Clinical trial NCT06914323: The Effects of Acupressure on Pain, Swelling and Comfort in Patients With Femoral Fracture Surgery
Official title: The Effects of Acupressure on Pain, Swelling and Comfort in Patients With Femoral Fracture Surgery
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Acupressure
Lead sponsor: Hungkuang University
Sponsor class: OTHER
First posted: 2025-04-06
Enrollment: 140
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: Pain is a subjective and unpleasant sensory and emotional experience associated with actual or potential tissue damage. Fractures result from a disruption in the continuity of bone, where bones are subjected to traction, twisting, or compression, causing damage to the surrounding muscular tissues. The treatment of displaced or complex fractures typically requires internal fixation surgery. 89% of fracture patients experience postoperative pain and swelling by the second day following open reduction and internal fixation surgery. These negative sensations can lead to increased pain, limb deformity, and neurovascular compression injuries. If postoperative pain is not adequately managed, it can affect wound healing, increase metabolism and oxygen consumption, and place additional strain on cardiopulmonary function. It is necessary to integrate alternative, non-pharmacological, non-invasive pain relief measures. Effectively and safely alleviating acute postoperative pain can enhance comfort, promote early mobilization, improve adherence to postoperative physical therapy, enhance quality of life and shorten hospital stays.


Eligibility criteria: Inclusion Criteria:

1. The patient was hospitalized due to injuries from an accident, diagnosed with unilateral femoral fracture and underwent open reduction internal fixation surgery, hemiarthroplasty, and total hip arthroplasty.
2. Adults aged 18 years or older.
3. Conscious and able to communicate in Mandarin or Taiwanese (Min Nan).
4. Intact and without missing lower limbs.
5. Willing to sign the informed consent form after being briefed on the study objectives and procedures.

Exclusion Criteria:

1. Diagnosis of musculoskeletal tumors.
2. History of cerebrovascular accident or peripheral vascular neuropathy.
3. Major medical conditions such as cirrhosis, renal failure, heart failure, cancer, and severe brain diseases.
4. Edema caused by nutritional deficiency or mucinous causes.
5. Pregnant or lactating women.
6. Patients using patient-controlled analgesia post-surgery.
7. Severe psychiatric disorders or perceptual disorders.
8. Platelet count less than 20 x 10\^3/uL before screening.
9. Albumin less than 3.5g/dL before screening.
10. Individuals closely related to the trial personnel, such as immediate family or dependents of the principal investigator.

Primary outcomes:
measure: Changes in pain
timeFrame: post op day 1 to post op day 2
measure: Change in limb swelling
timeFrame: post op day 1 to post op day 2
measure: Changes in patient comfort
timeFrame: post op day 1 to post op day 2
Secondary outcomes:
Other outcomes:
Locations:
city: Taichung
country: Taiwan
facility: Hungkuang University
Study officials:
References: