The Effect of Acupressure in Improving Constipation Among Inpatients in Neurology Departments

NCT05612646 | Completed DMC

• 1 other identifier: CF20208B
• Study Type: interventional
• Target: 128
• Locations: 1 country
• Sites: 1

Brief Summary

As a form of non-invasive auxiliary care, Traditional Chinese Medicine acupressure can prevent constipation, reduce medication for constipation, save medical costs, and alleviate constipation among inpatients in neurology departments, as well as improve patients' general ease and comfort of defecation, thereby improving their quality of life. It also provides clinical nursing staff with a more effective, safer, and more comfortable auxiliary method of preventing constipation, and can be used as a reference for the nursing of such patients.

Conditions

Constipation

Keywords

acupressure, constipation,

Outcome Measures

Primary Outcomes (2)

• The constipation assessment scale scores

  Constipation Assessment Scale (CAS), a total of 8 questions, 0 points: no, 1 point: yes, but not severe, 2 points. Very serious, the higher the score (0-16 points), the more severe the constipation symptoms.

  Assessment from the first day to the seventh day after treatment

• The Bristol Stool Form Scale

  bach's alpha of The Bristol Stool Form Scale. Classification: Type 1: hard balls (difficult to pass through), Type 2: sausage-like, but with uneven surface Type 3: sausage-like, but with cracks on the surface, Type 4: like sausage or snake Surface is smooth, type 5: soft lumps with smooth broken edges (easy to pass), type 6: fluffy lumps with rough edges, mushy stool, type 7: watery, no solid lumps (completely liquid), type 1 Types 3 and 2 indicate constipation; Types 3 and 4 are ideal stool shapes, especially Type 4 is the easiest to defecate; Types 5 to 7 are likely to have diarrhea

  Assessment from the first day to the seventh day after treatment

Study Arms (2)

routine nursing and fake acupressure

ACTIVE COMPARATOR

control groups: receiving routine nursing and fake acupressure to improve constipation for 7 days during hospitalization.

Procedure: routine nursing and fake acupressure

acupressure

EXPERIMENTAL

The patients assigned to the experimental group received acupoint massage designed to improve constipation for 7 days during hospitalization. The selection of acupoints in this study includes "Tianshu (double)" (Tianshu, ST25: Stomach Meridian 25, the 25th point of the stomach meridian), "Zhongwan (single)" (Zhongwan CV12: Conception Vessel 12, the 12th point of the Ren meridian) ), "Qihai Point (Single)" (Qihai CV6: Meridian Vessel 6 Renmai 6th point) 3 points.

Procedure: Acupressure

Interventions

Acupressure PROCEDURE

The patients assigned to the experimental group received acupoint massage designed to improve constipation for 7 days during hospitalization. The selection of acupoints in this study includes "Tianshu (double)" (Tianshu, ST25: Stomach Meridian 25, the 25th point of the stomach meridian), "Zhongwan (single)" (Zhongwan CV12: Conception Vessel 12, the 12th point of the Ren meridian) ), "Qihai Point (Single)" (Qihai CV6: Meridian Vessel 6 Renmai 6th point) 3 points.

acupressure

routine nursing and fake acupressure PROCEDURE

control groups: receiving routine nursing and fake acupressure to improve constipation for 7 days during hospitalization.

routine nursing and fake acupressure

Eligibility Criteria

• Age: 20 Years - 80 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥ 20 years old
• Established diagnosis of stroke (ischemic, hemorrhagic acute phase)
• NIHSS 1-20 points
• Undiagnosed within three months before admission With intestinal disease and no rectal resection
• meeting the diagnostic criteria for functional constipation (Rome IV).

You may not qualify if:

• Abdominal surgery or abdominal radiotherapy within three months
• Abdominal cancer including liver, large intestine, lymph, and pelvic cavity, etc.,
• Massive ascites
• There are implants in the abdominal cavity, such as V-P Shunt, L-P Shunt, CAPD, etc.

Sponsors & Collaborators

• Taichung Veterans General Hospital: lead

Study Sites (1)

1650 Taiwan Boulevard Sect. 4

Taichung, 40705, Taiwan

Location

Related Publications (6)

• Abbasi P, Mojalli M, Kianmehr M, Zamani S. Effect of acupressure on constipation in patients undergoing hemodialysis: A randomized double-blind controlled clinical trial. Avicenna J Phytomed. 2019 Jan-Feb;9(1):84-91.

  PMID: 30788281 RESULT

• Bharucha AE, Lacy BE. Mechanisms, Evaluation, and Management of Chronic Constipation. Gastroenterology. 2020 Apr;158(5):1232-1249.e3. doi: 10.1053/j.gastro.2019.12.034. Epub 2020 Jan 13.

  PMID: 31945360 RESULT

• Birimoglu Okuyan C, Bilgili N. Effect of abdominal massage on constipation and quality of life in older adults: A randomized controlled trial. Complement Ther Med. 2019 Dec;47:102219. doi: 10.1016/j.ctim.2019.102219. Epub 2019 Oct 16.

  PMID: 31780015 RESULT

• Chen MC, Yang LY, Chen KM, Hsu HF. Systematic Review and Meta-Analysis on Using Acupressure to Promote the Health of Older Adults. J Appl Gerontol. 2020 Oct;39(10):1144-1152. doi: 10.1177/0733464819870027. Epub 2019 Aug 19.

  PMID: 31426687 RESULT

• Chumpitazi BP, Self MM, Czyzewski DI, Cejka S, Swank PR, Shulman RJ. Bristol Stool Form Scale reliability and agreement decreases when determining Rome III stool form designations. Neurogastroenterol Motil. 2016 Mar;28(3):443-8. doi: 10.1111/nmo.12738. Epub 2015 Dec 21.

  PMID: 26690980 RESULT

• Nieh HC, Wu PO, Ou SF, Li HP, Chen JP. Effect of acupressure on alleviating constipation among inpatients with stroke during the acute phase: A randomized controlled trial. Complement Ther Clin Pract. 2023 Nov;53:101801. doi: 10.1016/j.ctcp.2023.101801. Epub 2023 Sep 22.

  PMID: 37793306 DERIVED

MeSH Terms

Conditions

Constipation

Interventions

Acupressure

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

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

Study Officials

• Hsiao-Chi Nieh, MSC

  Head Nurse

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Use the random number generator of EXCEL to generate the random number assigned by the computer, and put the serial number in the sealed envelope in sequence. After the patients completed the pre-test, the sealed envelopes were opened in sequence, and the patients were randomly assigned to the experimental group and the routine care group. The study used an assessor blinding design, that is, the data collectors were unaware of the patient group assignments until the end of the study
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Assignment A two-group controlled, randomized study, the intervention groups: receiving acupressure on 3 acupoints (Tianshu, ST25: Stomach Meridian 25; Zhongwan CV12: Conception Vessel 12; Qihai CV6: Meridian Vessel 6), control groups: receiving routine nursing and fake acupressure.

Study Record Dates

• First Submitted: October 25, 2022
• First Posted: November 10, 2022
• Study Start: September 11, 2020
• Primary Completion: October 24, 2022
• Study Completion: October 24, 2022
• Last Updated: May 9, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)