Ear Acupressure for Reducing Anxiety and Pain During Heart Surgery
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Acupressure.
- Кому может быть актуально
- Состояния в реестре: Elective Heart Surgery. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Германия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
Acupuncture and acupressure, rooted in Traditional Chinese Medicine, are used to treat a variety of symptoms. One specific and easy-to-apply method is ear acupuncture/acupressure following the NADA protocol (developed by the National Acupuncture Detoxification Association in 1985 in New York). This technique has been used successfully in Germany since 1995. It is known for its balancing and stabilizing effects on both body and mind, helping to reduce symptoms such as anxiety and stress, and promoting relaxation and inner calm. Open-heart surgery can be emotionally overwhelming for patients, often triggering intense existential fears. Preoperative anxiety may worsen physical and psychological symptoms and negatively affect surgery outcomes. Therefore, non-pharmacological interventions like acupuncture are gaining importance alongside medication. Several studies have demonstrated the effectiveness of preoperative acupuncture in reducing pain, anxiety, and nausea across various surgeries. Randomized trials show significant anxiety reduction through both body and ear acupuncture. One study found that ear acupuncture can rapidly improve psychological well-being, with effects noticeable within five minutes. This suggests its potential use not only the day before surgery but also immediately beforehand. In contrast, research on ear acupressure before heart surgery is limited. However, one study reported improvements in sleep quality and reduced anxiety. A recent review highlighted the positive effects of ear stimulation on stress, blood pressure, and heart rate, and even suggested that acupressure may be more effective than acupuncture.
Вмешательства
- Процедура Acupressure
Ear acupressure following the NADA Protocol is carried out using special acupuncture patches that press a small bead onto defined points on the ear: Shen Men, kidney, lung, liver, and vegetative. NADA ear acupressure is a non-invasive and low-risk intervention. In addition, the protocol is carried out exclusively by NADA-certified doctors, medical assistants, or nursing staff.
Первичные конечные точки
- Anxiety [Срок оценки: Preoperative (Day 1)]
Вторичные конечные точки (7)
- Anxiety [Срок оценки: Baseline (Day 0, preoperative), Immediately after the acupressure session (Day 0, preoperative), Postoperative (Day 2 - Day 10 daily until discharged from hospital, on average 10 days)]
- Specific preoperative anxiety [Срок оценки: Baseline (Day 0, preoperative), Immediately after the acupressure session (Day 0, preoperative), Preoperative (Day 1)]
- Quality of life [Срок оценки: Baseline (Day 0, preoperative), Discharge from hospital (Day 10 on average)]
- Pain intensity [Срок оценки: Baseline (Day 0, preoperative), Postoperative (Day 2 - Day 10 daily until discharged from hospital]
- Depression [Срок оценки: baseline (Day 0, preoperative)]
- Postoperative Nausea and Vomiting [Срок оценки: Postoperative (Day 2)]
- Major Adverse Cardiac and Cerebrovascular Events [Срок оценки: Discharge from hospital (Day 10 on average)]
Критерии участия
Критерии включения
- All adult patients who are capable of giving consent or willing to do so and who are undergoing elective heart surgery at the Robert Bosch Krankenhaus study center are included.
Критерии исключения
- Under 18 years old
- Emergency or urgent surgery
- Patients who are incapable of giving consent or unwilling to do so
- Patients who have received acupuncture treatment (including NADA ear acupuncture or acupressure) in the last three months
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Поддерживающая терапия
Центры проведения
Германия · 1 центр
- Robert Bosch Krankenhaus — Stuttgart
Идентификаторы
NCT: NCT07010003 · 643/2024BO1