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IRCT20110906007494N39 IRCT 2021-08-01 Mazandaran University of Medical Sciences The effect of acupressure on intestinal function The effect of acupressure on intestinal function in patients undergoing coronary artery bypass surgery 2021-09-22 anticipated 90 Complete https://irct.ir/trial/57088 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Eligible patients are randomly assigned to three groups of 30: acupressure, sham, and control using random numbers provided by computer software and Randomization Permuted Block; In other words, 15 blocks of 6 will be considered in such a way that in each block there are two people from each group of pressure, sham, and control. Therefore, 90 envelopes are designed and inside it, based on the information obtained from the computer program, the letters A of the acupressure group, B group of the sham group and C group of the control group are embedded. Based on the patient's admission date, the priority of opening the envelope door is executed in the order of the number on it. N/A Intestinal function. Intervention 1: Intervention group: Intervention group: Acupressure will be performed twice a day (10 am and 6 pm) for three days from 48 hours after surgery for three days. The ST25 point is two fingers away from the navel. The LI4 point is located deep in the muscle bulge, resulting from the close alignment of the thumb and forefinger. Acupressure is applied symmetrically to each point for two minutes. One minute as a push with the thumb vertically, then, 5 seconds of rest and then, one minute of circular motion; Due to the fact that the interventions are performed simultaneously with the two-handed technique, in total, a maximum of 3 minutes of intervention will be applied to the patient each time; Nutrition training and routine nursing care are also provided. It should be noted that the interventions will be performed within 48 hours after surgery. Intervention 2: Intervention group: In the sham group, nutrition education and routine nursing care are provided and the procedure will be exactly the same as the experimental group; With the difference that the pressure is applied in the points close to the points of acupressure according to the experts of acupuncture and acupressure of the authoritative books of this field, that this point is not located on a specific meridian. The order of pressure, the type of pressure, the patient's position, the time and the amount of pressure in the test and sham groups will be the same. The location of the pressure points is the same as the intervention group; With the difference that it is located at a distance of 1.5 cm from them. It should be noted that in both groups, the pressure procedure will be taught by one person (researcher). Intestinal function and checklists will be completed 24 hours after surgery (before intervention), 48, 72, 96 and 120 hours after surgery. Intervention 3: Only nutrition education and heart disease routines are given. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no more information
public Masoumeh Bagheri Nesami
Reseach Assistant of Mazandaran University of Medical sciences
Sari Iran (Islamic Republic of) 4815733971 +98 11 3379 5508 mansoorehezaty1994@gmail.com Mazandaran University of Medical Sciences scientific Masoumeh Bagheri Nesami
Sari, Joybar three ways, Mazandaran University of Medical Sciences
Sari Iran (Islamic Republic of) 4816715793 +98 11 3379 5508 Anna3043@gmail.com Mazandaran University of Medical Sciences Iran (Islamic Republic of) Informed consent to participate in research Individuals undergoing CABG No chronic constipation according to RomeIV criteria Ability to communicate verbally Lack of known neurological and mental illnesses under treatment, absence of wounds, disability Sensitivity and fractures in the desired points of acupressure Lack of simultaneous participation in other intervention studies No thyroid disease, incurable, neuromuscular, congenital gastrointestinal abnormalities and kidney failure, no gastrointestinal disorders (gastrointestinal ulcer, history of chronic constipation, Fischer, hemorrhoids, rectal prolapse, intestinal obstruction based on patient history History and physical examination by a physician No dependence or addiction to any drugs Lack of pulmonary drainage and discharge more than 200 ml per hour No need for balloon pump inside the aorta No intubation for more than 24 hours 18 years no limit Both Patients using combination therapies such as acupuncture, herbal remedies, hypnosis, or yoga Patients need laxatives other than magnesium hydroxide from 96 hours after surgery Patients undergoing emergency coronary artery bypass graft surgery. K59 Other functional intestinal disorders Treatment - Other Treatment - Other N/A Intervention group: Intervention group: Acupressure will be performed twice a day (10 am and 6 pm) for three days from 48 hours after surgery for three days. The ST25 point is two fingers away from the navel. The LI4 point is located deep in the muscle bulge, resulting from the close alignment of the thumb and forefinger. Acupressure is applied symmetrically to each point for two minutes. One minute as a push with the thumb vertically, then, 5 seconds of rest and then, one minute of circular motion; Due to the fact that the interventions are performed simultaneously with the two-handed technique, in total, a maximum of 3 minutes of intervention will be applied to the patient each time; Nutrition training and routine nursing care are also provided. It should be noted that the interventions will be performed within 48 hours after surgery. Intervention group: In the sham group, nutrition education and routine nursing care are provided and the procedure will be exactly the same as the experimental group; With the difference that the pressure is applied in the points close to the points of acupressure according to the experts of acupuncture and acupressure of the authoritative books of this field, that this point is not located on a specific meridian. The order of pressure, the type of pressure, the patient's position, the time and the amount of pressure in the test and sham groups will be the same. The location of the pressure points is the same as the intervention group; With the difference that it is located at a distance of 1.5 cm from them. It should be noted that in both groups, the pressure procedure will be taught by one person (researcher). Intestinal function and checklists will be completed 24 hours after surgery (before intervention), 48, 72, 96 and 120 hours after surgery. Only nutrition education and heart disease routines are given. Digestive disorders. Timepoint: Before the intervention and after the intervention. Method of measurement: RomeIV. Intestinal function. Timepoint: Before the intervention and after the intervention. Method of measurement: Bristol Scale, Intestinal function checklist. Mazandaran University of Medical Sciences Approved 2021-06-29 Ethics Committee of Mazandaran University of Medical Sciences Mazandaran University of Medical Sciences, Vice chancellor for research, Moalem street, Moalem square Sari Mazandaran Iran (Islamic Republic of)