The Effects of Acupressure Combination on Post-Thoracotomy Pain and Lung Volume During Rest, Breathing-Coughing Exercises: A Randomized Controlled Study
Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
Pain is a subjective, sensory and emotionally unpleasant experience resulting from real or hidden injuries in tissues. The pain experience is a subjective and unique experience in physiological and psychological terms and is the first negative sensory experience of the patient after the surgical procedure. Thoracotomy is an invasive surgical incision that causes severe postoperative pain due to the negative effect on the ribs, muscles and peripheral nerves. During thoracic surgery, anatomical lung resection is performed through posterolateral thoracotomy. Surgical incision during thoracotomy surgery is the most severe cause of postoperative pain. Epidural analgesia, peripheral nerve block and systematic treatment methods are used in post-thoracotomy pain management. Opioid use is frequently preferred in post-thoracotomy pain management. Although thoracotomy pain can mostly be controlled with opioid analgesics, excessive use of opioids may lead to respiratory suppression, constipation, suppression of cough, nausea, vomiting and many other possible side effects. Ineffective postoperative pain management may lead to postoperative complications such as increased cardiac workload, prolonged pulmonary rehabilitation and delayed wound healing. The use of holistic non-drug pain relief methods is vital in reducing the need for opioid analgesics and the risk of possible side effects in early postoperative pain management.
Eligibility
Participation Requirements
Sex: All
Healthy Volunteers: f
View:
• Underwent thoracotomy
• Undergoing thoracic surgery for the first time
• Classified as ASA (American Society of Anesthesiology) physical status I, II and III
• Presence of a drain upon admission to the intensive care unit
• Conscious, oriented, and cooperative
• Provided verbal and written informed consent after receiving information about the study
Locations
Other Locations
Turkey
Özgül Aydemir
RECRUITING
Istanbul
Contact Information
Primary
Özgül Aydemir, Doctor
ozgul6761@gmail.com
+905435326567
Backup
Öykü Kara, Specialist
oyku.kara@iuc.edu.tr
+905546669614
Time Frame
Start Date:2025-01-06
Estimated Completion Date:2027-01-06
Participants
Target number of participants:80
Treatments
Experimental: Acupressure group
Patients meeting the research criteria were included in the experimental group according to the randomisation table. The acupressure combination will be applied to the LI11, LU7, LU9, LU5, LU1, LU2, TE5, TE6,PC4, PC6 and LI4 points 2, 6 and 24 hours after surgery.~Applications will last 1 minute for each point. Applications will last 1 minute for each point. Patients in this group will continue to receive routine clinical treatment and care. The patients' pain level during rest, breathing, coughing and mobilisation before surgery and 2, 6 and 24 hours after surgery, blood pressure, respiratory rate, respiratory count, SpO2 values, and lung volume before surgery and 24 hours after surgery will be measured and recorded using triflow.~Additionally, the individuals' breathing and coughing exercise status will be assessed within the first 24 hours after surgery. These stages will also be carried out in a similar manner in the control group without any intervention.
No_intervention: Control group
Patients meeting the study criteria were included in the control group according to the randomisation table. Patients in this group will continue to receive routine clinical treatment and care. The patients' pain level during rest, breathing, coughing and mobilisation before surgery and 2, 6 and 24 hours after surgery, blood pressure, respiratory rate, respiratory count, SpO2 values, and lung volume before surgery and 24 hours after surgery will be measured and recorded using triflow.~Additionally, individuals' breathing and coughing exercise status will be assessed within the first 24 hours after surgery.
Collaborators: Yeditepe University Hospital, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Dogus Universitesi, Istanbul University - Cerrahpasa