Anxiety, Hemodynamic Instability
Conditions
Brief summary
This randomized controlled study evaluates the effect of acupressure application on the anxiety level patients undergoing cystectomy surgery. The hypothesis of this study is that acupressure reduces anxiety levels and stabilizes hemodynamic parameters.
Detailed description
In the study, 60 patients will randomly assigned to acupressure and placebo acupressure groups. To the acupressure group (n = 30), an average of 15 minutes will be applied to the HT7 (heart), LI4 (liver) and EX-NH3 (the point between the two eyes). In the placebo acupressure group (n = 30), the points 1.5 cm away from the HT7, LI4, and EX-NH3 points will be applied for an average of 15 minutes.
Interventions
OTHERAcupressure
The experimental group will start with HT7 points and continue LI4 and EX-NH3 points. The application will be carried out by determining the priority order of the points with the draw. Attention will be paid to the intensity and duration of the pressure deemed appropriate. Since the individuals' responses will differ, the stiffness and pressure will be adjusted according to the individual's sensitivity not to cause tissue damage. Before starting the application, around the area to be pressed for 20-30 seconds will be gently rubbed with palm. With the gentle rubbing of the surrounding tissue, the tension and tissue sensitivity in warming, relaxing and preparatory will be reduced, and the tissue will be relieved. After, the point determined will be pressed manually for 2 minutes.
OTHERPlacebo acupressure
In the placebo acupressure group , the points 1.5 cm away from the HT7, LI4, and EX-NH3 points will be applied for an average of 15 minutes. Less pressure will be applied.
Sponsors
Mersin University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
In the study, a researcher (T.Ç.Y.) will determine the acupressure and placebo points to be applied to patients. However, the researcher (Z.Y.) who will apply acupressure and placebo acupressure be blinded without knowing whether these points are acupressure or placebo points. Participants will not know that they are in the acupressure or placebo group. When the research is completed, the data of the control and study groups (A or B) will be transferred to the computer environment by a researcher independent of the research, and the data will be analyzed by a statistician and the findings will be reported.
Intervention model description
Prospective, parallel, three-arm randomized controlled clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Agreeing to participate in the research (signing the Informed Consent Form), * Conscious and cooperative * Speaks and understands Turkish, * 18-65 years old, * Before surgery, * Stable general condition, * No sensitivity in the area where acupressure/placebo acupressure will be applied, * 15 July 2022 - 15 July 2023 hospitalized in the urology clinic, * No active COVID-19 infection, * Patients without any psychiatric diagnosis will be included.
Exclusion criteria
* Those who do not agree to participate in the research (who do not sign the Informed Consent Form) * Conscious and uncooperative, * Not speaking or understanding Turkish, * Not between the ages of 18-65, * No surgical intervention planned, * The planned emergency surgical intervention, * Unstable general condition, * Sensitivity in the area where acupressure/placebo acupressure will be applied, * Active COVID-19 infection, * 15 July 2022 - 15 July 2023 who did not stay in the urology clinic, * Patients with current psychiatric diagnosis will not be included in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety evaluated using the State Anxiety Scale | Change from before implementation and immediately after, 20th minute after acupressure | Scores ranging from 20 to 80 points are obtained in the scale. In the total score obtained from the scale in scoring the scale, 0-19 points indicate the absence of anxiety, 20-39 points indicate mild anxiety, 40-59 points indicate moderate anxiety, and 60-79 points indicate severe anxiety level. Higher state anxiety scores indicate that anxiety level is also high |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Systolic blood pressure | Change from before implementation and immediately after, 20th minute after acupressure | Systolic blood pressure (SBP), mmHg |
| Diastolic blood pressure | Change from before implementation and immediately after, 20th minute after acupressure | Diastolic blood pressure (DBP), mmHg |
| Heart rate | Change from before implementation and immediately after, 20th minute after acupressure | Beats per minute |
| Respiratory rate | Change from before implementation and immediately after, 20th minute after acupressure | Lung breathing |
| Peripheral oxygen saturation | Change from before implementation and immediately after, 20th minute after acupressure | %, percentage of oxygenated hemoglobin in peripheral arterial blood |
Countries
Turkey (Türkiye)
Outcome results
None listed