[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100652249":3},{"organization":4,"armGroups":7,"interventions":26,"overallOfficials":39,"centralContacts":44,"locations":53,"responsibleParty":69,"collaborators":31,"id":72,"slug":73,"hasResults":74,"nctId":75,"briefTitle":76,"officialTitle":77,"acronym":31,"eligibilityCriteria":78,"healthyVolunteers":74,"sex":79,"minAge":80,"maxAge":31,"enrollmentInfo":81,"targetDuration":31,"studyType":84,"phases":85,"briefSummary":87,"conditions":88,"keywords":92,"overallStatus":98,"whyStopped":31,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":103,"completionDateStruct":105,"leadSponsor":107,"locationsCount":108},{"fullName":5,"class":6},"Fenerbahce University","OTHER",[8,15,21],{"label":9,"type":10,"description":11,"interventionNames":12},"Acupressure Group","EXPERIMENTAL","Acupressure will be applied to the LI4 (Hegu) (on the dorsum of the hand, between the 1st and 2nd metacarpal bones), LU7 (Lieque) (on the radial side of the forearm, approximately 3.75 cm \\[1.5 cun\\] above the wrist crease), and PC6 (Neiguan) (on the palmar aspect of the forearm, approximately 5 cm \\[2 cun\\] above the wrist crease) acupoints (Appendix-4), which are reported in the literature to positively affect pain and the respiratory system. The intervention will be performed by a researcher holding an acupressure certification. Using the thumb, index finger, or middle finger, pressure will be applied to the identified LI4, LU7, and PC6 points to a depth of 1 to 1.5 cm for 10 seconds. After a 2-second release, the pressure will be continued for 2 minutes (Düzel et al., 2023; Vanzini et al., 2021; Narimani et al., 2018).",[13,14],"Behavioral: Acupressure","Behavioral: Incentive spirometry",{"label":16,"type":17,"description":18,"interventionNames":19},"Placebo Acupressure Group","SHAM_COMPARATOR","In the placebo acupressure group, all procedural steps will be performed in the exact same manner as in the true acupressure group. However, very light pressure will be applied to sham areas located 1.5 cm away from the LI4, LU7, and PC6 acupoints that do not fall on any meridian. Using the thumb, index finger, or middle finger, this very light pressure will be applied to each point for 10 seconds, followed by a 2-second rest, continuing for 2 minutes per point. The application will be performed bilaterally and will take an average of 15 minutes. Following the procedure, a 20-minute resting period will be provided.",[20,14],"Behavioral: Placebo Acuprresure",{"label":22,"type":23,"description":24,"interventionNames":25},"control group","ACTIVE_COMPARATOR","Patients in this group will receive only standard postoperative nursing care and routine incentive spirometry exercises.",[14],[27,32,35],{"type":28,"name":29,"description":11,"armGroupLabels":30,"otherNames":31},"BEHAVIORAL","Acupressure",[9],null,{"type":28,"name":33,"description":18,"armGroupLabels":34,"otherNames":31},"Placebo Acuprresure",[16],{"type":28,"name":36,"description":37,"armGroupLabels":38,"otherNames":31},"Incentive spirometry","The study will use a triflow device, which consists of three separate chambers and a breathing tube with a mouthpiece. The chambers contain colored balls corresponding to flow volumes of 600, 900, and 1200 mL\u002Fsec, respectively. An inspiratory flow of 600 mL\u002Fsec raises the ball in the first chamber, an inspiratory flow of 900 mL\u002Fsec raises the ball in the second chamber, and an inspiratory flow of 1200 mL\u002Fsec raises the ball in the third chamber (Amin et al., 2021).