Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
The Effect of Acupressure on Procedural Pain, Anxiety, and Hemodynamic Parameters During Chest Tube Removal in Open-Heart Surgery Patients: A Randomized Sham-Controlled Study.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Kandemir Didem, Yüksel Serpil, Çam Yanık Tuğba, Özdemir Firdevs Ebru, Altun Uğraş Gülay
Аннотация
BACKGROUND: Patients undergoing open-heart surgery often experience procedural pain and anxiety during chest tube removal (CTR), which can lead to serious complications, along with potential changes in hemodynamic parameters such as blood pressure, heart rate, respiratory rate, and peripheral oxygen saturation.
AIM: This study aimed to explore the effects of acupressure on procedural pain, anxiety, and hemodynamic parameters during CTR in open-heart surgery patients.
METHODS: This prospective, two-arm (1:1), randomized sham-controlled trial included 68 open-heart surgery patients with chest tubes. Participants were randomly assigned to either the true acupressure group (n = 34) or the sham acupressure group (n = 34). Before CTR, patients in the true acupressure group received 12 minutes of pressure at points LI4, LI11, and HT7 on both hands, while those in the sham acupressure group received pressure applied 1.5 cm away from the same points. Data were collected at baseline (T0), immediately after CTR (T1), and 15 minutes after CTR (T2) using the Visual Analog Scale (VAS), the State Anxiety Inventory (STAI-S), and hemodynamic parameters.
RESULTS: At baseline, pain, anxiety, and hemodynamic parameters were comparable between the two groups (p > .05). Immediately after CTR (T1), pain levels were significantly lower in the true acupressure group compared with the sham acupressure group, with an effect size of 0.71 (t = 2.925, Cohen's d = 0.709, p = .005). Anxiety levels were also significantly lower in the true acupressure group both immediately after CTR (T1; effect size = 0.50, t = 2.046, Cohen's d = 0.496, p = .045) and 15 minutes post-removal (T2; effect size = 0.51, t = 2.111, Cohen's d = 0.512, p = .035). Acupressure had no significant effect on hemodynamic parameters (p > .05).
CONCLUSION: Acupressure was effective in reducing procedural pain and anxiety associated with CTR in open-heart surgery patients, while having no measurable impact on hemodynamic parameters.
CLINICAL TRIALS ID: NCT05875337 (Registered May 15, 2023).
AIM: This study aimed to explore the effects of acupressure on procedural pain, anxiety, and hemodynamic parameters during CTR in open-heart surgery patients.
METHODS: This prospective, two-arm (1:1), randomized sham-controlled trial included 68 open-heart surgery patients with chest tubes. Participants were randomly assigned to either the true acupressure group (n = 34) or the sham acupressure group (n = 34). Before CTR, patients in the true acupressure group received 12 minutes of pressure at points LI4, LI11, and HT7 on both hands, while those in the sham acupressure group received pressure applied 1.5 cm away from the same points. Data were collected at baseline (T0), immediately after CTR (T1), and 15 minutes after CTR (T2) using the Visual Analog Scale (VAS), the State Anxiety Inventory (STAI-S), and hemodynamic parameters.
RESULTS: At baseline, pain, anxiety, and hemodynamic parameters were comparable between the two groups (p > .05). Immediately after CTR (T1), pain levels were significantly lower in the true acupressure group compared with the sham acupressure group, with an effect size of 0.71 (t = 2.925, Cohen's d = 0.709, p = .005). Anxiety levels were also significantly lower in the true acupressure group both immediately after CTR (T1; effect size = 0.50, t = 2.046, Cohen's d = 0.496, p = .045) and 15 minutes post-removal (T2; effect size = 0.51, t = 2.111, Cohen's d = 0.512, p = .035). Acupressure had no significant effect on hemodynamic parameters (p > .05).
CONCLUSION: Acupressure was effective in reducing procedural pain and anxiety associated with CTR in open-heart surgery patients, while having no measurable impact on hemodynamic parameters.
CLINICAL TRIALS ID: NCT05875337 (Registered May 15, 2023).