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NCT Number: NCT06636903

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

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

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Key information

Conditions

Anxiety Anxiety Disorders Disease Attributes Emergencies Mental Disorders Pathologic Processes Pathological Conditions, Signs and Symptoms Vital Signs

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Suturing is done with local anesthesia,
  • Those who are 18 years or older,
  • Conscious, oriented and cooperative,
  • Able to read and understand Turkish,
  • Agreeing to participate in the study,
  • Anxiety not diagnosed,
  • Not using medication for anxiety,
  • No acupressure experience,
  • No physical problems that would prevent acupressure application to Ht7 and Li4 points,
  • Not pregnant,
  • Patients who sign the "Voluntary Informed Consent Form" will be included.

Exclusion criteria

  • 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,
  • -Diagnosed with anxiety,
  • -Using medication for anxiety (anxiolytic, antidepressant, antipsychotic, etc.),
  • Having previous acupressure experience,
  • Having a physical problem that prevents the application of acupressure to Ht7 and Li4 points,
  • Pregnant,
  • Patients who do not sign the "Voluntary Informed Consent Form" will not be included.

Treatment and study plan

Acupressure

Other

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.

Primary outcomes

  1. Evaluation of anxiety before acupressure

    Time frame: before suturing

    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.

  2. Evaluation of anxiety after suturing

    Time frame: immediately 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.

Secondary outcomes

  1. Assessment of blood pressure before acupressure

    Time frame: Just 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.

  2. Assessment of Blood Pressure After Acupressure

    Time frame: 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.

  3. Assesment of blood pressure after suturing

    Time frame: 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.

  4. Assesment of heart rate before acupressure

    Time frame: 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.

  5. Assesment of heart rate after acupressure

    Time frame: after acupressure

    Vital signs will be monitored immediately after acupressure. The patient's heart rate will be monitored after 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.

  6. Assesment of heart rate after suturing

    Time frame: after suturing

    Vital signs will be monitored immediately after suturing. The patient's heart rate will be monitored after suturing. 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.

  7. Assesment of oxygen saturation before acupressure

    Time frame: 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). For most people, a normal pulse oximeter reading for your oxygen saturation level is between 95% and 100%.

  8. Assesment of oxygen saturation after acupressure

    Time frame: after acupressure

    Vital signs will be monitored immediately after acupressure. The patient's heart rate will be monitored after acupressure. The patient's heart rate will be monitored on a portable monitor (iMEC 10, Mindray, Chinese). For most people, a normal pulse oximeter reading for your oxygen saturation level is between 95% and 100%.

  9. Assesment of oxygen saturation after suturing

    Time frame: after suturing

    vVital signs will be monitored immediately after suturing. The patient's heart rate will be monitored after suturing. The patient's heart rate will be monitored on a portable monitor (iMEC 10, Mindray, Chinese). For most people, a normal pulse oximeter reading for your oxygen saturation level is between 95% and 100%.

  10. Assesment of respiratory rate before acupressure

    Time frame: before acupressure

    Immediately before acupressure, the respiratory rate will be assessed. The respiratory rate will be counted by observing the chest cage movements for one minute by the researcher (EB). Vital signs are expected to remain within normal values. Normal respiration rates for an adult person range from 16 to 20 breaths per minute.

  11. Assesment of respiratory rate after acupressure

    Time frame: after acupressure

    Immediately after acupressure, After suturing, the respiratory rate will be assessed. The respiratory rate will be counted by observing the chest cage movements for one minute by the researcher (EB). Vital signs are expected to remain within normal values. Normal respiration rates for an adult person range from 16 to 20 breaths per minute.

  12. Assesment of respiratory rate after suturing

    Time frame: after suturing

    After suturing, the respiratory rate will be assessed. The respiratory rate will be counted by observing the chest cage movements for one minute by the researcher (EB). Vital signs are expected to remain within normal values. Normal respiration rates for an adult person range from 16 to 20 breaths per minute.

Study contacts

Contact information is provided by the study sponsor or research team.

Ezgi Bolat, Master

CONTACT

[email protected]

+90-538-055-8567

Sponsors and collaborators

Lead sponsor

Ezgi BOLAT

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2025
First posted
Oct 15, 2024
Registry last updated
Oct 15, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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