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IRCT20200305046701N1 IRCT 2020-03-24 Mazandaran University of Medical Sciences The Effect of Acupressure and Deep Breathing on Anxiety, Fatigue and Sleep Quality Comparative Study of the Effect of Acupressure and Deep Breathing on Anxiety, Fatigue and Sleep Quality of Operating Room Personnel 2020-04-03 anticipated 105 Complete https://irct.ir/trial/46368 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: After statistical analysis of the severity of fatigue, job anxiety and sleep quality of personnel in educational and non-teaching hospitals will be determined. Then, based on the number of qualified staff and activity volume similarities, the hospitals are categorized into two categories of high and medium activity, and finally randomly blocked, medium to high activity hospitals, into three groups ( Acupuncture is divided into acupressure, deep breathing. Then, the acupuncture group, the deep breathing group, and the control group in each of the hospitals were randomly selected using a random execution table. N/A Condition 1: Anxiety. Condition 2: Fatigue. Condition 3: Poor sleep quality. Intervention 1: First intervention group: In acupuncture group, for people with mild to severe anxiety and moderate to severe fatigue, apply pressure points on Liver3, Du20, Kidney3, Gallbladder20, Ying Tang (extra), Sanjiao 5, and for people with mild to severe anxiety and sleep quality. This pressure is bad at points Du20, Du24, Gallbladder 20, Sanjiao5, Ren17 and for people with moderate to severe fatigue and poor sleep quality, pressure will be at Kidney3, Stomach36, Spleen6, Liver3, DU20, DU24, Gallbladder 20 points. For those with all three problems of mild to moderate anxiety, moderate to severe fatigue, and poor sleep quality, Liver3, Kidney3, Bladder60, Stomach36, DU20, DU24, Gallbladder20, Ren17 points are prescribed to apply pressure. People are instructed to perform the techniques two to three times a day and massage each one of these points for 1-2 minutes each with a pressure massage. In addition, people in the acupuncture group are reminded that the accuracy of the points is confirmed when the client feels a little happy and the massage should never be painful and that the pressure is to the extent that they can tolerate. Intervention 2: The second intervention group: Intervention group 2: For those in the deep breathing group, the first will be explained about breathing skills, deep breathing and its effects on physical and mental health, then abdominal breathing exercises (27) and full breathing (three-part breathing) with the help of film Training manuals and booklets are taught and exercises are conducted with the help of researcher guidance to verify the accuracy and correctness of the exercises. Abdominal breathing is taught to place the left hand on the chest and the right hand on the abdomen. Have a slow, deep tail through the nose. As the muscles expand gently up and down, then exhale slowly through the nose while releasing the abdominal muscles toward the ground. This should be done 12 times in the first day and 12 in the evening before dinner. Do the same on the second day 13 times in the morning and 13 times in the evening, so repeat the exercise twice a day for one week and add one breath (including one breath and one exhalation) daily. . Exercise Exercise your abdominal breathing for a week in a supine position. To make the abdominal muscles ready. They can then perform abdominal breathing exercises for the second week in a sitting position. In the third and fourth week, complete or three-part breathing exercise will be performed. For this exercise, people are required to stand on the floor, then bend their knees very slowly to lower the body so as to get into the so-called "squat" position while having a deep exhalation through the nose while lowering the body. .2. Then slowly lift the body up and open arms to the sides while starting the deep tail (abdomen extends forward). 3. Continue deep breathing and allow the chest to open. Raise your hands and let them touch each other on the head. Raise your toes simultaneously. In the final case count to 5.4. Then start deep exhale and slowly lower your hands and bend your knees and return to the initial position (squat position). Move 5 times without interruption and Pause, do in the morning and evening. Intervention 3: Control group: In acupuncture touch group for people with mild to severe anxiety and moderate to severe fatigue touch on Liver3, Du20, Kidney3, Gallbladder20, Ying Tang (extra), Sanjiao 5 points and for people with mild to severe anxiety and sleep quality Bad touch at Du20, Du24, Gallbladder 20, Sanjiao5, Ren17 points and for people with moderate to severe fatigue and poor sleep quality, touch at Kidney3, Stomach36, Spleen6, Liver3, DU20, DU24, Gallbladder 20 points. People who have mild to moderate anxiety, moderate to severe fatigue, and poor sleep quality are prescribed Liver3, Kidney3, Bladder60, Stomach36, DU20, DU24, Gallbladder20, Ren17 points for acupuncture points. People are instructed to touch each spot two or three times a day. Yes - There is a plan to make this available What will be shared: Information on anxiety status, fatigue and sleep quality of operating room personnel, as well as information on the effects of interventions on anxiety, fatigue, and sleep quality of operating room personnel will be published. When: Six months after the results were published To whom: Research participants and hospitals Conditions: To the participants if they remain in the research until the last stage Where to obtain: Send request to ranaabjar@gmail.com How to obtain: Applicants can send their request to the above email address to receive their research results. Comments:
public Rana Abjar
Unit 12, Third Floor, No. 18, Sorna Building, Shabnam 4 (Alley of Martyrs Samii), Shabnam Boulevard, Valiasr Square, West Baghestan Street
Karaj Iran (Islamic Republic of) 3194685413 +98 26 3434 6107 ranaabjar@gmail.com Mazandaran University of Medical Sciences scientific Rana Abjar
