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Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG)

Year 2024, Volume: 7 Issue: 3, 233 - 240, 27.09.2024
https://doi.org/10.53493/avrasyasbd.1444019

Abstract

Patients undergoing coronary angiography (CAG) experience pain during the withdrawal of the catheter inserted into the femoral artery, and as a result, vital signs and comfort levels of patients are negatively affected. It has been reported that if the pain experienced during femoral catheter withdrawal after CAG is not controlled, patients' ability to cooperate during catheter removal is adversely affected, haemostasis time is prolonged, vital signs may change and vasovagal reactions may develop. In addition, it is also known that pain experienced after CAG leads to anxiety and psychological disorders. Therefore, pain should be controlled during femoral catheter extraction after CAG. Although
the use of pharmacological agents is recommended for the management of pain during femoral catheter extraction, analgesics do not reduce pain-related complications and are reported to be a costly method. Therefore, the use of non-pharmacological methods for the management of pain related to femoral catheter removal is of great importance. Acupressure is among the non-pharmacological methods that have an important place in the health care of nurses. Nurses can apply acupressure as a part of nursing care to reduce pain and anxiety of patients and to increase patient comfort. However, the number of studies on the effects of acupressure in the management of pain related to removal of femoral catheter after CAG is quite limited. In this review, it is aimed to contribute to the determination of the efficacy of acupressure, which is an integrated treatment method for pain relief in individuals who experience post-CAG pain.

