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This randomized controlled study evaluates the effect of acupressure application on the anxiety level patients undergoing cystectomy surgery. The hypothesis of this study is that acupressure reduces anxiety levels and stabilizes hemodynamic parameters.
In the study, 60 patients will randomly assigned to acupressure and placebo acupressure groups. To the acupressure group (n = 30), an average of 15 minutes will be applied to the HT7 (heart), LI4 (liver) and EX-NH3 (the point between the two eyes). In the placebo acupressure group (n = 30), the points 1.5 cm away from the HT7, LI4, and EX-NH3 points will be applied for an average of 15 minutes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acupressure Group (experimental) | Experimental | The experimental group will be given acupressure. |
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| Placebo Acupressure Group (control) | Placebo Comparator | The placebo group will be given placebo acupressure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acupressure | Other | The experimental group will start with HT7 points and continue LI4 and EX-NH3 points. The application will be carried out by determining the priority order of the points with the draw. Attention will be paid to the intensity and duration of the pressure deemed appropriate. Since the individuals' responses will differ, the stiffness and pressure will be adjusted according to the individual's sensitivity not to cause tissue damage. Before starting the application, around the area to be pressed for 20-30 seconds will be gently rubbed with palm. With the gentle rubbing of the surrounding tissue, the tension and tissue sensitivity in warming, relaxing and preparatory will be reduced, and the tissue will be relieved. After, the point determined will be pressed manually for 2 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety evaluated using the State Anxiety Scale | Scores ranging from 20 to 80 points are obtained in the scale. In the total score obtained from the scale in scoring the scale, 0-19 points indicate the absence of anxiety, 20-39 points indicate mild anxiety, 40-59 points indicate moderate anxiety, and 60-79 points indicate severe anxiety level. Higher state anxiety scores indicate that anxiety level is also high | Change from before implementation and immediately after, 20th minute after acupressure |
| Measure | Description | Time Frame |
|---|---|---|
| Systolic blood pressure | Systolic blood pressure (SBP), mmHg | Change from before implementation and immediately after, 20th minute after acupressure |
| Diastolic blood pressure | Diastolic blood pressure (DBP), mmHg |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gülay Altun Ugras, PhD | Mersin University | Study Director |
| Mualla Yılmaz, PhD | Mersin University | Principal Investigator |
| Zeliha Yaman, PhD | Mersin University | Principal Investigator |
| Naciye Balbay, graduate | Mersin University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Turkey, Mersin University, | Mersin | Turkey/Mersin,Yenişehir | 33343 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D019050 | Acupressure |
| ID | Term |
|---|---|
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
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Prospective, parallel, three-arm randomized controlled clinical trial
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In the study, a researcher (T.Ç.Y.) will determine the acupressure and placebo points to be applied to patients. However, the researcher (Z.Y.) who will apply acupressure and placebo acupressure be blinded without knowing whether these points are acupressure or placebo points. Participants will not know that they are in the acupressure or placebo group. When the research is completed, the data of the control and study groups (A or B) will be transferred to the computer environment by a researcher independent of the research, and the data will be analyzed by a statistician and the findings will be reported.
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| Placebo acupressure | Other | In the placebo acupressure group , the points 1.5 cm away from the HT7, LI4, and EX-NH3 points will be applied for an average of 15 minutes. Less pressure will be applied. |
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| Change from before implementation and immediately after, 20th minute after acupressure |
| Heart rate | Beats per minute | Change from before implementation and immediately after, 20th minute after acupressure |
| Respiratory rate | Lung breathing | Change from before implementation and immediately after, 20th minute after acupressure |
| Peripheral oxygen saturation | %, percentage of oxygenated hemoglobin in peripheral arterial blood | Change from before implementation and immediately after, 20th minute after acupressure |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |