The Effect of Emotional Freedom Technique on Postoperative Pain and Anxiety on Total Knee Replacement

Study Overview
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Brief Summary
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Since pain is a complex and unpleasant feeling that affects the individual physically, mentally and socially, it should be controlled. It is also known that major surgeries such as orthopedics and traumatology, general surgery and cardiovascular surgery cause fear of death in the patient, and this fear is then replaced by general anxiety and post-operative pain. The emotional freedom technique is a method that uses cognitive functions and physical components (tapping acupuncture points) to bring about psychological changes. It is also defined as needle-free acupuncture or an emotional form of acupressure because it is a gentle, non-invasive procedure and uses acupuncture meridians. This method, which is very old in Eastern cultures, started to be used in the West in the 1980s. In this developed technique, all 12 points on the 12 basic meridians, which are the flow paths of the energy in the body, are used. In the emotional liberation technique tour, general anxiety, phobias, post-traumatic stress disorder, fears and the discomfort caused by anxiety are eliminated and all kinds of targeted problems are cured. Considering the patients as a whole in terms of biopsychosocial is the basic element of nursing. It is inevitable to experience pain and anxiety in the post-operative period in individuals who are in a foreign environment such as a hospital and who have undergone major surgery such as total knee replacement. With this study, it is expected that the emotional freedom technique will contribute to the national and international literature on the effect of pain and anxiety in the post-operative period and will be a source of information in the development of nursing science on the use of non-pharmacological treatments that can be used in the treatment of pain and anxiety in patients.

Official Title
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The Effect of Emotional Freedom Technique on Postoperative Pain and Anxiety on Total Knee Replacement

Conditions
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Total Knee Replacement

Intervention / Treatment
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* Behavioral: The Emotional Freedom Technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Will experience total knee replacement surgery in a planned manner for the first time, Volunteer to participate in the research, 18 years and over, His mental state is healthy, Having no vision, hearing and speech problems, Fluent in Turkish, Does not have any other acute disease that causes pain and anxiety, No complications developed within 3 days before, during and after the operation, Educationally literate patients will be included in the study. Exclusion Criteria: The patient's previous total knee replacement surgery, Performing revision surgery, Having applied the emotional liberation technique before, Having a communication problem, Evisceration, infection development at the wound site after surgery, Having a health problem (fever, infection, DVT, etc.) that prevents the application of the emotional liberation technique was determined as the patient's unwillingness to participate in the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| The Emotional Freedom Technique Group<br>After the patients in the case group are determined, the scales will be introduced. The patient information form, State-Trait Anxiety Inventory and Visual Analog Scale will be filled. After that, the emotional freedom technique will be explained. On the postoperative 1st and 2nd days, firstly pain and anxiety levels will be measured with the State Anxiety Inventory, the Visual Analog scale and SUE(Subjectıve Unıts Of Experience) scales. And then one session of emotional freedom technique that is approximately 30 minutes, will be applied. And after all, the State Anxiety Inventory, the Visual Analog scale and SUE(Subjectıve Unıts Of Experience) scales will be applied again. | Behavioral: The Emotional Freedom Technique<br>* The Emotional Freedom Technique (EFT) is a method that uses cognitive functions and physical components (tapping acupuncture points) to bring about psychological changes. The Emotional Freedom Technique is a non-invasive procedure that uses acupuncture meridians. We stimulate these energy points by touching the 14 basic meridian points ın this technique. We make suggestions to our subconscious by repeating the setup sentence for the problem we want to solve. Thus, we try to solve the blockages in the meridians that prevent the flow of energy. Energy blockages disrupt the balance of the mind/body/energy system. This situation causes negative emotions such as stress, panic, fear, and sadness in the person. And with the effect of emotions, disturbances may occur in our physical body. When the energy blockage is removed, the person can feel positive emotions such as happiness, personal power, feeling good, understanding, and loving behavior.<br>|
| Control Group<br>The patient in the control group will be interviewed on the preoperative 1sy day and the scales will be introduced, The patient information form, State-Trait Anxiety Inventory and Visual Analog Scale will be filled. On the postoperative 1st and 2nd days, no application will be made other than the clinical protocols and the State Anxiety Inventory, the Visual Analog scale and SUE(Subjectıve Unıts Of Experience) scales will be applied to the patient. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in the mean anxiety in the case group at post-operative 1st and 2nd day | On the pre-operative 1st day, the patient will be interviewed and pain status will be evaluated with VAS. On the postoperative 1st and 2nd days, the patient will be interviewed again, and pain will be evaluated with VAS, then the emotional freedom technique will be applied, and then it will be checked whether there is a decrease in pain with VAS without any breaks. | Baseline, Post-operative 1st and 2nd day | 
| Change from baseline in the mean pain in the case group at post-operative 1st and 2nd day | On the pre-operative 1st day, the patient will be interviewed and Anxiety status will be evaluated with State-Trait Anxiety Inventory. On the postoperative 1st and 2nd days, the patient will be interviewed again, and anxiety will be evaluated with state anxiety inventory, then the emotional freedom technique will be applied, and then it will be checked whether there is a decrease in anxiety with state anxiety inventory without any breaks. | Baseline, Post-operative 1st and 2nd day |