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IRCT20100114003064N17 IRCT 2025-09-19 Vice chancellor for research of Shahroud University of Medical Sciences Survey the effect of auricular shenmen acupressure on occupational stress and cognitive resilience of nurses in intensive care units Survey the effect of auricular shenmen acupressure on occupational stress and cognitive resilience of nurses in intensive care units: A parallel randomized clinical trial 2025-10-23 anticipated 157 Complete https://irct.ir/trial/86145 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: First, 8 intensive care units will be randomly selected from 13 intensive care units. Then, to ensure that the sample size is the same in the two groups, a block method of size 4 will be used. For this purpose, 2 blocks of four will be created and identified with letters. The random assignment will be as follows: First, the sequence of blocks, list, and codes of each intervention will be created using the site https://www.sealedenvelope.com, then the intervention assignment will be made based on the created list, Blinding description: The present study is a single-blind study and blinding will be done for the participating groups. In order to blind the study participants and not to inform them whether they belong to the experimental or control group, adhesives containing seeds will be used for the experimental group and without seeds for the control group, which are completely similar in appearance and method of use and will be effective in hiding information. N/A Condition 1: occupational stress. Condition 2: cognitive resilience. Intervention 1: Intervention group: After assigning groups, first, in a face-to-face session, at the workplace (ICU of Imam Hussein Hospital and Bahar Shahroud), the researcher will teach each group of nurses in the test group how to press the Shenman point of the ear using a sticky herbal seed (Vaccaria Ear Seed) (Zhongyang brand, made in China for transmission and concentration), for 1 minute on the Shenman point of the ear (a point in the triangular area of ​​the ear, just below the upper curved part that connects the ear in a shape), for both groups. After the training, they will be asked to perform the intervention once with the researcher so that the accuracy and correctness of the intervention method performed by the nurse can be confirmed for the researcher. Each participant in both groups will be asked to do this for 1 minute, 5 days a week, 3 times a day (every 8 hours) for 4 weeks. The herbal adhesives used in the two groups, the training and control, are waterproof and They are hypoallergenic and are replaced every 5 days, but if they become detached, they are replaced again in coordination with the researcher. It is worth noting that in order to comply with ethical issues, the initial acupressure training will be applied by a female researcher for female participants and by a male researcher for male participants. Before and 4 weeks after the intervention, the level of job stress and cognitive resilience will be completed by participants in both groups using the relevant questionnaires. Intervention 2: Control group: In the control group, seedless herbal adhesives, which are completely similar in appearance to the seeded adhesives of the test group and do not differ in appearance except that they do not have seeds, will be used on a point lower and more external to the Shenman point, on the lower base of the ear antihelix, in the triangular area of ​​the ear (which is called a passive and non-specific point in clinical studies), and the participants in the control group will be asked to press this point for 1 minute, 5 days a week, 3 times a day (every 8 hours) for 4 weeks. 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 available.
public Ehsan Shojaei
Plot 640-First Subdistrict-Yasman Street-Baharestan-Shahroud
Shahroud Iran (Islamic Republic of) 3647159948 +98 23 3254 3548 ehsaanshojaei@gmail.com Shahroud University of Medical Sciences scientific Hossein Bagheri
Shahroud University of Medical Sciences, Hafte tir Square
Shahroud Iran (Islamic Republic of) 6314773955 +98 23 3239 5054 bagheri@shmu.ac.ir Shahroud University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Have a bachelor's degree or higher. Have at least 6 months of clinical experience. Have full consent to participate in the study. Health in the ear area, free from wounds and any deformity. Elective departments are one of the special departments of Imam Hussein (AS) and Bahar Shahrood Hospital, including: ICU, CCU, emergency room, open heart ICU, neonatal intensive care, and pediatric intensive care. no limit no limit Both Previous history of participating in acupressure sessions and simultaneously participating in similar supportive psychotherapy sessions. Skin sensitivity to alcohol and adhesives Use of acupressure or acupuncture in the past three months. Use of antidepressant and anti-anxiety medication No recent segment displacement. No stress experience in the past six months. Dialysis and recovery wards Treatment - Other Treatment - Other Intervention group: After assigning groups, first, in a face-to-face session, at the workplace (ICU of Imam Hussein Hospital and Bahar Shahroud), the researcher will teach each group of nurses in the test group how to press the Shenman point of the ear using a sticky herbal seed (Vaccaria Ear Seed) (Zhongyang brand, made in China for transmission and concentration), for 1 minute on the Shenman point of the ear (a point in the triangular area of ​​the ear, just below the upper curved part that connects the ear in a shape), for both groups. After the training, they will be asked to perform the intervention once with the researcher so that the accuracy and correctness of the intervention method performed by the nurse can be confirmed for the researcher. Each participant in both groups will be asked to do this for 1 minute, 5 days a week, 3 times a day (every 8 hours) for 4 weeks. The herbal adhesives used in the two groups, the training and control, are waterproof and They are hypoallergenic and are replaced every 5 days, but if they become detached, they are replaced again in coordination with the researcher. It is worth noting that in order to comply with ethical issues, the initial acupressure training will be applied by a female researcher for female participants and by a male researcher for male participants. Before and 4 weeks after the intervention, the level of job stress and cognitive resilience will be completed by participants in both groups using the relevant questionnaires. Control group: In the control group, seedless herbal adhesives, which are completely similar in appearance to the seeded adhesives of the test group and do not differ in appearance except that they do not have seeds, will be used on a point lower and more external to the Shenman point, on the lower base of the ear antihelix, in the triangular area of ​​the ear (which is called a passive and non-specific point in clinical studies), and the participants in the control group will be asked to press this point for 1 minute, 5 days a week, 3 times a day (every 8 hours) for 4 weeks. Occupation stress score in the Nursing Stress Scale (NSS) questionnaire. Timepoint: Measurement of job stress before the intervention and 4 weeks after the intervention. Method of measurement: Nursing Stress Scale (NSS) questionnaire. Cognitive resilience score in the CRS Cognitive Resilience Scale questionnaire. Timepoint: Measurement of cognitive resilience before the intervention and 4 weeks after the intervention. Method of measurement: CRS Cognitive Resilience Scale questionnaire. Vice chancellor for research of Shahroud University of Medical Sciences Approved 2025-08-17 Ethics Committee of Shahroud University of Medical Sciences Faculty of Nursing and Midwifery, Shahroud University of Medical Sciences, Haft Tir Square, Shahroud Shahroud Semnan Iran (Islamic Republic of)