Acute Coronary Syndrome, Nursing
Conditions
Keywords
Acupressure, Anxiety, Viral signs, Acute coronary syndrome
Brief summary
This study aims to examine the effect of acupressure on physiological parameters and anxiety levels in individuals diagnosed with Acute Coronary Syndrome (ACS). H1-1: Acupressure applied to individuals with ACS has an effect on blood pressure. H1-2: Acupressure applied to individuals with ACS has an effect on heart rate. H1-3: Acupressure applied to individuals with ACS has an effect on respiratory rate. H1-4: Acupressure applied to individuals with ACS has an effect on pain levels. H1-5: Acupressure applied to individuals with ACS has an effect on anxiety levels. H1-6: Acupressure applied to individuals with ACS has an effect on cortisol levels. H1-7: Acupressure applied to individuals with ACS has an effect on ECG changes.
Detailed description
Acute Coronary Syndrome (ACS) affects millions of people every year; It refers to three types of coronary artery disease: unstable angina pectoris, non-ST-elevation myocardial infarction (NSTE MI) and ST-elevation myocardial infarction (STEMI). It is known that 19 million people in the world and 161 thousand people in our country lost their lives due to Cardiovascular Disease (CVD). Approximately 3 million people worldwide die due to STEMI.Individuals experiencing ACS generally; It is observed that he/she experiences burning, stinging and compressive chest pain, tachycardia, sweating, fatigue, dizziness, dyspnea, nausea, anxiety and depression.Management of the disease is combined with pharmacological applications; It is tried to be provided with non-pharmacological applications such as education, acupuncture and acupressure. When the literature is examined, acupressure application; in the physiological parameters of individuals with myocardial infarction; It brings blood pressure, heart rate and respiratory rate to normal limits, and increases oxygen saturation and sleep quality; It appears to reduce anxiety and pain.For all these reasons, this study aims to examine the effect of acupressure on physiological parameters (blood pressure, heart rate, respiratory rate, pain and cortisol) and anxiety levels in individuals diagnosed with ACS.
Interventions
OTHERacupressure
* First follow-up (first 0-30 minutes of admission): Participants received routine care and treatment within the first 0-30 minutes of admission, in accordance with hospital protocol. * Second follow-up (6 hours after the CAG procedure): After the coronary angiography procedure was completed (after the sandbag was removed), the first acupressure application was performed on individuals whose vital signs were within the normal range. * Third follow-up (12 hours after the CAG procedure): Approximately 12 hours after the coronary angiography procedure, the second acupressure application was performed on individuals. * Fourth follow-up (Cortisol measurement): The fourth follow-up was conducted at 8:00 a.m. (sunrise) to determine cortisol levels. Physiological parameters were evaluated, and a venous blood sample was taken to determine cortisol levels.
Sponsors
Abant Izzet Baysal University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
The study protocol was developed using SPIRIT guidelines. Research reporting was structured according to the CONSORT checklist. To prevent selection bias in this study, participants were randomly assigned to intervention and control groups using block randomization. Because the researcher was also the administrator, blinding was not possible. However, the use of block randomization maintained balance between groups and prevented the prediction of group information in the early stages of the study. In this context, the researcher and the participants were blinded to their assignment to the group during the initial data collection process. Furthermore, to maintain objectivity during the data analysis process, the data analyst was not informed of the group assignments. All data were entered into the analysis program as "Group 1" and "Group 2," thus preventing any bias based on information.
Intervention model description
experimental and control
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Volunteer to participate in the study, * Those aged 18 and over * Able to speak Turkish * Diagnosed with ACS for the first time * Cardiopulmonary resuscitation not applied * No orientation problems (those who score 15 on the Glasgow Coma Scale) * Not diagnosed with psychiatric disease * No amputation, fistula, lymphedema, neuropathy or hemiplegia in any of the Upper Extremities * Those who underwent femoral intervention for CAG procedure * Those who have not used any integrative practices based on pressure and stimulation such as acupressure, acupuncture and reflexology in the last month. * Vital signs (28) are within normal range: Blood pressure: 90/60-120/80 mmHg Heart rate: 60-100 min Respiratory rate: 12-18 min
Exclusion criteria
* Those with arrhythmia (AF, VT etc.) * Patients who have previously undergone Coronary Angiography * Diagnosed with myocarditis, pericarditis * Those who do not take any speed-breaking drugs (beloc, arlec, etc.). * Patients who underwent radial intervention for CAG procedure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| means of blood pressure | up to 30 minutes | In this study, blood pressure was measured using monitors in the intensive care unit. |
| means of hear rate | up to 30 minutes | Heart rate is the pressure exerted on the vessel wall by the blood thrown by the left ventricle from the skin surface to the aorta during systole. In the research, heart rate is measured using a monitor. |
| means of respiratory rate | up to 30 minutes | Respiratory rate is the patient's breaths per minute. In this study, respiratory rate was taken from the monitor. |
| means of cortisol. | up to 60 minutes | The cortisol value in the blood will be measured. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| means of subjective anxiety scores. | up to 30 minutes | numerical anxiety scale. The total score between 0-10 obtained. |
| means of subjective pain scores. | up to 30 minutes | visual analog scale. It consists of a straight line with endpoints that define end limits such as "no pain" and "pain as bad as possible". The patient is asked to mark the level of pain on the line between the two endpoints. |
| electrocardiography evaluation | up to 30 minutes | Electrocardiography is the process of recording the electrical activity occurring in the heart to examine the functioning of the heart muscle and neural conduction system. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORaynur açıkgöz, PhD student
Abant Izzet Baysal University
Outcome results
None listed