DOI QR코드

DOI QR Code

Effect of Acupressure on Preoperative Cesarean Section Anxiety

  • Abadi, Foziyeh (Department of Medical Surgical Nursing and Midwifery School, Fasa University of Medical Sciences) ;
  • Abadi, Faezeh (Department of Medical Surgical Nursing and Midwifery School, Fasa University of Medical Sciences) ;
  • Fereidouni, Zhila (Department of Medical and Surgical Nursing, School of Nursing, Fasa University of Medical Sciences) ;
  • Amirkhani, Mehdi (Amirkhani Mehdi School of Nursing, Fasa University of Medical Science) ;
  • Karimi, Shahnaz (Department of Medical Education Research Center) ;
  • Najafi Kalyani, Majid (School of Nursing and Midwifery, Shiraz University of Medical Sciences)
  • Received : 2018.01.31
  • Accepted : 2018.07.03
  • Published : 2018.12.31

Abstract

Anxiety is a common preoperative problem in cesarean section candidates. Nonpharmacologic anxiety control has been demonstrated to be more suitable in pregnant women. The current study was a randomized, single-blind clinical trial which evaluated the effect of acupressure on preoperative C-section anxiety. In this study, 60 patients facing surgery were randomly divided into two groups of 30 patients each. Those patients in the intervention group received simultaneous acupressure at the Yintang and HE-7 acupoints for 5 minutes before surgery, and patients in the control group received intervention at a sham acupoint. The anxiety level of patients was preoperatively assessed twice using the Spielberger's State-Trait Anxiety Inventory. The mean anxiety scores of the two groups were shown to be insignificantly different before the intervention (p = 0.859), whereas a significant difference between the mean anxiety scores of the two groups was observed after the intervention (p = 0.001), suggesting that acupressure reduced the anxiety of patients before surgery.