References

  • Bayındır, S. K., Çürük, G. N., ve Oguzhan, A. (2017). Effect of ice bag application to femoral region on pain in patients undergoing percutaneous coronary intervention. Pain Research and Management, 1-7. doi: 10.1155/2017/6594782
  • Dincer, B., İnangil, D., İnangil, G., Bahçecik, N., Ayaz, E.Y., Arslanoğlu, A., … Özkan, G. (2022). The effect of acupressure on sleep quality of older people: A systematic review and meta-analysis of randomized controlled trials. Explore (NY), 18(6), 635-645. doi: 10.1016/j.explore.2021.11.010
  • Durmuş İskender, M., ve Eren, H. (2020). Türkiye’de ağrıya yönelik akupresur uygulaması ile ilgili yapılmış hemşirelik tezlerinin incelenmesi. Geleneksel ve Tamamlayıcı Tıp Dergisi, 3(1), 40-46. doi: 10.5336/jtracom.2020-73529
  • Durmuş İskender, M., ve Çalışkan, N. (2020). Konstipasyon yönetiminde akupresur uygulaması ve hemşirenin rolü. Van Tıp Derg, 27(1), 103-108. doi: 10.5505/vtd.2020.65002
  • Eti Aslan, F. (2020). Ağrı. A. Karadakovan, & F. Eti Aslan içinde, Dahili ve Cerrahi Hastalıklarda Bakım (Güncellenmiş 5. b., Cilt 1, s. 127-148). Ankara: Akademisyen Kitabevi.
  • Ghods, A. A., Roshani, A., Mirmohammadkhani, M., & Soleimani, M. (2022). Effects of valsalva maneuver on pain and vasovagal reaction during the removing of femoral arterial sheath after percutaneous coronary intervention: A randomized controlled trial. Journal of PeriAnesthesia Nursing, 37(6), 900-906. doi: 10.1016/j.jopan.2022.01.016.
  • Godley, E., & Smith, M.A. (2020). Efficacy of acupressure for chronic low back pain: a systematic review. Complementary Therapies in Clinical Practice, 39, 101146. doi: 10.1016/j. ctcp.2020.101146.
  • Gönenç, İ.M., ve Terzioğlu, F. (2020). Effects of massage and acupressure on relieving labor pain, reducing labor time, and increasing delivery satisfaction. J Nurs Res, 28(1), e68. doi: 10.1097/jnr.0000000000000344
  • Heidaranlu, E., Goyaghaj, N. S., Moradi, A., & Ebadi, A. (2021). The efficacy of an intervention program for pain intensity reduction in patients undergoing arterial sheath removal after coronary artery angioplasty. The Journal of Tehran University Heart Center, 16(3), 102-108. doi: 10.18502/jthc. v16i3.8186.
  • Hinkle JL, & Cheever KH. (2018). Brunner and Suddarth’s textbook of medical-surgical nursing. 14 th ed. China: Wolters kluwer india Pvt Ltd, 225.
  • International Association of Study of Pain (IASP). Erişim adresi: https://www.iasp-pain.org/wpcontent/uploads/2022/04/ revised-definition-flysheet_R2.pdf.
  • İster, E. D., ve Altınbaş, Y. (2022). The effect of acupressure on anxiety and pain among patients undergoing coronary angiography: A randomized controlled trial. Holistic Nursing Practice, 36(6), E57-E63. doi: 10.1097/ HNP.0000000000000553
  • Jhand, A., Atti, V., Gwon, Y., Dhawan, R., Turagam, M. K., Mamas, M. A., … Velagapudi, P. (2021). Metaanalysis of transradial vs transfemoral access for percutaneous coronary intervention in patients with ST elevation myocardial infarction. The American Journal of Cardiology, 141, 23-30. doi: 10.1016/j.amjcard.2020.11.016
  • Khan, M.A, Raza, F., Khan, I.A. (2015). Pain: History, culture and philosophy. AMHA-Acta medico-historica Adriatica, 13(1), 113-130.
  • Li, T., Li, X., Huang, F., Tian, Q., Fan, Z. Y., & Wu, S. (2021). Clinical efficacy and safety of acupressure on low back pain: A systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine, 2021, 8862399. doi: 10.1155/2021/8862399
  • Lu, Y.Z., & Chuang, P.Y. (2018). Reducing the incidence of back pain in post-percutaneous coronary intervention patients with femoral sheath. Hu Li Za Zhi, 65(4), 94-101. doi: 10.6224/ JN.201808_65(4).12
  • Mehta, P., Dhapte, V., Kadam, S., & Dhapte, V. (2016). Contemporary acupressure therapy: Adroit cure for painless recovery of therapeutic ailments. Journal of Traditional and Complementary Medicine, 7(2), 251-263. doi: 10.1016/j.jtcme.2016.06.004
  • Monson, E., Arney, D., Benham, B., Bird, R., Elias, E., Linden, K., & Waggy, D. (2019). Beyond pills: Acupressure impact on self-rated pain and anxiety scores. The Journal of Alternative and Complementary Medicine, 25(5), 517-521. doi: 10.1089/acm.2018.0422
  • Narimani, M., Ansari Jaberi, A., Negahban Bonabi, T., Sadeghi, T. (2018). Effect of acupressure on pain severity in patients undergoing coronary artery graft: A randomized controlled trial. Anesthesiology and Pain Medicine, 8(5). 82-92. doi: 10.5812/aapm.82920
  • Özyurtlu, F., Özdemir, İ. H., Çetin, N., ve Yavuz, V. (2022). Comparison of access site complications after early or late sheath removal in patients with PCI, regardless of ACT levels. Anatolian Journal of Cardiology, 26(8), 654-661. doi: 10.5152/AnatolJCardiol.2022.1733
  • Paul, A. K., Smith, C. M., Rahmatullah, M., Nissapatorn, V., Wilairatana, P., Spetea, M., … Dietis, N. (2021). Opioid analgesia and opioid-induced adverse effects: A review. Pharmaceuticals, 14(11), 1091. doi:10.3390%2Fph14111091
  • Rizi, M.S., Shamsalinia, A., Ghaffari, F., Keyhanian, S., & Nabi, B.N. (2017). The effect of acupressure on pain, anxiety, and the physiological indexes of patients with cancer undergoing bone marrow biopsy. Complementary Therapies in Clinical Practice, 29, 136-141. doi: 10.1016/j. ctcp.2017.09.002
  • Schlaeger, J.M., Gabzdyl, E.M., Bussell, J.L., Takakura, N., Yajima, H., & Takayama, M. (2017). Acupuncture and acupressure in labor. J Midwifery Womens Health, 62, 12- 28. doi: 10.1111/jmwh.12545
  • Şenyüz, K.Y., ve Koçaşlı, S. (2017). Cerrahi sonrası ağrıda multimodal analjezi ve hemşirelik yaklaşımı. Sağlık Akademisyenleri Dergisi, 4(2), 90-95. doi: 10.5455/sad.13- 1491818424.
  • Topdemir, E. A., ve Saritas, S. (2021). The effect of Acupressure and Reiki application on Patient's pain and comfort level after laparoscopic cholecystectomy: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43, 101385. doi: 10.1016/j.ctcp.2021.101385.
  • Trachsel, L.A., & Cascella, M. (2019). Pain Theory. Treasure Island (FL): StatPearls Publishing.
  • Vagharseyyedin, S. A., Kardan, M., Rahimi, H., BahramiTaghanaki, H., & Azdaki, N. (2022). The effects of ear acupressure on back pain after coronary angiography: A randomized controlled trial. Traditional and Integrative Medicine, 7(2), 180-186. doi: 10.18502/tim.v7i2.9917.
  • Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., … Tsao, C.W. (2020). Heart disease and stroke statistics-2020 update: A report from the American Heart Association. Circulation, 141(9), e139-e596. doi: 10.1161/CIR.0000000000000757.
  • Xu, J.P., & Huang, J.Y. (2021). Nitrates and risk of vasovagal reaction in femoral sheath removal after percutaneous intervention: A retrospective observational study. Herz. 46(1), 130-134. doi: 10.1007/s00059-020-04916-0.
  • Yağcı, Ü., ve Saygın, M. (2019). Ağrı fizyopatolojisi. SDÜ Tıp Fakültesi Dergisi, 26(2), 209-220. doi: 10.17343/ sdutfd.444237.

