The effect of auriculotherapy education on anxiety, sleeps quality, pain and hemodynamic parameters of patients after Coronary artery bypass graft surgery (CABG)

Determining the effect of ear acupressure training on anxiety, sleep quality, pain and hemodynamic indicators of patients after coronary artery bypass surgery

A clinical trial with a control group with parallel groups. one blind strain. randomized. phase 3 on 164 patients. randomization using the output of Random allocation2 software.

After reviewing the waiting list of patients undergoing heart surgery at Fatemeh Zahra Hospital (S) of Mazandaran University of Medical Sciences, 164 patients will be selected non-randomly and available and using the software to Randomly, they are placed in two intervention and control groups. Then the intervention is performed four times a day by the researcher from one day before the surgery and up to three days after the surgery, but in the placebo group skin patches without vaccaria seeds are attached in unrelated places. Completing the questionnaires before the intervention and after the end of the intervention will be done by the participants.

Inclusion: Age 18 years and above. Not having any history of taking psychiatric drugs. Patients under general anesthesia. Using only ibuprofen pain reliever. Creatinine in the range of 1.2 - 0.7 mg/DL Exclusion: Patients with any history of eczema, dermatitis, etc. Complications of surgery include bleeding

Intervention group: Sticking special adhesives containing vaccaria seeds on the points of the ear that affect anxiety, pain intensity, sleep quality and hemodynamic indicators of patients and their pressure from one day before surgery and up to three days after surgery, four Times per day by the researcher. Control group: pasting skin patches without vaccaria seeds on irrelevant points of the ear and slight pressure on them

Anxiety, Pain intensity, Sleep quality, Hemodynamic indicators

Research participants will be randomly divided into two intervention groups and control groups. The randomization unit will be the participants. For blinding, one letter is assigned to each group (A: ear acupressure intervention group and B: comparison group). Then with the help of the online method on the site https://www.sealedenvelope.com/simple-randomiser/v1/lists or using the random allocation2 software and without individual intervention, the allocation sequence will be created. Then, to hide the allocation sequence, the sequence is written on the sheets and placed in sealed envelopes in order.

A placebo group will be used for blinding. The placebo group will be visited like the intervention group. The researcher will stick the skin patches without Vaccaria seeds on the skin of the ear, will be present at the patient's bedside and will talk to the patient. In the placebo group, irrelevant points of the ear are pressured, even though it is insignificant, none of the two groups know which group they will be in.