Key result
Acupressure significantly reduced the incidence of severe pain (7.5% vs 52.5%) and severe anxiety (15% vs 65%) compared to routine care in patients post coronary artery bypass graft.
Why the study?
Moderate to severe anxiety and pain are common and challenging to manage medically after cardiac surgery, making nonpharmacologic acupressure a promising intervention to evaluate post coronary artery bypass graft.
Does acupressure reduce severity of pain and level of anxiety in adult patients post coronary artery bypass graft?
Does acupressure reduce severity of pain and level of anxiety in adult patients post coronary artery bypass graft?
Absolute Event Rate: 7.5% vs 52.5%
p-value: p=<0.001
Acupressure significantly reduces postoperative pain and anxiety levels in patients recovering from coronary artery bypass graft surgery.
May support acupressure as adjunct for post-CABG pain and anxiety; hypothesis-generating and requires randomized confirmation before practice change.
Background: Experiencing moderate to severe anxiety and pain are common symptoms after cardiac surgery, which is very challenging to treat with medical treatment. Acupressure is promising because it’s nonpharmacologic, has no apparent side effects, and has been used to improve postoperative outcomes. Aim of this study: This study aimed to evaluate the effect of acupressure on severity of pain and level of anxiety for patients post coronary artery bypass graft. Design: Quasi-experimental research design was used to achieve the aim of this study. Setting: This study was conducted at open heart surgery unit at Misr University for Science and Technology hospital and at Academic Institute for Heart Surgery Ain Shams University hospital. Subjects: A Purposive sample of 80 adult patients was included in the study. Tools: Three tools were used; structured interviewing questionnaire, Numerical scale of pain and State Trait Anxiety Inventory. Results: the 85% and 67.5% of the study group had severe pain and anxiety pre acupressure intervention compared to only 7.5% and 15% of them post intervention, while, about 75% of the control group had severe pain and anxiety pre intervention compared to 52.5% and 65% of them post intervention. There was high statistically significant difference between both groups regarding pain severity and anxiety level pre to post acupressure intervention. Conclusion: The study concluded that acupressure had a positive effect on reduction of severity of pain and level of anxiety post coronary artery bypass graft. Recommendations: It is recommended that nurses should consider using acupressure as an effective technique for pain and anxiety management in addition to drug therapy.
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S.A.E.A. et al. (2022) studied Post Coronary Artery Bypass Graft (CABG) (n=80). Acupressure vs. Routine treatment was evaluated on Severe pain post-intervention (p=<0.001). Acupressure significantly reduced the incidence of severe pain (7.5% vs 52.5%) and severe anxiety (15% vs 65%) compared to routine care in patients post coronary artery bypass graft.
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