Clinical trial NCT06300294: Acute Coronary Syndrome and Acupressure
Official title: Effect of Acupressure on Anxiety, Pain and Vital Signs in Individuals Diagnosed With Acute Coronary Syndrome: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Acute Coronary Syndrome
Nursing
Keywords: acupressure, anxiety, vital signs, acute coronary syndrome
Lead sponsor: Abant Izzet Baysal University
Sponsor class: OTHER
First posted: 2024-03-08
Enrollment: 38
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: experimental and control
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study aims to examine the effect of acupressure on physiological parameters and anxiety levels in individuals diagnosed with Acute Coronary Syndrome (ACS).

H1-1: Acupressure applied to individuals diagnosed with ACS has an effect on the level of anxiety.

H1-2: Acupressure applied to individuals diagnosed with ACS has an effect on blood pressure.

H1-3: Acupressure applied to individuals diagnosed with ACS has an effect on heart rate.

H1-4: Acupressure applied to individuals diagnosed with ACS has an effect on respiratory rate.

H1-5: Acupressure applied to individuals diagnosed with ACS has an effect on the pain level.

H1-6: Acupressure applied to individuals diagnosed with ACS has an effect on cortisol levels.

Detailed description: Acute Coronary Syndrome (ACS) affects millions of people every year; It refers to three types of coronary artery disease: unstable angina pectoris, non-ST-elevation myocardial infarction (NSTE MI) and ST-elevation myocardial infarction (STEMI). It is known that 19 million people in the world and 161 thousand people in our country lost their lives due to Cardiovascular Disease (CVD). Approximately 3 million people worldwide die due to STEMI.Individuals experiencing ACS generally; It is observed that he/she experiences burning, stinging and compressive chest pain, tachycardia, sweating, fatigue, dizziness, dyspnea, nausea, anxiety and depression.Management of the disease is combined with pharmacological applications; It is tried to be provided with non-pharmacological applications such as education, acupuncture and acupressure. When the literature is examined, acupressure application; in the physiological parameters of individuals with myocardial infarction; It brings blood pressure, heart rate and respiratory rate to normal limits, and increases oxygen saturation and sleep quality; It appears to reduce anxiety and pain.For all these reasons, this study aims to examine the effect of acupressure on physiological parameters (blood pressure, heart rate, respiratory rate, pain and cortisol) and anxiety levels in individuals diagnosed with ACS.

Eligibility criteria: Inclusion Criteria:

* Volunteer to participate in the study,

  * Those aged 18 and over
  * Able to speak Turkish
  * Diagnosed with ACS for the first time
  * Cardiopulmonary resuscitation not applied
  * No orientation problems (those who score 15 on the Glasgow Coma Scale)
  * Not diagnosed with psychiatric disease
  * No amputation, fistula, lymphedema, neuropathy or hemiplegia in any of the Upper Extremities
  * Those who underwent femoral intervention for CAG procedure
  * Those who have not used any integrative practices based on pressure and stimulation such as acupressure, acupuncture and reflexology in the last month.
  * Vital signs (28) are within normal range:

Blood pressure: 90/60-120/80 mmHg Heart rate: 60-100 min Respiratory rate: 12-18 min

Exclusion Criteria:

* Those with arrhythmia (AF, VT etc.)
* Patients who have previously undergone Coronary Angiography
* Diagnosed with myocarditis, pericarditis
* Those who do not take any speed-breaking drugs (beloc, arlec, etc.).
* Patients who underwent radial intervention for CAG procedure

Primary outcomes:
measure: means of blood pressure
timeFrame: up to 30 minutes
measure: means of hear rate
timeFrame: up to 30 minutes
measure: means of respiratory rate
timeFrame: up to 30 minutes
measure: means of cortisol.
timeFrame: up to 60 minutes
Secondary outcomes:
measure: means of subjective anxiety scores.
timeFrame: up to 30 minutes
measure: means of subjective pain scores.
timeFrame: up to 30 minutes
measure: electrocardiography evaluation
timeFrame: up to 30 minutes
Other outcomes:
Locations:
city: Manisa
country: Turkey
facility: Manisa City Hospital
Study officials:
affiliation: Abant Izzet Baysal University
name: aynur açıkgöz, PhD student
role: PRINCIPAL_INVESTIGATOR
References: