Clinical trial NCT06468345: Acupressure Application in Obesity Surgery 2345
Official title: The Effect of Acupressure Applied After Bariatric Surgery on Gastrointestinal Functions, Pain and Anxiety
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Acupressure
Bariatric Surgery
Spleen Meridian
Pregnancy Meridian
Stomach Meridian
Lead sponsor: Ataturk University
Sponsor class: OTHER
First posted: 2024-06-21
Enrollment: 90
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: This research was conducted to determine the effect of acupressure applied to patients after bariatric surgery on gastrointestinal distress, pain and anxiety. The data of the study was collected at Aktif Private Kocaeli Hospital General Surgery Clinic between January 2022 and February 2023. The study was conducted with 90 (30 control, 30 intervention and 30 placebo) patients who underwent bariatric surgery. As a result of the research, application to ST25 and CV12 acupressure areas after bariatric surgery increased gas and stool output. It reduced abdominal distension. This enabled patients to start oral intake early. Application to the SP6 area reduced abdominal pain. Acupressure applied to the LI4 area was not effective in reducing nausea and vomiting. Massage to the HT7 acupressure area alone was not sufficient to relieve anxiety.

Detailed description: This research was conducted to determine the intensity of acupressure treatment for gastrointestinal problems, pain and anxiety after bariatric surgery. The research was conducted using a placebo group, randomized controlled, detailed research model. The data of the study was collected at Aktif Private Kocaeli Hospital General Surgery Clinic between January 2022 and February 2023. The study was conducted with 90 (30 control, 30 intervention and 30 placebo) patients who underwent bariatric surgery. The data were brought together with the patient identification formula, postoperative gastrointestinal functions information formula, abdominal distension formula, visual analog scale, state-trait anxiety inventory scale, visual comparison operation, and patient happiness formula. The data were analyzed with the SPSS for Windows 22 package program. Records of numbers, percentages, minimum and maximum values, averages and standard deviations in the analysis of data. Mann Whitney U analysis, LSD, Dunnet C, Kruskall Wallis, Will coxon analyzes and t test records. The results were interpreted at the p\< 0.05 significance level. Gastrointestinal capacity and recovery time, stool and gas output rates, difference in distension and abdominal pain score amounts, oral intake amounts and retching difference of the patients in acupressure, control and placebo distribution at the 6th, 12th, 24th and 48th months of the surgery were investigated. Children's movements and vomiting were evaluated with visual comparison performance. Anxiety was measured with the State-Trait Anxiety Inventory Scale at the ages of 6, 12, 24 and 48 after treatment. He recorded the Patient Satisfaction Form to obtain the patients' satisfaction after acupressure.

Eligibility criteria: Inclusion Criteria:

* Patients undergoing Bariatric Surgery
* Conscious patients between the ages of 18-65
* Patients who can communicate
* Patients without hearing-speech problems
* Patients without any psychiatric disorder
* Patients willing to cooperate
* Patients who have never had acupressure before
* Patients who do not have conditions such as hematoma, wound or fracture in the areas where acupressure will be applied

Exclusion Criteria:

* Patients who withdraw from the study at any stage of the study
* Patients admitted to the intensive care unit in the early postoperative period

Primary outcomes:
measure: Evaluation of pain after obesity surgery in the intervention, placebo and control groups with the Visual Analog pain scale
timeFrame: Pain was assessed at 24 hours postoperatively.
Secondary outcomes:
measure: Evaluating the distension of patients after obesity surgery with the Abdominal Distension Form
timeFrame: Distention of the patients was measured at the 24th postoperative hour.
Other outcomes:
measure: Measuring the gastrointestinal functions of patients after obesity surgery with the Gastrointestinal Functions Information Form
timeFrame: Gastrointestinal functions of the patients were measured at 6, 12, 24 and 48 hours after surgery.
measure: Measuring nausea and vomiting in patients after obesity surgery with the Visual Comparison Scale.
timeFrame: Measurements were taken at 6, 12, 24 and 48 hours after surgery.
measure: Measuring the anxiety of patients after bariatric surgery with the State-Trait Anxiety Inventory.
timeFrame: The patients' anxiety was measured at the 24th hour after surgery.
Locations:
city: Erzurum
country: Turkey
facility: Atatürk Üniversitesi
Study officials:
References: