Effect of Acupressure Applied Before CAG on Pain, Anxiety and Vital Signs

Bandırma Onyedi Eylül University

Status: Completed

Conditions: Coronary Angiography and Intervention; Acupressure

Treatments: Other: Sham acupressure; Other: Acupressure

Study type: Interventional

Funder types: Other

Identifiers

NCT06916351

Ethics Committee (Other Identifier)

BandirmaOnyediEylul University

Details and patient eligibility

About

This randomized controlled experimental study aimed to determine the effects of acupressure applied before the procedure on pain, anxiety and vital signs in patients who applied to Kocaeli City Hospital Angiography Unit and were to undergo planned radial artery coronary angiography.

Full description

This randomized controlled experimental study was conducted at the Kocaeli City Hospital Angiography Unit to determine the effects of acupressure applied before coronary angiography on pain, anxiety and vital signs of the patients scheduled to undergo coronary angiography. It was conducted at the Kocaeli City Hospital Angiography Unit. The study used a stratified block randomization method and 93 patients who met the inclusion criteria were assigned to two different intervention groups, one of which received acupressure and the other a sham intervention before coronary angiography, and a control group receiving standard care. Data were collected using the 'Personal Information Form', 'State Anxiety Inventory (STAI)', 'Visual Analog Scale (VAS)' and 'Patient Follow-up Form'.

Enrollment: 93 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria for the study

• Over 18 years of age,
• Able to understand and speak Turkish,
• Open to communication,
• First time undergoing radial artery coronary angiography,
• Elective patients undergoing planned (non-urgent) coronary angiography,
• Patients who did not undergo stent/balloon intervention during angiography,
• Awake and conscious during coronary intervention (not having taken sedatives (dormicum/fentanyl))
• No deformities or lesions in the areas where acupressure will be applied (hematoma, ecchymosis, etc.)
• Having not taken sedatives or painkillers 5 hours before the angiography,
• No experience with acupressure,
• No history of attending training courses and yoga classes to control stress and anxiety in the last six months
• No diagnosis of anxiety disorder and not receiving medical treatment
• No diagnosis of depression and not receiving medical treatment
• Flat on the back (patients without respiratory distress, etc.),
• Hemodynamically stable (no chest pain or arrhythmia),
• Patients who volunteer to participate in the study,

Exclusion criteria for the study

• Diagnosed with any psychiatric disease
• Previously undergone coronary angiography from the radial or femoral artery
• Chronic pain
• Used opioid medication
• CAG procedure to be performed from the femoral artery

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

93 participants in 3 patient groups, including a placebo group

Sham acupressure

Placebo Comparator group

Description:

Sham acupressure will be applied to three points parallel to HT7, LI4 and PC6, approximately 1-1.5 cm away from the meridians. To prepare the points for acupressure, these points will be rubbed for approximately 20-30 seconds without applying direct pressure, reducing tissue sensitivity. The researcher will then apply acupressure to these points and symmetrical points using the thumb for three minutes, but will apply less pressure than required levels. Similar to the acupressure group, preparations and acupressure application will take approximately 20 minutes in total for each patient.

Treatment:

Other: Sham acupressure

Control

No Intervention group

Description:

Patients in the control group will not receive any intervention and will receive routine treatment and care.

Acupressure

Experimental group

Description:

Acupressure will be applied to a total of three points, namely HT7, LI4, and PC6, determined by the researcher with a certificate according to literature and expert opinion before the CAG procedure for the acupressure group. The "cun" measurement unit will be used to determine the points where the application will be made. Before the application, after approximately 20-30 seconds of heating and rubbing without direct pressure on the acupressure points, the researcher will manually press the determined acupressure points with the thumb for 10 seconds to create a depth of 1-1.5 cm. Pressure will be applied to each acupressure point for three consecutive minutes (in the breathing rhythm) without lifting the finger, allowing for two seconds of relaxation. Since the symmetry of the three different points selected on the other extremity will also be applied, a total of 18 minutes of pressure will be applied to each point, with the condition of three minutes.

Treatment:

Other: Acupressure