Koroner Anjiografi (KAG) Uygulanan Hastaların Ağrı Yönetiminde Akupresür ve Hemşirelik

Year 2024, Volume: 7 Issue: 3, 233 - 240, 27.09.2024
https://doi.org/10.53493/avrasyasbd.1444019

Abstract

Koroner anjiyografi (KAG) yapılan hastalar, femoral artere yerleştirilen kateterin çekilmesi sürecinde ağrı yaşamakta, bunun sonucunda da hastaların vital bulguları ve konfor düzeyleri olumsuz yönde etkilenmektedir. KAG sonrası femoral kateter çekimi sırasında yaşanan ağrı kontrol altına alınmadığı takdirde hastaların kateter çıkarılması sırasında iş birliği yapma yeteneğinin olumsuz etkilendiği, hemostaz süresinin uzadığı, yaşam bulgularında değişiklik olabileceği ve vazovagal reaksiyonların geliştiği belirtilmektedir. Ayrıca KAG sonrası yaşanan ağrının anksiyete ve psikolojik rahatsızlıklara yol açtığı da bilinmektedir Bu nedenle KAG sonrası femoral kateter çekimi sırasında ağrının kontrol altına alınması gerekmektedir. Femoral kateter çekimi sırasında yaşanan ağrının yönetiminde farmakolojik ajanların kullanımı önerilse de analjeziklerin ağrı ile ilgili komplikasyonları azaltmadığı ve maliyetli bir yöntem olduğu bildirilmektedir. Bu nedenle femoral kateterin çıkarılması ile ilgili ağrının yönetimi için non-farmakolojik yöntemlerin kullanılması büyük önem taşımaktadır. Akupresür, hemşirelerin sağlık bakımı kapsamında önemli bir yer tutan non-farmakolojik yöntemler arasındadır. Hemşireler hastaların ağrı ve anksiyetesini azaltmak ve hasta konforunu artırmak için hemşirelik bakımlarının bir parçası olarak akupresür uygulayabilmektedirler. Bununla birlikte, KAG sonrası femoral kateterin çıkarılması ile ilgili ağrının yönetiminde akupresürün etkileri ile ilgili çalışma sayısı oldukça sınırlıdır. Bu derlemede KAG sonrası ağrı yaşayan bireylerde ağrının hafifletilmesi/giderilmesi için bütünleşik bir tedavi yöntemi olan akupresürün ağrıya ilişkin etkinliğinin belirlenmesine katkıda bulunmak amaçlanmaktadır.

