The Effect of Su Jok Therapy on Postoperative Pain, Anxiety and Patient Satisfaction in Patients With BPH

This study is the first nursing study in the field of urology to examine the effect of Su Jok Therapy on postoperative pain, anxiety and patient satisfaction in patients who underwent Transurethral Resection of the Prostate with a diagnosis of BPH and is thought to make an important contribution to evidence-based nursing practices. In line with the results obtained from the study, it is expected that the anxiety levels of patients planned to apply Su Jok therapy will be reduced, pain levels will be reduced, and patient satisfaction will increase.

Considering the literature, it is seen that the number of studies examining the effects of integrative methods used in symptom management such as Su Jok Therapy on postoperative pain, anxiety and patient satisfaction are high and have positive effects as a result. Still, there are a limited number of studies on the effects of Su Jok Therapy on postoperative pain and anxiety in the surgical field. This study is thought to make an important contribution to evidence-based nursing practices as it is the first nursing study in the field of urology to examine the effect of Su Jok Therapy on postoperative pain, anxiety level and patient satisfaction in patients undergoing transurethral resection of the prostate (TUR-P) with a diagnosis of BPH. In line with the results obtained from the study, it is planned to reduce the anxiety and pain levels of patients who are planned to apply Su Jok therapy and to increase patient satisfaction. In this study, it is aimed to determine the effect of Su Jok Therapy on postoperative pain, anxiety and patient satisfaction in patients diagnosed with BPH who underwent Transurethral Resection of Prostate (TUR-P).

Research Hypotheses:

H0-1: Su Jok therapy is not effective in reducing postoperative pain level in patients undergoing TUR-P.

H1-1: Su Jok therapy is effective in reducing postoperative pain level in patients undergoing TUR-P.

H0-2: Su Jok therapy is not effective in reducing anxiety level in patients undergoing TUR-P.

H1-2: Su Jok therapy is effective in reducing anxiety level in patients undergoing TUR-P.

H0-3: Su Jok therapy is not effective in increasing patient satisfaction in patients undergoing TUR-P.

H1-3: Su Jok therapy is effective in increasing patient satisfaction in patients undergoing TUR-P.

The population of this study will consist of patients who applied to the Urology Outpatient Clinic of Başkent University Ankara Hospital and were planned to undergo Transurethral Prostate Resection for the first time with the diagnosis of BPH.

According to hospital records, 52 patients diagnosed with BPH underwent TUR-P in the last year. The sample size of the study was calculated by a statistical expert using a sample size calculation program (G\*Power version 3.1.9.4). The minimum sample size required for the study was planned to include at least 52 patients (26 intervention, 26 control) to be approximately equally distributed in the groups that will provide 80% test power at 95% confidence level, with an effect size of 0.80 and Cohen's large effect size of 0.80 for "One-Way Analysis of Variance" when the parametric test assumptions of "Whether there is a difference between more than two groups" are met, and "Kruskal Wallis Test" when not met.

Eligibility Criteria:
Inclusion Criteria:

* 18 years and older diagnosed with BPH,
* First time undergoing TUR-P surgery,
* Does not have any cognitive, affective and verbal communication problems that prevent understanding of the information given and expressing the pain and anxiety correctly,
* Patients who volunteered to participate in the study

Exclusion Criteria:

* Those who have loss of sensation, amputation, injury, wound, active burn, fungal disease, etc. in their hands that will prevent them from practicing,
* HbA1c value in patients diagnosed with diabetes mellitus: 6.5% and above
* Using any complementary and integrative health practice in the last 3 months,
* Patients who do not speak Turkish, have hearing problems, language problems