Keywords

Acknowledgement

Supported by : Fasa University of Medical Sciences

References

  1. Zheng S, Lal S, Meier P, Sibbritt D, Zaslawski C. Protocol: the effect of 12 weeks of tai chi practice on anxiety in healthy but stressed people compared to exercise and wait-list comparison groups: a randomized controlled trial. J Acupunct Meridian Stud 2014 Jun 30;7(3):159-65. https://doi.org/10.1016/j.jams.2014.01.003
  2. Barker R, Kober A, Hoerauf K, Latzke D, Adel S, Kain ZN, et al. Out-of-hospital auricular acupressure in elder patients with hip fracture: a randomized double-blinded trial. Acad Emerg Med 2006 Jan;13(1):19-23. https://doi.org/10.1197/j.aem.2005.07.014
  3. Valiee S, Bassampour SS, Nasrabadi AN, Pouresmaeil Z, Mehran A. Effect of acupressure on preoperative anxiety: a clinical trial. J Perianesthesia Nurs 2012 Aug 31;27(4):259-66. https://doi.org/10.1016/j.jopan.2012.05.003
  4. Caumo W, Ferreira MB. Perioperative anxiety: psychobiology and effects in postoperative recovery. Pain Clin 2003 Jun 1;15(2):87-101. https://doi.org/10.1163/156856903321579217
  5. Bansal T, Joon A. A comparative study to assess preoperative anxiety in obstetric patients undergoing elective or emergency cesarean section. Anaesthesia Pain Intensive Care 2017 Jan 1;21(1).
  6. Ruiz Lopez E, Munoz Cuevas JH, Olivero Vasquez YI, Islas-Saucillo M. Ansiedad preoperatoria en el hospital general de mexico. Rev Medica Del Hospital General 2000 Oct;63(4):231-6.
  7. Uddin I, Kurkuman AR, Jamil T. Pre-operative anxiety in patients admitted for elective surgery in King Saud Hospital, Unaizah, Al-Qassim, Kingdom of Saudi Arabia. Pakistan J Med Sci 2002;18(4):306-10.
  8. Agarwal A, Ranjan R, Dhiraaj S, Lakra A, Kumar M, Singh U. Acupressure for prevention of pre-operative anxiety: a prospective, randomised, placebo controlled study. Anaesthesia 2005 Oct 1;60(10):978-81. https://doi.org/10.1111/j.1365-2044.2005.04332.x
  9. Boyle A, Timofeev J, Desale S, Driggers RW, Dudley DJ. Weight gain: a modifiable risk factor for primary cesarean delivery. Women 2017;2012:259.
  10. Betran AP, Torloni MR, Zhang JJ, Gulmezoglu AM, WHO Working Group on Caesarean Section. WHO statement on caesarean section rates. BJOG: Int J Obstet Gynaecol 2016 Apr 1;123(5):667-70. https://doi.org/10.1111/1471-0528.13526
  11. Luo L, Dai Q, Mo Y, Yan Y, Qian M, Zhuang X, et al. The effect of auricular acupressure on preoperative anxiety in patients undergoing gynecological surgery. Int J Clin Exp Med 2016 Jan 1;9(2):4065-70.
  12. Wang SM, Gaal D, Maranets I, Caldwell-Andrews A, Kain ZN. Acupressure and preoperative parental anxiety: a pilot study. Anesthesia Analgesia 2005 Sep 1;101(3):666-9. https://doi.org/10.1213/01.ANE.0000175212.17642.45
  13. Abadi F, Shahabinejad M, Abadi F, Kazemi M. Effect of acupressure on symptoms of postoperative ileus after cesarean section. J Acupunct Meridian Stud 2017 Apr 30;10(2):114-9. https://doi.org/10.1016/j.jams.2016.11.008
  14. Qu F, Zhang D, Chen L-T, Wang F-F, Pan J-X, Zhu Y-M, et al. Auricular acupressure reduces anxiety levels and improves outcomes of in vitro fertilization: a prospective, randomized and controlled study. Sci Rep 2014;4(5028):1-7.
  15. De Lorent L, Agorastos A, Yassouridis A, Kellner M, Muhtz C. Auricular acupuncture versus progressive muscle relaxation in patients with anxiety disorders or major depressive disorder: a prospective parallel group clinical trial. J Acupunct Meridian Stud 2016 Aug 31;9(4):191-9. https://doi.org/10.1016/j.jams.2016.03.008
  16. Bassampour SH, Nikbakht Nasrabadi A, Mehran A, Poresmaeil Z, Valiee S. The effect of acupressure on anxiety and vital signs of patients before abdominal surgery. Hayat 2009;14(2):23-34.
  17. Langevin HM, Churchill DL, Cipolla MJ. Mechanical signaling through connective tissue: a mechanism for the therapeutic effect of acupuncture. FASEB J 2001 Oct 1;15(12):2275-82. https://doi.org/10.1096/fj.01-0015hyp
  18. Bae H, Bae H, Min BI, Cho S. Efficacy of acupuncture in reducing preoperative anxiety: a meta-analysis. Evid base Compl Alternative Med 2014 Sep;2:2014.
  19. Arami S, Kazemi M, Esmaeili-Nadimi A. Comparing the effect of acupressure points shenmen (HE7) with a third eye on anxiety in patients undergoing coronary angiography. Med Surg Nurs J 2015 Jan 1;4(2):41-6.
  20. Varaei SH, Keshavarz S, Shamsizadeh M, Nikbakht Nasrabadi A, Kazemnejad A. The effect of orientation tour with angiography procedure on anxiety and satisfaction of patients undergoing coronary angiography. Iran J Psychiatr Nurs 2013;1(2):1-10.
  21. Hmwe NT, Subramanian P, Tan LP, Chong WK. The effects of acupressure on depression, anxiety and stress in patients with hemodialysis: a randomized controlled trial. Int J Nurs Stud 2015 Feb 28;52(2):509-18. https://doi.org/10.1016/j.ijnurstu.2014.11.002
  22. Dehghan-Nayeri N, Adib-Hajbaghery M. Effects of progressive relaxation on anxiety and quality of life in female students: a non-randomized controlled trial. Compl Ther Med 2011;19(4):194-200. https://doi.org/10.1016/j.ctim.2011.06.002
  23. Tsukano Y, Sugita M, Ikuta Y, Yamamoto T. Usefulness of beta-blocker for hemodynamic changes induced by uterotonic drug in a patient with hypertrophic obstructive cardiomyopathy undergoing elective caesarean section. Masui 2015;64:642-6.
  24. Choubsaz M, Amirifard N, Pourmatin S. Compare the effect of dry-cupping by stimulating the p6 and h7 point in controlling perioperative anxiety. Biomed Res 2017;28(3).
  25. Stitely M, Sweet M, Slain D, Alons L, Holls W, Hochberg C. Plasma and tissue cefazolin concentrations in obese patients undergoing caesarean delivery and receiving differing pre-operative doses of drug. Surg Infect 2013;14:455-9. https://doi.org/10.1089/sur.2012.040
  26. Alekwe LO, Kuti O, Orji EO, Ogunniyi SO. Comparison of ceftriaxone versus triple drug regimen in the prevention of cesarean section infectious morbidities. J Matern Fetal Neonatal Med 2008;21:638-42. https://doi.org/10.1080/14767050802220490
  27. Hyojeong B, Hyunsu B, Byung-Il M, Seunghun C. Efficacy of acupuncture in reducing preoperative anxiety: a meta-analysis. Evid base Compl Alternative Med 2014;9(1):1-12.
  28. Bansal T, Joon A. A comparative study to assess preoperative anxiety in obstetric patients undergoing elective or emergency cesarean section. Anaesthesia Pain Intensive Care 2017 Jan 1;21(1).
  29. Bopp EJ, Spence DL, Burkard JF. A preoperative stress inquiry and a vulnerable us military population. J Perianesthes Nurs 2013 Apr 30;28(2):67-76. https://doi.org/10.1016/j.jopan.2012.11.007

Cited by

  1. Acupressure and Acupuncture Use in the Peripartum Period vol.64, pp.3, 2018, https://doi.org/10.1097/grf.0000000000000636
  2. Acupressure: An Effective and Feasible Alternative Treatment for Anxiety During the COVID-19 Pandemic vol.10, pp.None, 2018, https://doi.org/10.1177/21649561211058076
  3. Effects of acupressure, gum chewing and coffee consumption on the gastrointestinal system after caesarean section under spinal anaesthesia vol.41, pp.4, 2018, https://doi.org/10.1080/01443615.2020.1787363
  4. Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials vol.20, pp.1, 2021, https://doi.org/10.1186/s12991-021-00327-5
  5. Preoperative oral melatonin can reduce preoperative anxiety and postoperative analgesia in a dose-dependent manner vol.13, pp.1, 2021, https://doi.org/10.1186/s42077-021-00146-6