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The Effect of Acupressure Applied Before Suturing Procedure in the Emergency Department on Anxiety and Vital Signs

ConditionsAnxietyVital Signs
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorEzgi BOLAT

About this trial

This study suggests that the anxiety experienced by patients during suturing in the emergency department can be reduced with acupressure and offers a research proposal on vital signs.

Problem: During suturing in the emergency department, patients experience high levels of anxiety due to the pain they experience and fear of the procedure. This situation complicates the treatment process, negatively affects the health of patients and creates a difficult situation for healthcare professionals.

Solution Suggestion: Acupressure can be used as a non-invasive, safe and effective method to reduce patients\' anxiety. Acupressure reduces pain, provides relaxation and reduces anxiety by increasing the secretion of endorphins in the body.

Purpose of the Study: The purpose of this study is to evaluate the effects of applying acupressure to patients before suturing in the emergency department on their anxiety levels and vital signs (such as blood pressure, heart rate).

In summary, this research has a significant potential that emergency room nurses can improve patients\' quality of life and make treatment processes more effective by using acupressure in patient care.

Key Words: Acupressure, Suturing, Anxiety, Vital Signs, Emergency Department

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Suturing is done with local anesthesia,

Those who are 18 years or older,

Conscious, oriented and cooperative,

Able to read and understand Turkish,

Disqualifiers

Those who are under 18 years of age,

Unconscious, unoriented and uncooperative,

Cannot read and understand Turkish,

Those who do not agree to participate in the study,

Trial design

Design model

Parallel

Treatments tested in this trial

  • Acupressure

    Other intervention

    Before pressing directly on the point for acupressure, a gentle warming, relaxing and preparatory process of approximately 15 seconds should be performed on the point area. In this case, manual pressure with the thumb, index finger and/or middle finger will be applied sequentially (in the rhythm of breathing) without lifting the finger for an average of 1.5 minutes on each point, at a frequency that does not disturb the person, does not cause pain and has a calming effect. Before the suturing procedure, acupressure will be applied to the HT7 and Li4 points by a researcher (EB) who has an acupressure certificate.

  • Acupressure

    Other intervention

    Before and after acupressure, vital signs and before acupressure, anxiety scores will be checked using the Spielger State Anxiety Scale. In addition, vital signs and anxiety scores will be checked again immediately after the stitching procedure.

Treatment groups

146 Participants
are divided into 2 treatment groups
Group A: Acupressure groupExperimental treatment 1 intervention
Group B: control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Evaluation of anxiety before acupressure

Before the suturing procedure, acupressure will be applied to the Ht7 and Li4 points.The state anxiety scale consists of 20 questions. The statements in the SAS are evaluated as none 1 point, a little 2 points, a lot 3 points and completely 4 points. In this section, the statements are divided into direct and reversed. Reversed statements are: items 1, 2, 5, 8, 10, 11, 15, 16, 19, and 20. The SAS score is calculated by adding the constant value of 50 to the value obtained by subtracting the total score of the reversed statements from the total score of the direct statements. The scale score varies between 20-80 and an increase in the score obtained from the scale indicates an increase in the anxiety level. A total score of 0-19 from the SAS indicates no anxiety, a score of 20-39 indicates mild anxiety, a score of 40-59 indicates moderate anxiety and a score of 60-79 indicates a severe anxiety level. It is stated that individuals who score above 60 on the SAS need professional help.

Time frame
before suturing
2

Evaluation of anxiety after suturing

Immediately after the stitching, the anxiety scale will be filled out again. The statements in the SAS are evaluated as none 1 point, a little 2 points, a lot 3 points and completely 4 points. In this section, the statements are divided into direct and reversed. Reversed statements are: items 1, 2, 5, 8, 10, 11, 15, 16, 19, and 20. The SAS score is calculated by adding the constant value of 50 to the value obtained by subtracting the total score of the reversed statements from the total score of the direct statements. The scale score varies between 20-80 and an increase in the score obtained from the scale indicates an increase in the anxiety level. A total score of 0-19 from the SAS indicates no anxiety, a score of 20-39 indicates mild anxiety, a score of 40-59 indicates moderate anxiety and a score of 60-79 indicates a severe anxiety level. It is stated that individuals who score above 60 on the DAS need professional help.

Time frame
immediately after suturing

Secondary outcomes

1

Assessment of blood pressure before acupressure

Vital signs will be monitored immediately before acupressure. The patient's blood pressure will be monitored before acupressure. The patients' blood pressure will be monitored on a portable monitor (iMEC 10, Mindray, Chinese). Systolic blood pressure of 100-130 mmHg, diastolic blood pressure of 60-80 mmHg. Normal blood pressure is usually considered to be between 90/60 mmHg and 120/80 mmHg.

Time frame
Just before acupressure
2

Assessment of Blood Pressure After Acupressure

Vital signs will be monitored immediately after acupressure. The patient's blood pressure will be monitored after acupressure. The patients' blood pressure will be monitored on a portable monitor (iMEC 10, Mindray, Chinese). Systolic blood pressure of 100-130 mmHg, diastolic blood pressure of 60-80 mmHg. Normal blood pressure is usually considered to be between 90/60 mmHg and 120/80 mmHg.

Time frame
After acupressure
3

Assesment of blood pressure after suturing

Vital signs will be monitored immediately after suturing. The patient's blood pressure will be monitored after suturing. The patients' blood pressure will be monitored on a portable monitor (iMEC 10, Mindray, Chinese). Systolic blood pressure of 100-130 mmHg, diastolic blood pressure of 60-80 mmHg. Normal blood pressure is usually considered to be between 90/60 mmHg and 120/80 mmHg.

Time frame
after suturing
4

Assesment of heart rate before acupressure

Vital signs will be monitored immediately before acupressure. The patient's heart rate will be monitored before acupressure. The patient's heart rate will be monitored on a portable monitor (iMEC 10, Mindray, Chinese). A normal heart rate for adults ranges from 60 to 100 beats per minute.

Time frame
before acupressure

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ezgi BOLAT

Lead sponsor

Mersin University

Sponsor institution

Source ClinicalTrials.gov

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