Unit 12, Third Floor, No. 18, Sorna Building, Shabnam 4 (Alley of Martyrs Samii), Shabnam Boulevard, Valiasr Square, West Baghestan Street
Karaj Iran (Islamic Republic of) 3194685413 +98 26 3434 6107 ranaabjar@gmail.com Mazandaran University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) All Operating Room Technologists and Anesthesia Technicians Working in the Operating Room of educational and non-teaching Hospitals of Alborz University of Medical Sciences Have At least Two Dependent Variables Including Moderate to Severe Fatigue, Mild to Severe Anxiety Score, and Five or More Sleep Quality Scores no limit no limit Both The presence of any ulcers, scratches and deformities in the target points for the acupressure group (intervention group) and the touch group for acupressure points (control group) Having pulmonary problem for deep breathing group (intervention group) Having a history of acupuncture and acupuncture in the last month Be a member of yoga classes and do yoga Being a smoker Use of sedatives and nerve medications in the last month Having systemic disease Being pregnant Not willing to participate in the study F06.4 Anxiety disorder due to known physiological condition Treatment - Other Treatment - Other Treatment - Other First intervention group: In acupuncture group, for people with mild to severe anxiety and moderate to severe fatigue, apply pressure points on Liver3, Du20, Kidney3, Gallbladder20, Ying Tang (extra), Sanjiao 5, and for people with mild to severe anxiety and sleep quality. This pressure is bad at points Du20, Du24, Gallbladder 20, Sanjiao5, Ren17 and for people with moderate to severe fatigue and poor sleep quality, pressure will be at Kidney3, Stomach36, Spleen6, Liver3, DU20, DU24, Gallbladder 20 points. For those with all three problems of mild to moderate anxiety, moderate to severe fatigue, and poor sleep quality, Liver3, Kidney3, Bladder60, Stomach36, DU20, DU24, Gallbladder20, Ren17 points are prescribed to apply pressure. People are instructed to perform the techniques two to three times a day and massage each one of these points for 1-2 minutes each with a pressure massage. In addition, people in the acupuncture group are reminded that the accuracy of the points is confirmed when the client feels a little happy and the massage should never be painful and that the pressure is to the extent that they can tolerate. The second intervention group: Intervention group 2: For those in the deep breathing group, the first will be explained about breathing skills, deep breathing and its effects on physical and mental health, then abdominal breathing exercises (27) and full breathing (three-part breathing) with the help of film Training manuals and booklets are taught and exercises are conducted with the help of researcher guidance to verify the accuracy and correctness of the exercises. Abdominal breathing is taught to place the left hand on the chest and the right hand on the abdomen. Have a slow, deep tail through the nose. As the muscles expand gently up and down, then exhale slowly through the nose while releasing the abdominal muscles toward the ground. This should be done 12 times in the first day and 12 in the evening before dinner. Do the same on the second day 13 times in the morning and 13 times in the evening, so repeat the exercise twice a day for one week and add one breath (including one breath and one exhalation) daily. . Exercise Exercise your abdominal breathing for a week in a supine position. To make the abdominal muscles ready. They can then perform abdominal breathing exercises for the second week in a sitting position. In the third and fourth week, complete or three-part breathing exercise will be performed. For this exercise, people are required to stand on the floor, then bend their knees very slowly to lower the body so as to get into the so-called "squat" position while having a deep exhalation through the nose while lowering the body. .2. Then slowly lift the body up and open arms to the sides while starting the deep tail (abdomen extends forward). 3. Continue deep breathing and allow the chest to open. Raise your hands and let them touch each other on the head. Raise your toes simultaneously. In the final case count to 5.4. Then start deep exhale and slowly lower your hands and bend your knees and return to the initial position (squat position). Move 5 times without interruption and Pause, do in the morning and evening. Control group: In acupuncture touch group for people with mild to severe anxiety and moderate to severe fatigue touch on Liver3, Du20, Kidney3, Gallbladder20, Ying Tang (extra), Sanjiao 5 points and for people with mild to severe anxiety and sleep quality Bad touch at Du20, Du24, Gallbladder 20, Sanjiao5, Ren17 points and for people with moderate to severe fatigue and poor sleep quality, touch at Kidney3, Stomach36, Spleen6, Liver3, DU20, DU24, Gallbladder 20 points. People who have mild to moderate anxiety, moderate to severe fatigue, and poor sleep quality are prescribed Liver3, Kidney3, Bladder60, Stomach36, DU20, DU24, Gallbladder20, Ren17 points for acupuncture points. People are instructed to touch each spot two or three times a day. Anxiety score on the Beck Anxiety Inventory. Timepoint: Anxiety score before intervention, two weeks after intervention, four weeks after intervention. Method of measurement: Beck Anxiety Inventory. Fatigue severity in Multidimensional Fatigue Inventory. Timepoint: Measurement of fatigue severity before intervention, two weeks after intervention, four weeks after intervention. Method of measurement: Multidimensional Fatigue Inventory. Sleep Quality Score in Pittsburgh Sleep Quality Index. Timepoint: Assessment of sleep quality status before intervention, two weeks after intervention, four weeks after intervention. Method of measurement: Pittsburgh Sleep Quality Index. Mazandaran University of Medical Sciences Approved 2020-01-01 Ethics Committee of Mazandaran University of Medical Sciences Unit 12, Third Floor, No. 18, Sorna Building, Shabnam 4 (Alley of Martyrs Sami), Shabnam Boulevard, Valiasr Square, West Baghestan Street Karaj Alborz Iran (Islamic Republic of)