The Effectiveness of Acupressure for Managing Postoperative Pain and Anxiety in Patients With Thoracoscopic Surgery

NCT04595253 | Unknown

• 1 other identifier: CMUH109-REC2-131
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to explore the effectiveness of acupressure for managing postoperative pain, anxiety, analgesia consumption, early ambulation, and comfort in patients with thoracoscopic surgery.

Conditions

Lung Diseases

Keywords

acupressure; thoracoscopic surgery; acute pain; anxiety; comfort

Outcome Measures

Primary Outcomes (1)

• Pain:Changes from baseline pain scale at post-operative day 2, after intervention.

  as assessed by Visual Analogue Scale-Pain (VAS-P). The VAS-P scale is comprised of a horizontal line 100mm long with the indication "no pain" to the left and "worst possible pain" to the right. possible scores varied between 0-100. A higher scores mean a worse outcome.

  Measure at before operation day, 7 post meridiem (PM), before operation; post-operative day1, 8 ante meridiem (AM), before intervention; post-operative day 1, 5 PM, after intervention; and post-operative day 2, 5 PM, after intervention

Secondary Outcomes (2)

• Anxiety

  Measure at before operation day, 7 post meridiem (PM), before operation; post-operative day1, 9 ante meridiem (AM), before intervention; post-operative day 1, 5 PM, after intervention; and post-operative day 2, 5 PM, after intervention.

• Anxiety

  Time Frame: Measure at before operation day, 7 post meridiem (PM), before operation; post-operative day1, 8 ante meridiem (AM), before intervention; and post-operative day 2, post meridiem (PM), after intervention.

Other Outcomes (4)

• Analgesia Consumption

  during the whole admission, an average of 4 day.

• Comfort

  Measure at before operation day,7 post meridiem (PM), before operation; post-operative day 1, 8 ante meridiem (AM), before intervention; and post-operative day 2, 5pm, after intervention

• Heart rate variability

  Measure at before operation day, 7 post meridiem (PM), before operation; post-operative day1, 8 ante meridiem (PM), before intervention; post-operative day 1, 5 post meridiem (PM), after intervention; and post-operative day 2, 5 PM, after intervention.

Study Arms (2)

acupressure

EXPERIMENTAL

After recruitment, participants will be randomized to receive acupressure or control group. In the acupressure group, participants will receive acupressure treatment.

Other: acupressure

routine care

NO INTERVENTION

After recruitment, participants will be randomized to receive acupressure or control group. In the control group, participants will receive routine care, including routine pain control.

Interventions

acupressure OTHER

The acupressure involves the " Vaccaria Semen" within skin-colored adhesive tape that placed on the "Neiguan" and "Shenmen" acupoints as an intervention measure. Continue to massage the acupoints with fingertips for 10 minutes, 3 times per day (8 and 12 in the morning, and 4 in the afternoon) . The adhesive tape will be retained in situ for 2 days.

acupressure

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• pulmonary lung disease and will be scheduled to undergo a thoracoscopic wedge resection, segmentectomy, or lobectomy.
• American Society of Anesthesiologist physical status of Classes I-II,
• both forearms without missing limbs or arteriovenous fistula
• ability to communicate in Taiwanese or Chinese, and
• agreement to participate in this study.

You may not qualify if:

• diagnosed as malignant neoplasm with lung meta,
• Had a stroke or peripheral vascular disease
• Platelet count less than 20 x 10\^3/mm\^3
• Using the patient controlled analgesia, and
• any known mental illness or memory dysfunction.

Sponsors & Collaborators

• Wei-Fen Ma: lead
• China Medical University Hospital: collaborator

Study Sites (1)

China Medical University

Taichung, 40447, Taiwan

RECRUITING

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Related Links

• American Society of Anesthesiologists Physical Status Classification System.

MeSH Terms

Conditions

Lung Diseases; Acute Pain; Anxiety Disorders

Interventions

Acupressure

Condition Hierarchy (Ancestors)

Respiratory Tract Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Intervention Hierarchy (Ancestors)

Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Wei-Fen Ma, Ph.D

  China Medical University, China

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Wei-Fen Ma, Ph.D

CONTACT

04-22053366 Ext. 7107; lhdaisy@mail.cmu.edu.tw

Wei-Fen Ma, Ph.D

CONTACT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor, School of Nursing

Study Record Dates

• First Submitted: October 9, 2020
• First Posted: October 20, 2020
• Study Start: September 20, 2020
• Primary Completion: August 1, 2021
• Study Completion: September 1, 2021
• Last Updated: August 2, 2021

Record last verified: 2021-07

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)