Acupuncture, Acupuncture, Ear, Pain, Postoperative, Pediatric Disorder, Pediatric Intensive Care Unit
Conditions
Keywords
Acupuncture, Postoperative pain, Pediatric Intensive Care Unit, Press needle, Pain therapy
Brief summary
Pain is an unpleasant sensory and emotional experience resulting from tissue damage. Pain management is typically conducted according to the World Health Organization (WHO) pain management ladder. Analgesics administered to pediatric patients vary in dosage and type, but these analgesics often have significant side effects. The acupuncture technique using press needles is a non-pharmacological pain therapy modality that has been studied for its ability to reduce the use of analgesic drugs, thereby potentially decreasing side effects associated with analgesic use. The study was conducted using a randomized controlled trial (RCT) design involving 70 pediatric postoperative patients aged 1-18 years who were admitted to the Pediatric Intensive Care Unit at Cipto Mangunkusumo Hospital. Subjects were divided into two groups: a control group and an experimental group. The control group received standard analgesic therapy and sham press needle application (a patch resembling a press needle without a needle), while the experimental group received standard analgesic therapy and press needle application at acupuncture points after the patient had been in the Pediatric Intensive Care Unit for 24 hours. Pain scale monitoring was conducted at 1, 6, 24, 48, and 72 hours using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale for children aged 1-8 years, and the Numeric Rating Scale (NRS) for children over 8 years old. This study hypothesizes that the acupuncture technique using press needles can reduce the pain scale in pediatric postoperative patients, leading to a decrease in the use of analgesics and a reduction in side effects associated with analgesic use.
Interventions
DEVICESham press needle
The plester used is a round plaster that resembles the shape of an acupuncture press needle.
DEVICEPress needle acupuncture
Press needle acupuncture is a modality of acupuncture using tiny and very thin needles.
Sponsors
Indonesia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
1 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Pediatric postoperative patients admitted to the Pediatric Intensive Care Unit at Cipto Mangunkusumo Hospital * Aged between 1 and 18 years * Patients with a platelet count greater than 20,000/mL * Patients undergoing elective surgery * Willingness to participate in the study
Exclusion criteria
* Patients with a local infection at the puncture site * Patients with anatomical abnormalities of the outer ear * Failure to complete the acupuncture therapy * Patients with chronic illnesses who have previously received analgesic therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Face, Legs, Activity, Cry, and Consolability (FLACC) pain scale | Pain scale monitoring will be conducted at 1 hour; 6 hours; 24 hours; 48 hours; and 72 hours after the application of sham press needle / press needle acupuncture | The Face, Legs, Activity, Cry, and Consolability (FLACC) pain scale for children aged 1 to 8 years is used to assess pain levels |
| Numeric Rating Scale (NRS) pain scale | Pain scale monitoring will be conducted at 1 hour; 6 hours; 24 hours; 48 hours; and 72 hours after the application of sham press needle / press needle acupuncture | The Numeric Rating Scale (NRS) is used to assess pain levels in children over the age of 8. |
| Behavioral Pain Scale (BPS) | Pain scale monitoring will be conducted at 1 hour; 6 hours; 24 hours; 48 hours; and 72 hours after the application of sham press needle / press needle acupuncture | The Behavioral Pain Scale (BPS) with a range of 3 to 12 for patients on ventilators. |
Countries
Indonesia
Outcome results
None listed