The Effects of Korean Hand Acupressure on Postoperative Nausea-Vomiting and Retching After Thyroidectomy

NCT04516356 | Completed DMC

• 1 other identifier: 13022260-302.14.05-E.158047
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The study was planned as a randomized controlled experimental study to determine the effect of Korean hand acupressure applied after thyroidectomy on postoperative nausea-vomiting and retching. After ethics committee approval and institutional permission, 42 patients who applied to the general surgery clinic for thyroidectomy between February 1, 2021 and June 1, 2022 and met the inclusion criteria were included in the study. In the light of academic studies reported within the scope of the planned study, the sample size was determined with the effect size d = 0.942 (effect size), α = 0.05 ( margin of error), 1-β = 0.90 (Power) and G-power package program. It was decided to recruit 42 people (21 people per group). The block randomization method was used to determine the experimental and control groups. Randomization was done by a biostatistician other than the researcher. Patients who met the inclusion criteria and agreed to participate in the study were assigned to the experimental and control groups according to the randomization list. Before the operation, the patient was visited and informed about the purpose, content and the intervention to be applied. After obtaining verbal and written consent from the patients who agreed to participate in the study, the "Individual Characteristics Form" was filled. The first part of the "Patient Follow-up Form" was filled in the experimental and control groups on the day of surgery. Korean hand acupressure was applied to the experimental group 30 minutes before the induction of anesthesia. After determining the pressure/treatment points on the patient's hand due to nausea and vomiting, a 3-5 minute massage was performed with the diagnostic stick. The seeds were then fixed at these points with a paper patch. The seeds were not removed for 8 hours. Massage was done for 3-5 minutes by pressing the seeds every 2 hours and making a curling motion at the same time. At the end of the 8th hour, the application was terminated. The application was made by Sevgi Gür, a researcher trained in Korean hand acupressure. In the control group, no application will be made during and after the surgical intervention, and routine treatment and care was applied. Pain, severity of nausea and vomiting, number of nausea-vomiting and retching, name, dose, frequency and duration of antiemetic drugs used were determined by the researcher at the 2nd, 6th, 12th and 24th hours after the patients in the experimental and control groups applied to the clinic. It was recorded in the second part of the "form". At the end of the 24th hour, the Rhodes Nausea, Vomiting and Retching Index score was evaluated by the researcher.

Conditions

Postoperative Nausea and Vomiting

Keywords

Postoperative nausea and vomiting; Nursing; Acupressure; Thyroidectomy

Outcome Measures

Primary Outcomes (5)

• Postoperative pain severity

  Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst pain

  Reported pain severity in the first 24 hours after surgery

• Postoperative nausea and vomiting severity

  Nausea and vomiting severity with Visual Assessment Scale (VAS) Score: 0-10; 0- None, 10- Agonizing

  Reported nausea and vomiting severity in the first 24 hours after surgery

• The number of postoperative nausea, vomiting and retching

  The number of nausea, vomiting and retching

  Reported the number of nausea, vomiting and retching in the first 24 hours after surgery

• Use of antiemetics

  The name, dose, frequency and time of the antiemetic drugs

  In the first 24 hours after surgery

• Rhodes Nausea Vomiting and Retching Index score

  Evaluation of Rhodes Nausea Vomiting and Retching Index score In order to score the scale, responses to items 1, 3, 6 and 7 are calculated in reverse order; For each answer, they are scored as 0: minimum, 4: most discomfort, and the score obtained from 8 items is added. It is expressed as 32 points, the highest possible value.

  At the end of the 24th hour after surgery

Secondary Outcomes (1)

• Postoperative complications

  End of surgery to hospital discharge 5-7 days

Study Arms (2)

Intervention Arm

EXPERIMENTAL

Korean hand acupressure will be applied to the experimental group 30 minutes before the induction of anesthesia. After determining the pressure / therapy points associated with nausea and vomiting on the patient's hand, a massage will be made for 3-5 minutes with a diagnostic stick. The seeds will then be fixed at these points with a paper patch. Seeds will not be removed for 24 hours. It will be massaged for 3-5 minutes by pressing the seeds every 3-4 hours and making a curling motion at the same time. At the end of the 24th hour, the application will be terminated.

Other: Korean hand acupressure

Control Arm

NO INTERVENTION

In the control group, no application will be made during and after the surgical intervention, and routine treatment and care will be applied.

Interventions

Korean hand acupressure OTHER

According to the working principle of Korean hand acupressure; There are active points and areas in the hands and feet that fit the whole body. The active points on the hands and feet are properly matched to reflect the anatomy of the whole organism. Areas in the body and systems suitable for them are in constant contact. In the patient, the signal wave moves from the damaged point or area and reaches the appropriate point immediately. Thus, changes such as severe pain, skin discoloration, hardening, thickening and thinning in some parts of the skin occur at that point. With the stimulation of the effective point, a treatment wave occurs that heals the sick organ.

Intervention Arm

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Between the ages of 18-65,
• According to the American Association of Anesthesiologists (ASA) classification; ASA score I and II,
• Elective surgery,
• Individuals with 2 or more risk factors out of 5 risk factors determined in Koivuranta PONV risk factors
• Patients who agree to participate in the study will be included in the study.

You may not qualify if:

• Emergency surgery,
• Using antiemetic, steroid or opioid 24 hours before surgery,
• Not agreeing to participate in the research
• Change in consciousness / acute confusion after surgical intervention,
• Has a mental or psychiatric illness that prevents communication,
• Patients whose post-operative condition is unstable will not be included in the study.

Sponsors & Collaborators

• Sevgi Gür: lead

Study Sites (1)

Istanbul Provincial Health Directorate Prof. Dr. Cemil Taşcioğlu City Hospital

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Postoperative Nausea and Vomiting

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Nausea; Signs and Symptoms, Digestive; Signs and Symptoms; Vomiting

Study Officials

• İlhan Öztekin, Prof

  Yeditepe University

  PRINCIPAL INVESTIGATOR

• Deniz S. Öztekin, Prof

  Istanbul University - Cerrahpasa

  STUDY DIRECTOR

• Sevgi Gür, MSC

  Istanbul University - Cerrahpasa

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Model Details: A randomized controlled experimental study to determine the effect of Korean hand acupressure applied after thyroidectomy on postoperative nausea-vomiting and retching.

Study Record Dates

• First Submitted: August 13, 2020
• First Posted: August 18, 2020
• Study Start: February 1, 2021
• Primary Completion: June 1, 2022
• Study Completion: June 1, 2022
• Last Updated: August 3, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)