma, Ph.D
Outcome results
None listed