- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05360173
The Effectiveness of Acupressure on Reducing Pain and Improving Gastrointestinal Function After Laparoscopic Surgery
May 4, 2022 updated by: Li-Li Chen, China Medical University Hospital
Explore the Effectiveness of Acupressure on Reducing Pain and Improving Gastrointestinal Function of Patients After Laparoscopic Surgery
The purpose of the study is to explore the effect if acupressure reducing pain after laparoscopic surgery.
The study is designed as an experimental research with repeat measurement design.
The patients who are eligible for laparoscopic for general surgery and colorectal surgery in a medical center in the central part of Taiwan.
The intervention of the research starts from the first date of postoperative day and the patient has the postoperative pain.
The participant will be randomized into experimental group and control group.
These two groups will be given true acupressure and sham acupressure twice daily.
The participant will be observation the postoperative pain and postoperative recovery.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
Laparoscopic is increasing in this decade.
The surgical trauma caused postoperative pain which cannot be avoid.
It is the significant challenge and the thorny issue of the healthcare providers, also, be discussed for many decades.
Several clinical researches have been verified acupuncture and related method have been as adjuvant efficacy treatment for decreasing postoperative pain.
Acupressure is the method of the thumb put acupoint, and therapeutic effectiveness is similar to acupuncture.
Acupressure is allowed to a nurse work independently due to noninvasive treatment.
However, the less of the clinical studies explore the efficacy of acupressure reducing the postoperative pain after laparoscopic.
The result of the research will provide the efficacy of reducing postoperative laparoscopic pain and wish to improve the quality of care.
Study Type
Interventional
Enrollment (Anticipated)
86
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
20 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- laparoscopic surgery on the organ of liver, gastric, small intestine, colon under general anaethesia
- the American Society of Anesthesiologists (ASA) :I - III
- above 20 years old
- the state of consciousness is alert
- Chinese or Taiwanese speaker
Exclusion Criteria:
- surgical procedure: resection, low anterior resection, Roux-en-Y Gastric Bypass and Whipple procedure (pancreaticoduodenectomy)
- postoperative length of hospital stay less than 3 days
- patient have pregnant, maternity, breastfeeding, chronic pain history, coagulation disorder or skin injury on the acupoints.
- drug abuse, alcoholism
- Patient-controlled analgesia
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental group
The experimental group not only have the routine treatment, but have acupressure when they back to the ward with the following 3 days .
The effectiveness evaluation was carried out by the same researcher before and after intervention.
There are three assessments in this study: primary outcome including postoperative pain and bowel movement.
The short-form McGill Pain Questionnaire is used to measure the quality of pain, Visual Analog Scale is used to the pain intensity and stethoscope is used to listen to the bowel sound.
The study, also, will be recorded postoperative exhaust time, the postoperative date of Indwelling drainage tube and postoperative length of stay.
|
The researcher use thumb and put about 3 kilogram on four acupoints where locating on the patient's arm and leg.
|
Sham Comparator: Control group
The control group will have the same treatment and the evaluation, except received sham acupoint.
|
The researcher use thumb and put about 3 kilogram on four acupoints where locating at about 3 cm next to the acupoint on the patient's arm and leg.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative pain intensity
Time Frame: 3 days
|
Visual Analog Scale (VAS) of pain is used to measure the pain intensity.
The scale of 0 = no pain and 10 = the worst pain, is a 10 cm scale marked in cm.
The higher scores means the worse outcome.
|
3 days
|
The quality of postoperative pain
Time Frame: 3 days
|
The short-form McGill Pain Questionnaire (SF-MPQ) is used to measure the quality of pain.
The Chinese version is used that consists of 16 descriptors (12 sensory; 4 affective) which rated 0 = none, 1 = mild, 2 = moderate or 3 = severe, and Present Pain Intensity (PPI) and a visual analogue scale (VAS).
The higher score means the worse outcome.
|
3 days
|
medication consumption
Time Frame: 3 days
|
The data is recorded from the patient chart about the drugs consumption after surgery.
That is included opioid, non-steroidal anti-Inflammatory drugs, prokinetic agent and anti-flatulence drugs.
The more medications are used mean the worse outcome.
|
3 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Times of exhaust air
Time Frame: 3 days
|
The data is recorded by ask the patient whether they have exhaust air or not after intervention.
If the patient has exhaust air after the intervention, means the good outcome.
|
3 days
|
recovery of bowel movement
Time Frame: 3 days
|
The stethoscope is used to listen to the bowel sound, which will be measured by the researcher.
The bowel sound increase means the good outcome.
|
3 days
|
Timing of first flatus
Time Frame: 3 days
|
asking the patient the timing of the first flatus after surgery, time is the shorter the better
|
3 days
|
postoperative length of stay
Time Frame: Postoperative day to discharge (about 5-7 days)
|
recording from the chart, time is the shorter the better
|
Postoperative day to discharge (about 5-7 days)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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 (Anticipated)
June 16, 2022
Primary Completion (Anticipated)
December 1, 2022
Study Completion (Anticipated)
December 31, 2022
Study Registration Dates
First Submitted
April 21, 2022
First Submitted That Met QC Criteria
April 28, 2022
First Posted (Actual)
May 4, 2022
Study Record Updates
Last Update Posted (Actual)
May 10, 2022
Last Update Submitted That Met QC Criteria
May 4, 2022
Last Verified
May 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- DMR-111-166
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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