Clinical trial NCT06916351: Effect of Acupressure Applied Before CAG on Pain, Anxiety and Vital Signs
Official title: The Effect of Acupressure Applied Before Coronary Angiography on Pain, Anxiety and Vital Signs in Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Acupressure
Coronary Angiography and Intervention
Keywords: pain
coronary angiography
anxiety
vital signs
Acupressure
nursing care
Lead sponsor: Bandırma Onyedi Eylül University
Sponsor class: OTHER
First posted: 2025-04-08
Enrollment: 93
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: It is a single-blind, parallel group, pre-test-post-follow-up randomized controlled experimental study.
Primary purpose: SUPPORTIVE_CARE

Brief summary: This randomized controlled experimental study aimed to determine the effects of acupressure applied before the procedure on pain, anxiety and vital signs in patients who applied to Kocaeli City Hospital Angiography Unit and were to undergo planned radial artery coronary angiography.

Detailed description: This randomized controlled experimental study was conducted at the Kocaeli City Hospital Angiography Unit to determine the effects of acupressure applied before coronary angiography on pain, anxiety and vital signs of the patients scheduled to undergo coronary angiography. It was conducted at the Kocaeli City Hospital Angiography Unit. The study used a stratified block randomization method and 93 patients who met the inclusion criteria were assigned to two different intervention groups, one of which received acupressure and the other a sham intervention before coronary angiography, and a control group receiving standard care. Data were collected using the 'Personal Information Form', 'State Anxiety Inventory (STAI)', 'Visual Analog Scale (VAS)' and 'Patient Follow-up Form'.

Eligibility criteria: Inclusion criteria for the study

* Over 18 years of age,
* Able to understand and speak Turkish,
* Open to communication,
* First time undergoing radial artery coronary angiography,
* Elective patients undergoing planned (non-urgent) coronary angiography,
* Patients who did not undergo stent/balloon intervention during angiography,
* Awake and conscious during coronary intervention (not having taken sedatives (dormicum/fentanyl))
* No deformities or lesions in the areas where acupressure will be applied (hematoma, ecchymosis, etc.)
* Having not taken sedatives or painkillers 5 hours before the angiography,
* No experience with acupressure,
* No history of attending training courses and yoga classes to control stress and anxiety in the last six months
* No diagnosis of anxiety disorder and not receiving medical treatment
* No diagnosis of depression and not receiving medical treatment
* Flat on the back (patients without respiratory distress, etc.),
* Hemodynamically stable (no chest pain or arrhythmia),
* Patients who volunteer to participate in the study,

Exclusion criteria for the study

* Diagnosed with any psychiatric disease
* Previously undergone coronary angiography from the radial or femoral artery
* Chronic pain
* Used opioid medication
* CAG procedure to be performed from the femoral artery

Primary outcomes:
measure: State-Trait Anxiety Scale (STAI)
timeFrame: Before acupressure application, 20 minutes after acupressure application (20 minutes after application in the sham acupressure group, 20 min. after the initial measurement in the control group), immediately after the CABG procedure, 2 and 4 hours later
measure: Visual pain scale for pain assessment
timeFrame: Before acupressure application, 20 minutes after acupressure application (20 minutes after application in the sham acupressure group, 20 min. after the initial measurement in the control group), immediately after the CABG procedure, 2 and 4 hours later
Secondary outcomes:
measure: The blood pressure measurements
timeFrame: Including a total of 5 measurements before the procedure, 20 minutes after the application, immediately after the procedure, 2 hours after the procedure, and 4 hours after the procedure.
measure: The heart rate measurement
timeFrame: Including a total of 5 measurements before the procedure, 20 minutes after the application, immediately after the procedure, 2 hours after the procedure, and 4 hours after the procedure.
measure: Respiratory rate
timeFrame: Including a total of 5 measurements before the procedure, 20 minutes after the application, immediately after the procedure, 2 hours after the procedure, and 4 hours after the procedure.
measure: Oxygen saturation
timeFrame: Including a total of 5 measurements before the procedure, 20 minutes after the application, immediately after the procedure, 2 hours after the procedure, and 4 hours after the procedure.
Other outcomes:
Locations:
city: Kocaeli
country: Turkey
facility: Kocaeli City Hospital
state: İzmit
Study officials:
References: