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IRCT20200206046395N3 IRCT 2024-01-21 Shahroud University of Medical Sciences Comparison of the effect of acupressure at LI4 point and gum chewing on reactivation of gastrointestinal system after cesarean section: Comparison of the effect of acupressure at LI4 point and gum chewing on reactivation of gastrointestinal system after cesarean section: A Parallel Randomized Clinical Trial 2024-02-04 anticipated 105 Complete https://irct.ir/trial/75019 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In the beginning, all the modes in which 3 letters A, B and C can be put together in a block of 6 are produced and a block is selected randomly and by placing among the blocks.The layout pattern in that block is used to allocate patients, Blinding description: Due to the nature of the study, it is not possible to blind the study participants. However, measures were taken in collecting information. After the intervention, the person collecting the information will not know the type of the participants' group. N/A Postoperative Gastrointestinal Tract Dysfunction. Intervention 1: Intervention group: In the chewing gum group, a pack of Van brand gum (manufactured by Kurdistan Turpentine Company) containing xylitol is provided to the patients. They are asked to chew a piece of gum for at least 20 minutes 3 times a day before eating breakfast, lunch and dinner. Intervention 2: Intervention group: After the operation and after transferring the patients to the ward, acupressure will be performed 3 times a day for 20 minutes.In the acupressure group, the researcher will first wash his hands and warm the hands by touching them, he will ask the patient to be in the desired position, then by finding the LI4 point, he will massage the acupressure slowly and gently. It will be applied for 30 seconds. Gradually this pressure will increase until the patient feels tingling, numbness, heaviness and stretching around the area for 30 seconds. Then it is kept in the same position for 1 minute and gradually after that the pressure will be reduced for 30 seconds. Finally, 30 seconds will be held in the same position and 2 minutes of rest will be applied. Each cycle of this process will last 5 minutes, a total of four alternating 5-minute cycles for both hands will last about 20 minutes. Intervention 3: Control group: In the control group, routine measures such as recommendations for: 1- liquid consumption, 2- fiber consumption, 3- performing active and passive movements in bed will be performed. Yes - There is a plan to make this available What will be shared: Only part of the data, such as information related to the main outcome, can be shared. When: The access period starts 6 months after the results are published To whom: Only for researchers working in academic and scientific institutions Conditions: If necessary, by contacting Mobin Mottahedi and if there is a logical justification for using it for scientific purposes Where to obtain: Mobin Mottahedi, Shahrood, Haft Tir Square, Shahrood University of Medical Sciences; Faculty of paramedicine How to obtain: During a phone call or via e-mail and registering the request and stating the reason and purpose, which is logical and approved, up to two weeks Comments:
public Mobin Mottahedi
Shahroud University of Medical Sciences, Haft Tir Square, Shahroud
Shahroud Iran (Islamic Republic of) 3614773955 +98 23 3233 8457 mobinmottahedi1372@gmail.com Shahroud University of Medical Sciences scientific Mobin Mottahedi
Shahroud University of Medical Sciences, Haft Tir Square, Shahroud
Shahrood Iran (Islamic Republic of) 3614773955 +98 23 6548 7520 mobinmottahedi1372@gmail.com Shahroud University of Medical Sciences Iran (Islamic Republic of) Elective caesarean section with spinal anesthesia Healthy condition of the teeth for chewing gum Not having any lesions in the acupressure area Ability to read and write in Persian Being in the 38th to 42nd week of pregnancy Age 18 to 35 years 18 years 35 years Female Lack of consciousness of the patient after the operation Change in anesthesia method (conversion to general anesthesia) Injury to the intestine and bladder during surgery Any type of postoperative complication (patients with more than 1000 ml of postpartum bleeding) Drug and alcohol addiction according to the patient's statements Having diarrhea, chronic constipation, gastric reflux and irritable bowel syndrome according to the patient's statement Having language, hearing or vision disorders K55-K64 Other diseases of intestines Treatment - Other Treatment - Other Other Intervention group: In the chewing gum group, a pack of Van brand gum (manufactured by Kurdistan Turpentine Company) containing xylitol is provided to the patients. They are asked to chew a piece of gum for at least 20 minutes 3 times a day before eating breakfast, lunch and dinner. Intervention group: After the operation and after transferring the patients to the ward, acupressure will be performed 3 times a day for 20 minutes.In the acupressure group, the researcher will first wash his hands and warm the hands by touching them, he will ask the patient to be in the desired position, then by finding the LI4 point, he will massage the acupressure slowly and gently. It will be applied for 30 seconds. Gradually this pressure will increase until the patient feels tingling, numbness, heaviness and stretching around the area for 30 seconds. Then it is kept in the same position for 1 minute and gradually after that the pressure will be reduced for 30 seconds. Finally, 30 seconds will be held in the same position and 2 minutes of rest will be applied. Each cycle of this process will last 5 minutes, a total of four alternating 5-minute cycles for both hands will last about 20 minutes. Control group: In the control group, routine measures such as recommendations for: 1- liquid consumption, 2- fiber consumption, 3- performing active and passive movements in bed will be performed. First time gas passing after cesarean. Timepoint: 3 times a day, every 8 hours. Method of measurement: Ask the patient. The time of defecation for the first time after cesarean section. Timepoint: 3 times a day, every 8 hours. Method of measurement: Ask the patient. The level of pain at the surgical site. Timepoint: 3 times a day, every 8 hours. Method of measurement: Visual Analogue Scale (VAS). Severe nausea and vomiting. Timepoint: 3 times a day, every 8 hours. Method of measurement: Visual Analogue Scale (VAS). Number of times vomiting. Timepoint: 3 times a day, every 8 hours. Method of measurement: Ask the patient. Duration of hospitalization. Timepoint: Until the end of discharge from the hospital. Method of measurement: Documents recorded in the patient's file. Time to start moving the patient for the first time after cesarean section. Timepoint: 3 times a day, every 8 hours. Method of measurement: Ask the patient. Shahroud University of Medical Sciences Approved 2024-01-10 Ethics Committee of Shahrood University of Medical Sciences Shahroud University of Medical Sciences, Haft Tir Square, Shahroud Shahroud Semnan Iran (Islamic Republic of)