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Effect of Acupressure Applied Before Cystectomy on Preoperative Anxiety Level

Primary Purpose

Anxiety, Hemodynamic Instability

Status
Recruiting
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
Acupressure
Placebo acupressure
Sponsored by
Mersin University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Anxiety

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Agreeing to participate in the research (signing the Informed Consent Form),
  • Conscious and cooperative
  • Speaks and understands Turkish,
  • 18-65 years old,
  • Before surgery,
  • Stable general condition,
  • No sensitivity in the area where acupressure/placebo acupressure will be applied,
  • 15 July 2022 - 15 July 2023 hospitalized in the urology clinic,
  • No active COVID-19 infection,
  • Patients without any psychiatric diagnosis will be included.

Exclusion Criteria:

  • Those who do not agree to participate in the research (who do not sign the Informed Consent Form)
  • Conscious and uncooperative,
  • Not speaking or understanding Turkish,
  • Not between the ages of 18-65,
  • No surgical intervention planned,
  • The planned emergency surgical intervention,
  • Unstable general condition,
  • Sensitivity in the area where acupressure/placebo acupressure will be applied,
  • Active COVID-19 infection,
  • 15 July 2022 - 15 July 2023 who did not stay in the urology clinic,
  • Patients with current psychiatric diagnosis will not be included in the study.

Sites / Locations

  • Turkey, Mersin University,Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Acupressure Group (experimental)

Placebo Acupressure Group (control)

Arm Description

The experimental group will be given acupressure.

The placebo group will be given placebo acupressure

Outcomes

Primary Outcome Measures

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

Secondary Outcome Measures

Systolic blood pressure
Systolic blood pressure (SBP), mmHg
Diastolic blood pressure
Diastolic blood pressure (DBP), mmHg
Heart rate
Beats per minute
Respiratory rate
Lung breathing
Peripheral oxygen saturation
%, percentage of oxygenated hemoglobin in peripheral arterial blood

Full Information

First Posted
April 5, 2022
Last Updated
October 10, 2023
Sponsor
Mersin University
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1. Study Identification

Unique Protocol Identification Number
NCT05325307
Brief Title
Effect of Acupressure Applied Before Cystectomy on Preoperative Anxiety Level
Official Title
Effect of Acupressure Applied Before Cystectomy on Preoperative Anxiety Level: Three Blind Randomized Controlled Studies
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 1, 2022 (Actual)
Primary Completion Date
October 1, 2024 (Anticipated)
Study Completion Date
December 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Mersin University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
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.
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anxiety, Hemodynamic Instability

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Prospective, parallel, three-arm randomized controlled clinical trial
Masking
ParticipantCare ProviderOutcomes Assessor
Masking Description
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.
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Acupressure Group (experimental)
Arm Type
Experimental
Arm Description
The experimental group will be given acupressure.
Arm Title
Placebo Acupressure Group (control)
Arm Type
Placebo Comparator
Arm Description
The placebo group will be given placebo acupressure
Intervention Type
Other
Intervention Name(s)
Acupressure
Intervention Description
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.
Intervention Type
Other
Intervention Name(s)
Placebo acupressure
Intervention Description
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.
Primary Outcome Measure Information:
Title
Anxiety evaluated using the State Anxiety Scale
Description
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
Time Frame
Change from before implementation and immediately after, 20th minute after acupressure
Secondary Outcome Measure Information:
Title
Systolic blood pressure
Description
Systolic blood pressure (SBP), mmHg
Time Frame
Change from before implementation and immediately after, 20th minute after acupressure
Title
Diastolic blood pressure
Description
Diastolic blood pressure (DBP), mmHg
Time Frame
Change from before implementation and immediately after, 20th minute after acupressure
Title
Heart rate
Description
Beats per minute
Time Frame
Change from before implementation and immediately after, 20th minute after acupressure
Title
Respiratory rate
Description
Lung breathing
Time Frame
Change from before implementation and immediately after, 20th minute after acupressure
Title
Peripheral oxygen saturation
Description
%, percentage of oxygenated hemoglobin in peripheral arterial blood
Time Frame
Change from before implementation and immediately after, 20th minute after acupressure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Agreeing to participate in the research (signing the Informed Consent Form), Conscious and cooperative Speaks and understands Turkish, 18-65 years old, Before surgery, Stable general condition, No sensitivity in the area where acupressure/placebo acupressure will be applied, 15 July 2022 - 15 July 2023 hospitalized in the urology clinic, No active COVID-19 infection, Patients without any psychiatric diagnosis will be included. Exclusion Criteria: Those who do not agree to participate in the research (who do not sign the Informed Consent Form) Conscious and uncooperative, Not speaking or understanding Turkish, Not between the ages of 18-65, No surgical intervention planned, The planned emergency surgical intervention, Unstable general condition, Sensitivity in the area where acupressure/placebo acupressure will be applied, Active COVID-19 infection, 15 July 2022 - 15 July 2023 who did not stay in the urology clinic, Patients with current psychiatric diagnosis will not be included in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Tugba CAM YANIK, PhD
Phone
+90 324 361 00 01
Email
tugbacam@mersin.edu.tr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gülay Altun Ugras, PhD
Organizational Affiliation
Mersin University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Mualla Yılmaz, PhD
Organizational Affiliation
Mersin University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Zeliha Yaman, PhD
Organizational Affiliation
Mersin University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Naciye Balbay, graduate
Organizational Affiliation
Mersin University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Turkey, Mersin University,
City
Mersin
State/Province
Turkey/Mersin,Yenişehir
ZIP/Postal Code
33343
Country
Turkey
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tuğba ÇAM YANIK, PhD

12. IPD Sharing Statement

Plan to Share IPD
No

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Effect of Acupressure Applied Before Cystectomy on Preoperative Anxiety Level

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