Acute Coronary Syndrome and Acupressure

Effect of Acupressure on Anxiety, Pain and Vital Signs in Individuals Diagnosed With Acute Coronary Syndrome: A Randomized Controlled Study

This study aims to examine the effect of acupressure on physiological parameters and anxiety levels in individuals diagnosed with Acute Coronary Syndrome (ACS).

H1-1: Acupressure applied to individuals diagnosed with ACS has an effect on the level of anxiety.

H1-2: Acupressure applied to individuals diagnosed with ACS has an effect on blood pressure.

H1-3: Acupressure applied to individuals diagnosed with ACS has an effect on heart rate.

H1-4: Acupressure applied to individuals diagnosed with ACS has an effect on respiratory rate.

H1-5: Acupressure applied to individuals diagnosed with ACS has an effect on the pain level.

H1-6: Acupressure applied to individuals diagnosed with ACS has an effect on cortisol levels.

Study Overview

• Status: Not yet recruiting
• Conditions: Acute Coronary Syndrome; Nursing
• Intervention / Treatment: Other: acupressure

Detailed Description

Acute Coronary Syndrome (ACS) affects millions of people every year; It refers to three types of coronary artery disease: unstable angina pectoris, non-ST-elevation myocardial infarction (NSTE MI) and ST-elevation myocardial infarction (STEMI). It is known that 19 million people in the world and 161 thousand people in our country lost their lives due to Cardiovascular Disease (CVD). Approximately 3 million people worldwide die due to STEMI.Individuals experiencing ACS generally; It is observed that he/she experiences burning, stinging and compressive chest pain, tachycardia, sweating, fatigue, dizziness, dyspnea, nausea, anxiety and depression.Management of the disease is combined with pharmacological applications; It is tried to be provided with non-pharmacological applications such as education, acupuncture and acupressure. When the literature is examined, acupressure application; in the physiological parameters of individuals with myocardial infarction; It brings blood pressure, heart rate and respiratory rate to normal limits, and increases oxygen saturation and sleep quality; It appears to reduce anxiety and pain.For all these reasons, this study aims to examine the effect of acupressure on physiological parameters (blood pressure, heart rate, respiratory rate, pain and cortisol) and anxiety levels in individuals diagnosed with ACS.

• Study Type: Interventional
• Enrollment (Estimated): 38
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: saadet can çiçek, Dr; Phone Number: 05062846936; Email: saadet.cancicek@ibu.edu.tr
• Study Contact Backup: Name: hospital Chief physician, Dr; Phone Number: 0 236 229 26 00; Email: manisasehir@saglik.gov.tr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Volunteer to participate in the study,

  • Those aged 18 and over
  • Able to speak Turkish
  • Diagnosed with ACS for the first time
  • Cardiopulmonary resuscitation not applied
  • No orientation problems (those who score 15 on the Glasgow Coma Scale)
  • Not diagnosed with psychiatric disease
  • No amputation, fistula, lymphedema, neuropathy or hemiplegia in any of the Upper Extremities
  • Those who underwent femoral intervention for CAG procedure
  • Those who have not used any integrative practices based on pressure and stimulation such as acupressure, acupuncture and reflexology in the last month.
  • Vital signs (28) are within normal range:

Blood pressure: 90/60-120/80 mmHg Heart rate: 60-100 min Respiratory rate: 12-18 min

Exclusion Criteria:

• Those with arrhythmia (AF, VT etc.)
• Patients who have previously undergone Coronary Angiography
• Diagnosed with myocarditis, pericarditis
• Those who do not take any speed-breaking drugs (beloc, arlec, etc.).
• Patients who underwent radial intervention for CAG procedure

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: acupressure; acupressure application and Routine care and treatment (filling out the initial hospitalization documents, measuring vital signs, taking an ECG, preparing for the CAG procedure, administering the ordered medications).	Other: acupressure; After the CAG procedure, acupressure will be applied to individuals whose vital signs are within the normal range.
No Intervention: control; Routine care and treatment (filling out the initial hospitalization documents, measuring vital signs, taking an ECG, preparing for the CAG procedure, administering the ordered medications).

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
means of blood pressure	In this study, blood pressure was measured using monitors in the intensive care unit.	up to 30 minutes
means of hear rate	Heart rate is the pressure exerted on the vessel wall by the blood thrown by the left ventricle from the skin surface to the aorta during systole. In the research, heart rate is measured using a monitor.	up to 30 minutes
means of respiratory rate	Respiratory rate is the patient's breaths per minute. In this study, respiratory rate was taken from the monitor.	up to 30 minutes
means of cortisol.	The cortisol value in the blood will be measured.	up to 60 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
means of subjective anxiety scores.	numerical anxiety scale. The total score between 0-10 obtained.	up to 30 minutes
means of subjective pain scores.	visual analog scale. It consists of a straight line with endpoints that define end limits such as "no pain" and "pain as bad as possible". The patient is asked to mark the level of pain on the line between the two endpoints.	up to 30 minutes
electrocardiography evaluation	Electrocardiography is the process of recording the electrical activity occurring in the heart to examine the functioning of the heart muscle and neural conduction system.	up to 30 minutes

Collaborators and Investigators

• Sponsor: Abant Izzet Baysal University
• Investigators: Principal Investigator: aynur açıkgöz, PhD student, Abant Izzet Baysal University

Study record dates

Study Major Dates

• Study Start (Estimated): April 1, 2024
• Primary Completion (Estimated): April 15, 2024
• Study Completion (Estimated): January 31, 2025

Study Registration Dates

• First Submitted: February 14, 2024
• First Submitted That Met QC Criteria: March 2, 2024
• First Posted (Actual): March 8, 2024

Study Record Updates

• Last Update Posted (Actual): March 28, 2024
• Last Update Submitted That Met QC Criteria: March 27, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: acupressure, anxiety, vital signs, acute coronary syndrome
• Additional Relevant MeSH Terms: Pathologic Processes; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Disease; Syndrome; Acute Coronary Syndrome
• Other Study ID Numbers: AIBU-SBF-AYN-3

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No