The Effectiveness of Acupressure for Managing Postoperative Pain and Anxiety in Patients With Thoracoscopic Surgery

Wei-Fen Ma

Status: Unknown

Conditions: Lung Diseases

Treatments: Other: acupressure

Study type: Interventional

Funder types: Other

Identifiers

NCT04595253

CMUH109-REC2-131

Details and patient eligibility

About

The purpose of this study is to explore the effectiveness of acupressure for managing postoperative pain, anxiety, analgesia consumption, early ambulation, and comfort in patients with thoracoscopic surgery.

Full description

Thoracoscopic surgery is the surgical used to removal of a section or a segment of a lung lobe. One US national survey reported that 80% of patients undergoing pulmonary surgery experienced acute pain. 75-86% of these patients pointed out that experienced moderate, severe, or extreme pain, especially, on the 1st day after thoracoscopic surgery. However, inappropriate pain management after surgery is associated with limited the healing process, increased workload of heart, prolonged pulmonary rehabilitation, and increased medical costs, and can be a prediction of developing chronic pain. Acupressure is a nonpharmacological treatment for the management of postoperative pain. Recent studies have found that the application of acupressure is effective in decreasing operative pain intensity, morphine related side effects, and opioid consumptions after surgery. However, there was no further research about the role of acupressure applied to thoracoscopic surgery.

Enrollment: 200 estimated patients

Sex: All

Ages: 20+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• pulmonary lung disease and will be scheduled to undergo a thoracoscopic wedge resection, segmentectomy, or lobectomy.
• American Society of Anesthesiologist physical status of Classes I-II,
• both forearms without missing limbs or arteriovenous fistula
• ability to communicate in Taiwanese or Chinese, and
• agreement to participate in this study.

Exclusion criteria

• diagnosed as malignant neoplasm with lung meta,
• Had a stroke or peripheral vascular disease
• Platelet count less than 20 x 10^3/mm^3
• Using the patient controlled analgesia, and
• any known mental illness or memory dysfunction.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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200 participants in 2 patient groups

acupressure

Experimental group

Description:

After recruitment, participants will be randomized to receive acupressure or control group. In the acupressure group, participants will receive acupressure treatment.

Treatment:

Other: acupressure

routine care

No Intervention group

Description:

After recruitment, participants will be randomized to receive acupressure or control group. In the control group, participants will receive routine care, including routine pain control.