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IRCT20190524043687N4 IRCT 2023-05-03 Hamedan University of Medical Sciences The effect of acupressure on the intensity of nausea, pain and physiological parameters of patients treated with extracorporeal lithotripsy The effect of acupressure on the intensity of nausea, pain and physiological parameters of patients treated with extracorporeal lithotripsy 2023-05-22 anticipated 70 Complete https://irct.ir/trial/69117 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Randomization method: Block randomization method with unequal blocks. will be used - Randomization unit: individual - How to build a random sequence: An equal number of each group will be placed in each block. In this way, first, the list of all permutations related to the size of the desired block is determined and then will be randomly as many as the number of samples from the permutation. The method used to generate the random allocation sequence is using a computer. The method of concealing the allocation is to use sealed envelopes, Blinding description: The blind groups in this study include patients and an assistant research collector; in such a way that none of the patients and the data collector will be aware of the allocation of patients to the two intervention and control groups. 3 Urinary stones. Intervention 1: Intervention group: Patients in the intervention group will receive the intervention before the extra-organ stone crushing in the same place in a room with minimal environmental stimuli (such as sound, temperature, light, etc.) while respecting privacy. For this purpose, the researcher first takes out his watch and ring and washes and warms his hands, then stretches the paravanes around the patient's bed and the patient lies on the opposite side that is in pain so that the painful side of the patient faces the side. be placed above the patient's knees are slightly bent into the abdomen. Acupressure intervention in the present study is performed at the acupuncture point of Qiu. This point was first identified by Yunqiao Qiu, a urology specialist at a hospital affiliated with Guangzhou Medical University in China, for treating acute kidney colic pain. This anatomical point is located about the width of one finger (the size of the body is equivalent to 1.3 inches) below and one thumb's width inside the intersection of the twelfth rib and the column of vertebrae (Lumbo-costal point). After observing the location choosing the exact location and marking it with his thumb, the researcher presses a force in the direction of 45 degrees to the spine for 3 minutes. Thumb strength will be done gradually and with a regular rhythm until the patient feels warmth in the area. The massage intervention will be repeated once exactly before the commencement of lithotripsy. The results examined in this study are measured before massage and at 1, 10, 20, 30, 40, and 50 minutes. Intervention 2: Control group: In the control group, according to the protocol of the acupressure intervention group, they will receive massage intervention at the neutral point and around the main point. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Ali Safdari
School of Nursing and Midwifery, Hamadan University of Medical Sciences, Shahid Fahmideh Ave
Hamadan Iran (Islamic Republic of) 6517838736 +98 81 3838 0447 asafdari.nu@gmail.com Hamedan University of Medical Sciences scientific Seyed Reza Borzou
School of Nursing and Midwifery, Hamadan University of Medical Sciences, Shahid Fahmideh Ave.
Hamadan Iran (Islamic Republic of) 6517838698 +98 81 3838 0447 Borzou@umsha.ac.ir Hamedan University of Medical Sciences Iran (Islamic Republic of) Eligible for with extracorporeal lithotripsy according to the doctor's diagnosis Signing an informed consent form The age range of 18 to 65 Perform extracorporeal lithotripsy for the first time 18 years 65 years Both Have previous experience or knowledge of the effects of acupressure Lack of full consciousness Having mental, visual and auditory disorders and neuropathy Drug addiction Existence of an obstacle at the site of pressure (wounds, skin diseases, etc) N20.0 Calculus of kidney Treatment - Other Other Intervention group: Patients in the intervention group will receive the intervention before the extra-organ stone crushing in the same place in a room with minimal environmental stimuli (such as sound, temperature, light, etc.) while respecting privacy. For this purpose, the researcher first takes out his watch and ring and washes and warms his hands, then stretches the paravanes around the patient's bed and the patient lies on the opposite side that is in pain so that the painful side of the patient faces the side. be placed above the patient's knees are slightly bent into the abdomen. Acupressure intervention in the present study is performed at the acupuncture point of Qiu. This point was first identified by Yunqiao Qiu, a urology specialist at a hospital affiliated with Guangzhou Medical University in China, for treating acute kidney colic pain. This anatomical point is located about the width of one finger (the size of the body is equivalent to 1.3 inches) below and one thumb's width inside the intersection of the twelfth rib and the column of vertebrae (Lumbo-costal point). After observing the location choosing the exact location and marking it with his thumb, the researcher presses a force in the direction of 45 degrees to the spine for 3 minutes. Thumb strength will be done gradually and with a regular rhythm until the patient feels warmth in the area. The massage intervention will be repeated once exactly before the commencement of lithotripsy. The results examined in this study are measured before massage and at 1, 10, 20, 30, 40, and 50 minutes. Control group: In the control group, according to the protocol of the acupressure intervention group, they will receive massage intervention at the neutral point and around the main point. Intensity of pain. Timepoint: Before intervention, 1, 10, 20, 30, 40 and 50 minutes after the intervention. Method of measurement: Numeric pain rating scale. Intensity of nausea. Timepoint: The intensity of nausea will be evaluated before and after extracorporeal shock wave lithotripsy. Method of measurement: Self-report scale. Heart rate. Timepoint: Before intervention, 1, 10, 20, 30, 40 and 50 minutes after the intervention. Method of measurement: Number of beats per minute - pulse oximeter. Blood pressure. Timepoint: Before intervention, 1, 10, 20, 30, 40 and 50 minutes after the intervention. Method of measurement: By sphygmomanometer. Hamedan University of Medical Sciences Approved 2023-04-29 Research Ethical Committee of Hamadan University of Medical Sciences Hamadan University of Medical Science, Shahid Fahmide Boulevard, Hamadan, Iran Hamadan Hamadan Iran (Islamic Republic of)