Effect of Emotional Freedom Technique on Postoperative Pain and Anxiety in Patients Undergoing Total Knee Replacement

Completed

• Conditions: Total Knee Replacement
• Interventions: Behavioral: The Emotional Freedom Technique

• Registration Number: NCT05541666
• Lead Sponsor: Ataturk University

Brief Summary

Since pain is a complex and unpleasant feeling that affects the individual physically, mentally and socially, it should be controlled. It is also known that major surgeries such as orthopedics and traumatology, general surgery and cardiovascular surgery cause fear of death in the patient, and this fear is then replaced by general anxiety and post-operative pain. The emotional freedom technique is a method that uses cognitive functions and physical components (tapping acupuncture points) to bring about psychological changes. It is also defined as "needle-free acupuncture" or "an emotional form of acupressure" because it is a gentle, non-invasive procedure and uses acupuncture meridians. This method, which is very old in Eastern cultures, started to be used in the West in the 1980s. In this developed technique, all 12 points on the 12 basic meridians, which are the flow paths of the energy in the body, are used. In the emotional liberation technique tour, general anxiety, phobias, post-traumatic stress disorder, fears and the discomfort caused by anxiety are eliminated and all kinds of targeted problems are cured.

Considering the patients as a whole in terms of biopsychosocial is the basic element of nursing. It is inevitable to experience pain and anxiety in the post-operative period in individuals who are in a foreign environment such as a hospital and who have undergone major surgery such as total knee replacement. With this study, it is expected that the emotional freedom technique will contribute to the national and international literature on the effect of pain and anxiety in the post-operative period and will be a source of information in the development of nursing science on the use of non-pharmacological treatments that can be used in the treatment of pain and anxiety in patients.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-03-07
• Study First Submitted: 2022-09-13
• Study First Submitted QC: 2022-09-13
• Primary Completion: 2022-09-15
• Study First Posted: 2022-09-15
• Study Completion: 2023-01-02
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-27
• Last Update Posted: 2025-01-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

1. Elective patients undergoing total knee replacement surgery for the first time,
2. Volunteer to participate in the research,
3. 18 years and over,
4. Cognitive level scales are suitable for application,
5. Having no vision, hearing, or speech problems that would prevent communication,
6. Patients who do not have any other disease causing pain and anxiety

Exclusion Criteria

1. EFT was applied before,
2. If any complication develops within 3 days before, during, or after the operation,
3. Patients with health problems (fever, infection, DVT, etc.) that prevent the application of the Emotional Freedom Technique were not included in the study.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
The Emotional Freedom Technique Group	The Emotional Freedom Technique	After the patients in the case group are determined, the scales will be introduced. The patient information form, State-Trait Anxiety Inventory and Visual Analog Scale will be filled. After that, the emotional freedom technique will be explained. On the postoperative 1st and 2nd days, firstly pain and anxiety levels will be measured with the State Anxiety Inventory, the Visual Analog scale and SUE(Subjectıve Unıts Of Experience) scales. And then one session of emotional freedom technique that is approximately 30 minutes, will be applied. And after all, the State Anxiety Inventory, the Visual Analog scale and SUE(Subjectıve Unıts Of Experience) scales will be applied again.

Primary Outcome Measures

Name	Time	Method
Change in anxiety level on post-operative day 1st (pre-test) and anxiety level on post-operative day 2nd (post-test) in the case group	Baseline, Post-operative 1st and 2nd day	On the postoperative 1st day, the patient will be interviewed, and patient's anxiety status will be evaluated with tate-Trait Anxiety Inventory I (STAI I), Then the emotional freedom technique will be applied. On the postoperative 2nd days, the patient will be interviewed again, the emotional freedom technique will be applied, and after that it will be checked whether there is a decrease in anxiety with STAI I without any breaks.
Change in pain level on post-operative day 1st (pre-test) and pain level on post-operative day 2nd (post-test) in the case group	Baseline, Post-operative 1st and 2nd day	On the postoperative 1st day, the patient will be interviewed, and patient's pain status will be evaluated with Visual Analog Scale (VAS). Then the emotional freedom technique will be applied. On the postoperative 2nd days, the patient will be interviewed again, the emotional freedom technique will be applied, and after that it will be checked whether there is a decrease in pain with VAS without any breaks.

Trial Locations

Locations (1)

Aksaray Training and Research Hospital; 🇹🇷 Aksaray, Erzurum, Turkey