The Effect of Acupressure Applied Before Suturing Procedure in the Emergency Department on Anxiety and Vital Signs
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 146
- 主要终点
- Evaluation of anxiety before acupressure
研究概览
简要总结
This study suggests that the anxiety experienced by patients during suturing in the emergency department can be reduced with acupressure and offers a research proposal on vital signs.
Problem: During suturing in the emergency department, patients experience high levels of anxiety due to the pain they experience and fear of the procedure. This situation complicates the treatment process, negatively affects the health of patients and creates a difficult situation for healthcare professionals.
Solution Suggestion: Acupressure can be used as a non-invasive, safe and effective method to reduce patients' anxiety. Acupressure reduces pain, provides relaxation and reduces anxiety by increasing the secretion of endorphins in the body.
Purpose of the Study: The purpose of this study is to evaluate the effects of applying acupressure to patients before suturing in the emergency department on their anxiety levels and vital signs (such as blood pressure, heart rate).
In summary, this research has a significant potential that emergency room nurses can improve patients' quality of life and make treatment processes more effective by using acupressure in patient care.
Key Words: Acupressure, Suturing, Anxiety, Vital Signs, Emergency Department
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
盲法说明
A biostatistician who is not involved in the study will be randomly assigned to groups A and B created by a biostatistician in a computer environment. As a result of the drawing of lots, whether groups A and B will be the study or control group will be determined by tossing a coin at the beginning of the study. Information indicating that the patients included in the study sample were assigned to groups A and B according to the randomization table will be placed in an opaque envelope. This envelope will be kept by the coordinator researcher (GAU) and when the researcher (EB) goes to the patient for the application, he will open the envelope after filling out the "Informed Consent Form" and learn which group the patient is in.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Suturing is done with local anesthesia,
- •Those who are 18 years or older,
- •Conscious, oriented and cooperative,
- •Able to read and understand Turkish,
- •Agreeing to participate in the study,
- •Anxiety not diagnosed,
- •Not using medication for anxiety,
- •No acupressure experience,
- •No physical problems that would prevent acupressure application to Ht7 and Li4 points,
- •Not pregnant,
- •Patients who sign the "Voluntary Informed Consent Form" will be included.
排除标准
- •Those who are under 18 years of age,
- •Unconscious, unoriented and uncooperative,
- •Cannot read and understand Turkish,
- •Those who do not agree to participate in the study,
- •-Diagnosed with anxiety,
- •-Using medication for anxiety (anxiolytic, antidepressant, antipsychotic, etc.),
- •Having previous acupressure experience,
- •Having a physical problem that prevents the application of acupressure to Ht7 and Li4 points,
- •Pregnant,
- •Patients who do not sign the "Voluntary Informed Consent Form" will not be included.
研究组 & 干预措施
Acupressure group
Acupressure will be applied to the experimental group before suturing.
干预措施: Acupressure (Other)
control group
No intervention will be made to the control group. Routine emergency room practice will be carried out.
结局指标
主要结局
Evaluation of anxiety before acupressure
时间窗: before suturing
Before the suturing procedure, acupressure will be applied to the Ht7 and Li4 points.The state anxiety scale consists of 20 questions. The statements in the SAS are evaluated as none 1 point, a little 2 points, a lot 3 points and completely 4 points. In this section, the statements are divided into direct and reversed. Reversed statements are: items 1, 2, 5, 8, 10, 11, 15, 16, 19, and 20. The SAS score is calculated by adding the constant value of 50 to the value obtained by subtracting the total score of the reversed statements from the total score of the direct statements. The scale score varies between 20-80 and an increase in the score obtained from the scale indicates an increase in the anxiety level. A total score of 0-19 from the SAS indicates no anxiety, a score of 20-39 indicates mild anxiety, a score of 40-59 indicates moderate anxiety and a score of 60-79 indicates a severe anxiety level. It is stated that individuals who score above 60 on the SAS need professional help.
Evaluation of anxiety after suturing
时间窗: immediately after suturing
Immediately after the stitching, the anxiety scale will be filled out again. The statements in the SAS are evaluated as none 1 point, a little 2 points, a lot 3 points and completely 4 points. In this section, the statements are divided into direct and reversed. Reversed statements are: items 1, 2, 5, 8, 10, 11, 15, 16, 19, and 20. The SAS score is calculated by adding the constant value of 50 to the value obtained by subtracting the total score of the reversed statements from the total score of the direct statements. The scale score varies between 20-80 and an increase in the score obtained from the scale indicates an increase in the anxiety level. A total score of 0-19 from the SAS indicates no anxiety, a score of 20-39 indicates mild anxiety, a score of 40-59 indicates moderate anxiety and a score of 60-79 indicates a severe anxiety level. It is stated that individuals who score above 60 on the DAS need professional help.
次要结局
- Assessment of blood pressure before acupressure(Just before acupressure)
- Assessment of Blood Pressure After Acupressure(After acupressure)
- Assesment of blood pressure after suturing(after suturing)
- Assesment of heart rate before acupressure(before acupressure)
- Assesment of heart rate after acupressure(after acupressure)
- Assesment of heart rate after suturing(after suturing)
- Assesment of oxygen saturation before acupressure(before acupressure)
- Assesment of oxygen saturation after acupressure(after acupressure)
- Assesment of oxygen saturation after suturing(after suturing)
- Assesment of respiratory rate before acupressure(before acupressure)
- Assesment of respiratory rate after acupressure(after acupressure)
- Assesment of respiratory rate after suturing(after suturing)
研究者
Ezgi BOLAT
graduate student
Mersin University