\n\nTo measure inspiratory flow rate and volume, patients will be instructed to seal their lips tightly around the triflow mouthpiece, ensuring no gaps remain. Patients will be asked to take a deep and slow breath to raise the balls. Subsequently, to measure expiratory flow rate and volume, they will be asked to remove the mouthpiece, hold their breath for 3 to 5 seconds, and then exhale normally (Gökçe et al., 2025).",[9,16,22],[40],{"name":41,"affiliation":42,"role":43},"Ayda Kebapçı, Assc. Prof.","Koç University","PRINCIPAL_INVESTIGATOR",[45,50],{"name":46,"role":47,"phone":48,"phoneExt":31,"email":49},"Ruhat Tilki, PhD Candidate","CONTACT","+90 553 514 98 10","ruhat.tilki@fbu.edu.tr",{"name":41,"role":47,"phone":51,"phoneExt":31,"email":52},"+90 536 858 91 14","akebapci@ku.edu:tr",[54],{"facility":55,"status":31,"city":56,"state":57,"zip":58,"country":59,"countryCode":31,"cosmosGeoPoint":60,"geoPoint":65,"contacts":66},"Şehit Prof. Dr. İlhan Varank Sancaktepe Eğitim ve Araştırma Hastanesi","Istanbul","Sancaktepe","34785","Turkey (Türkiye)",{"type":61,"coordinates":62},"Point",[63,64],28.94966,41.01384,{"lat":64,"lon":63},[67],{"name":68,"role":47,"phone":48,"phoneExt":31,"email":49},"Ruhat Tilki, Ph.D. Candidate",{"type":43,"investigatorFullName":70,"investigatorTitle":71,"investigatorAffiliation":5,"oldNameTitle":31,"oldOrganization":31},"Ruhat Tilki","Research Assistant","100652249","the-effect-of-acupressure-application-on-respiratory-performance-and-pain-levels-in-adult-patients-undergoing-cardiac-surgery-100652249",false,"NCT07771751","The Effect of Acupressure Application on Respiratory Performance and Pain Levels in Adult Patients Undergoing Cardiac Surgery","The Effect of Acupressure Application on Respiratory Performance and Pain Levels in Adult Patients Undergoing Cardiac Surgery: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Aged 18 years and older.\n* Undergoing cardiac surgery for the first time.\n* Extubated and hemodynamically stable in the postoperative period.\n* A Glasgow Coma Scale (GCS) score of 15.\n* Absence of arterial or venous catheters, incisions, hematomas, ecchymoses, or any skin lesions\u002Fdeformities at the acupressure application sites.\n* No analgesic medication administered within the last four hours.\n* No known neuromuscular diseases that could affect respiratory muscle strength or performance.\n* Ability to speak Turkish and absence of any communication barriers.\n\nExclusion Criteria:\n\n* Development of postoperative complications (e.g., severe arrhythmia, need for re-intubation, active bleeding).\n* Receiving sedation in the intensive care unit.\n* Presence of chronic pain syndrome or regular use of opioids\u002Fanalgesics.\n* Known psychiatric disorders.","ALL","18 Years",{"count":82,"type":83},114,"ESTIMATED","INTERVENTIONAL",[86],"NA","The purpose of this randomized controlled trial is to evaluate the effect of acupressure on respiratory performance and pain levels in adult patients who have undergone open-heart surgery. Pulmonary complications and severe pain are common after cardiac surgery, often limiting the effectiveness of standard deep breathing exercises such as incentive spirometry. This study investigates whether applying acupressure-a non-invasive complementary therapy-can help manage postoperative pain and improve respiratory capacity. By potentially reducing pain without the respiratory side effects associated with pharmacological medications, acupressure may enable patients to perform their breathing exercises more effectively and support their overall recovery.",[89,90,91],"Postoperative Pain","Cardiac Surgery","Postoperative Complications",[93,94,95,96,97],"Respiratory Performance","Pain Management","Nursing Care","acupressure","cardiac surgery","NOT_YET_RECRUITING","2026-08-14",{"date":101,"type":102},"2026-08-18","ACTUAL",{"date":104,"type":83},"2026-09-21",{"date":106,"type":83},"2027-09-21",{"name":5,"class":6},1]