- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02510183
P6 Acupressure Before Laparoscopic Cholecystectomy
July 26, 2015 updated by: Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Evaluation of the Effects of P6 Acupressure Application on Postoperative Nausea and Vomiting Before Laparoscopic Cholecystectomy
This study is to evaluate the effect of preoperative acupressure application on Postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic cholecystectomy in terms of being in high risk group for PONV.
Study Overview
Status
Unknown
Intervention / Treatment
Detailed Description
Prevention of postoperative complications is one of the main tasks of nurses.
However, there are limited nursing interventions that can be done to prevent PONV.
The American Society of PeriAnesthesia Nurses suggest nurses to teach patients with a high risk of PONV about acupressure application on P6 acupoint or to apply acupressure wristbands preoperatively.
However this suggestion has a low evidence.
Study Type
Interventional
Enrollment (Anticipated)
111
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Patient undergoing elective laparoscopic cholecystectomy
- Patients who make their admission the day before surgery
- Patients with American Society of Anesthesiologists (ASA) physical status classification system I and II
- Patient who gave written consent to participate in the study
Exclusion Criteria:
- Patient who undergone urgent laparoscopic cholecystectomy
- Patients who make their admission on the day of surgery
- Patients with who do not conform physical status of ASA I and II
- Patients who loss single or both upper extremity
- Patients with open wounds, scar tissue or infection on wrist in acupressure application area
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Acupressure Wrist Band
Patient receive preoperative education a day before surgery, education for acupressure application on the day of surgery, an acupressure wrist band is applied on P6 acupoint in both wrist an hour before surgery
|
Acupressure wrist band is a knitted elasticated wrist band, which operates by applying pressure on the P6 acupressure point on each wrist by means of a plastic stud.
Other Names:
|
Placebo Comparator: Placebo Wrist Band
Patient receive preoperative education a day before surgery, an placebo acupressure wrist band is applied in both wrist an hour before surgery
|
Placebo Acupressure Wrist Band is a knitted elasticated wrist band without a plastic stud.
|
No Intervention: Control Grup Without Band
Patient receive preoperative education a day before surgery, and patient are only visited an hour before surgery
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acupressure affect on Postoperative Nausea, Vomiting and medication need
Time Frame: 24 hours postoperatively
|
Postoperative nausea, vomiting and medication need are assessed on 2nd, 6th and 24th hours postoperative.
Nausea severity measured by 0-10 scoring (0- no nausea,10- nausea as bad as can be), and vomiting is assessed as episodes.
Number of antiemetics and analgesics medications that are given (out of routine therapy) are also evaluated.
|
24 hours postoperatively
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain
Time Frame: 24 hours postoperatively
|
Pain measured by 0-10 scoring (0- no pain,10- pain as bad as can be) on 2nd, 6th and 24th hours postoperative.
|
24 hours postoperatively
|
Perioperative Stress
Time Frame: 48 hour
|
Perioperative Stress measured by State-Trait Anxiety Inventory (STAI) score on day before surgery and day after surgery
|
48 hour
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Chair: Emine Iyigun, Assoc.Prof., Gulhane Military Medical Academy, School of Nursing, Department of Surgical Nursing
- Study Chair: Mehmet F CAN, Assoc.Prof., Gulhane Military Medical Academy, Department of General Surgery
- Principal Investigator: Sibel Yilmaz Sahin, PhDs, Gulhane Military Medical Academy, School of Nursing, Department of Surgical Nursing
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Lee A, Fan LT. Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD003281. doi: 10.1002/14651858.CD003281.pub3.
- American Society of PeriAnesthesia Nurses PONV/PDNV Strategic Work Team. ASPAN'S evidence-based clinical practice guideline for the prevention and/or management of PONV/PDNV. J Perianesth Nurs. 2006 Aug;21(4):230-50. doi: 10.1016/j.jopan.2006.06.003. No abstract available.
- Adib-Hajbaghery M, Etri M, Hosseainian M, Mousavi MS. Pressure to the p6 acupoint and post-appendectomy pain, nausea, and vomiting: a randomized clinical trial. J Caring Sci. 2013 Jun 1;2(2):115-22. doi: 10.5681/jcs.2013.014. eCollection 2013 Jun.
- Agarwal A, Bose N, Gaur A, Singh U, Gupta MK, Singh D. Acupressure and ondansetron for postoperative nausea and vomiting after laparoscopic cholecystectomy. Can J Anaesth. 2002 Jun-Jul;49(6):554-60. doi: 10.1007/BF03017380.
- Hickman AG, Bell DM, Preston JC. Acupressure and postoperative nausea and vomiting. AANA J. 2005 Oct;73(5):379-85.
- Sadati L, Pazouki A, Mehdizadeh A, Shoar S, Tamannaie Z, Chaichian S. Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scand J Caring Sci. 2013 Dec;27(4):994-8. doi: 10.1111/scs.12022. Epub 2013 Jan 28.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
February 1, 2015
Primary Completion (Anticipated)
February 1, 2016
Study Completion (Anticipated)
April 1, 2016
Study Registration Dates
First Submitted
June 28, 2015
First Submitted That Met QC Criteria
July 26, 2015
First Posted (Estimate)
July 29, 2015
Study Record Updates
Last Update Posted (Estimate)
July 29, 2015
Last Update Submitted That Met QC Criteria
July 26, 2015
Last Verified
June 1, 2015
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- GulhaneMMA
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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