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IRCT20110906007494N31 IRCT 2020-03-20 Vice Chancellor for Research Mazandaran University of Medical Sciences acupressure in cardiac patient The effect of acupressure on the intestinal function of patients with acute myocardial infarction under primary angioplasty 2019-12-22 anticipated 90 Complete https://irct.ir/trial/43656 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: ۴۸۹/۵۰۰۰ Eligible patients were randomly assigned to three groups of 30 acupressure, sham, and control groups using random numbers provided with computer software and Randomization Permuted Block. 15 to 6 blocks so that there are 2 people in each block. Therefore, 90 envelopes are designed and embedded inside based on information obtained from the computer program of letters A of acupressure group, B of sham group and C of control group. Based on the patient's admission date, the priority of opening the envelope is executed on the order of the number. N/A myocardial infarction. Intervention 1: Intervention group1 : The SJ6 - LI4 - ST25- SP6 points of both members are determined symmetrically by the researcher's fingers. Acupressure will be performed twice daily (10 am and 6 pm) from the beginning of the day for three days. Point ST25 (Tianshu) is located two fingers away from the navel . The LI4 (Hegu) point lies at the depth of the muscle bundle, resulting from the thumb and forefinger . The SJ6 (Zhigou) dot is located four inches above the transverse line of the wrist between Radius and Ulna . The SP6 (sanyinjiao) point is four fingers above the medial ankle behind the posterior edge of the tibia. Apply acupressure on each spot symmetrically for two minutes. Apply a minute with your thumb pressed vertically, then rest for 5 seconds and then rotate for one minute. A total of 9 minutes of intervention will be administered to the patient each time. Nutrition training and routine nursing care are also provided. Intervention 2: Intervention group2: The sham group offers routine nursing education and care, and the procedure will be exactly the same as the intervention group, except that pressure is close to the acupressure points according to accredited acupressure specialists in the field, which is about half that. No special timber is applied. The order of the pressure, the type of pressure, the position of the patient, the time and the amount of pressure in the test and sham groups will be the same. The location of the pressure points is similar to that of the intervention group except that they are 1.5 cm apart. It should be noted that in both groups, the pressure procedure will be taught by one person (the researcher). Intestinal function and checklists will then be completed before the intervention and in the first to fourth days. Intervention 3: Control group: After introducing and expressing the aims of the study and obtaining written informed consent and patient's consent to participate in the study, these patients receive nutritional and routine heart disease training. The demographic and medical information questionnaire, symptom checklist, Rome scale and Bristol are completed. There is no intervention in this group. Intestinal function indicators will be completed before the intervention and in the first to fourth days. No - There is not a plan to make this available Justification or reason for not sharing IPD is No decision yet
public Dr. Masoumeh Bagheri Nasami
Research Assistant of Mazandaran University of Medical Sciences
Sari Iran (Islamic Republic of) 48157-33971 +98 11 3379 5508 Mbagheri@mazums.ac.ir Mazandaran University of Medical Sciences scientific Dr. Masoumeh Bagheri Nasami
Research Assistant of Mazandaran University of Medical Sciences
Sari Iran (Islamic Republic of) 48157-33971 +98 11 3379 5508 Mbagheri@mazums.ac.ir Mazandaran University of Medical Sciences Iran (Islamic Republic of) Acute myocardial infarction, which is confirmed by a laboratory positive blood troponin level and confirmed by a physician. Written and verbal consent to participate in the study Age over 18 Ability to communicate verbally 18 years no limit Both No more than 12 hours of myocardial infarction No chronic constipation based on RomeIV criteria Lack of known mental illnesses under treatment Absence of ulcers, organ failure, tenderness and fractures in acupressure points Lack of simultaneous participation in other intervention studies no thyroid disease, incurable, neuromuscular, congenital gastrointestinal malformations and renal failure, no gastrointestinal disorders (gastric ulcer, chronic constipation history, fisher, hemorrhoids, prolapse of the rectum, obstruction of the rectum, obstruction) , Biography and physical examination by a physician No dependence or addiction to any drug I21.3 ST elevation (STEMI) myocardial infarction of unspecified site Prevention Placebo Other Intervention group1 : The SJ6 - LI4 - ST25- SP6 points of both members are determined symmetrically by the researcher's fingers. Acupressure will be performed twice daily (10 am and 6 pm) from the beginning of the day for three days. Point ST25 (Tianshu) is located two fingers away from the navel . The LI4 (Hegu) point lies at the depth of the muscle bundle, resulting from the thumb and forefinger . The SJ6 (Zhigou) dot is located four inches above the transverse line of the wrist between Radius and Ulna . The SP6 (sanyinjiao) point is four fingers above the medial ankle behind the posterior edge of the tibia. Apply acupressure on each spot symmetrically for two minutes. Apply a minute with your thumb pressed vertically, then rest for 5 seconds and then rotate for one minute. A total of 9 minutes of intervention will be administered to the patient each time. Nutrition training and routine nursing care are also provided. Intervention group2: The sham group offers routine nursing education and care, and the procedure will be exactly the same as the intervention group, except that pressure is close to the acupressure points according to accredited acupressure specialists in the field, which is about half that. No special timber is applied. The order of the pressure, the type of pressure, the position of the patient, the time and the amount of pressure in the test and sham groups will be the same. The location of the pressure points is similar to that of the intervention group except that they are 1.5 cm apart. It should be noted that in both groups, the pressure procedure will be taught by one person (the researcher). Intestinal function and checklists will then be completed before the intervention and in the first to fourth days. Control group: After introducing and expressing the aims of the study and obtaining written informed consent and patient's consent to participate in the study, these patients receive nutritional and routine heart disease training. The demographic and medical information questionnaire, symptom checklist, Rome scale and Bristol are completed. There is no intervention in this group. Intestinal function indicators will be completed before the intervention and in the first to fourth days. Intestinal function. Timepoint: Before and the first day to 4th day of intervention. Method of measurement: Bristool scale. University researches Assistance Vice Chancellor for Research Mazandaran University of Medical Sciences University researches Assistance Approved 2020-01-04 Ethics Committee of Mazandaran University of Medical Sciences Mazandaran University of Medical Sciences, Vice chancellor for research, Moalem street, Moalem square, Sari, Mazandaran, Iran. sari Mazandaran Iran (Islamic Republic of)