References

  • Bayındır, S. K., Çürük, G. N., ve Oguzhan, A. (2017). Effect of ice bag application to femoral region on pain in patients undergoing percutaneous coronary intervention. Pain Research and Management, 1-7. doi: 10.1155/2017/6594782
  • Dincer, B., İnangil, D., İnangil, G., Bahçecik, N., Ayaz, E.Y., Arslanoğlu, A., … Özkan, G. (2022). The effect of acupressure on sleep quality of older people: A systematic review and meta-analysis of randomized controlled trials. Explore (NY), 18(6), 635-645. doi: 10.1016/j.explore.2021.11.010
  • Durmuş İskender, M., ve Eren, H. (2020). Türkiye’de ağrıya yönelik akupresur uygulaması ile ilgili yapılmış hemşirelik tezlerinin incelenmesi. Geleneksel ve Tamamlayıcı Tıp Dergisi, 3(1), 40-46. doi: 10.5336/jtracom.2020-73529
  • Durmuş İskender, M., ve Çalışkan, N. (2020). Konstipasyon yönetiminde akupresur uygulaması ve hemşirenin rolü. Van Tıp Derg, 27(1), 103-108. doi: 10.5505/vtd.2020.65002
  • Eti Aslan, F. (2020). Ağrı. A. Karadakovan, & F. Eti Aslan içinde, Dahili ve Cerrahi Hastalıklarda Bakım (Güncellenmiş 5. b., Cilt 1, s. 127-148). Ankara: Akademisyen Kitabevi.
  • Ghods, A. A., Roshani, A., Mirmohammadkhani, M., & Soleimani, M. (2022). Effects of valsalva maneuver on pain and vasovagal reaction during the removing of femoral arterial sheath after percutaneous coronary intervention: A randomized controlled trial. Journal of PeriAnesthesia Nursing, 37(6), 900-906. doi: 10.1016/j.jopan.2022.01.016.
  • Godley, E., & Smith, M.A. (2020). Efficacy of acupressure for chronic low back pain: a systematic review. Complementary Therapies in Clinical Practice, 39, 101146. doi: 10.1016/j. ctcp.2020.101146.
  • Gönenç, İ.M., ve Terzioğlu, F. (2020). Effects of massage and acupressure on relieving labor pain, reducing labor time, and increasing delivery satisfaction. J Nurs Res, 28(1), e68. doi: 10.1097/jnr.0000000000000344
  • Heidaranlu, E., Goyaghaj, N. S., Moradi, A., & Ebadi, A. (2021). The efficacy of an intervention program for pain intensity reduction in patients undergoing arterial sheath removal after coronary artery angioplasty. The Journal of Tehran University Heart Center, 16(3), 102-108. doi: 10.18502/jthc. v16i3.8186.
  • Hinkle JL, & Cheever KH. (2018). Brunner and Suddarth’s textbook of medical-surgical nursing. 14 th ed. China: Wolters kluwer india Pvt Ltd, 225.
  • International Association of Study of Pain (IASP). Erişim adresi: https://www.iasp-pain.org/wpcontent/uploads/2022/04/ revised-definition-flysheet_R2.pdf.
  • İster, E. D., ve Altınbaş, Y. (2022). The effect of acupressure on anxiety and pain among patients undergoing coronary angiography: A randomized controlled trial. Holistic Nursing Practice, 36(6), E57-E63. doi: 10.1097/ HNP.0000000000000553
  • Jhand, A., Atti, V., Gwon, Y., Dhawan, R., Turagam, M. K., Mamas, M. A., … Velagapudi, P. (2021). Metaanalysis of transradial vs transfemoral access for percutaneous coronary intervention in patients with ST elevation myocardial infarction. The American Journal of Cardiology, 141, 23-30. doi: 10.1016/j.amjcard.2020.11.016
  • Khan, M.A, Raza, F., Khan, I.A. (2015). Pain: History, culture and philosophy. AMHA-Acta medico-historica Adriatica, 13(1), 113-130.
  • Li, T., Li, X., Huang, F., Tian, Q., Fan, Z. Y., & Wu, S. (2021). Clinical efficacy and safety of acupressure on low back pain: A systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine, 2021, 8862399. doi: 10.1155/2021/8862399
  • Lu, Y.Z., & Chuang, P.Y. (2018). Reducing the incidence of back pain in post-percutaneous coronary intervention patients with femoral sheath. Hu Li Za Zhi, 65(4), 94-101. doi: 10.6224/ JN.201808_65(4).12
  • Mehta, P., Dhapte, V., Kadam, S., & Dhapte, V. (2016). Contemporary acupressure therapy: Adroit cure for painless recovery of therapeutic ailments. Journal of Traditional and Complementary Medicine, 7(2), 251-263. doi: 10.1016/j.jtcme.2016.06.004
  • Monson, E., Arney, D., Benham, B., Bird, R., Elias, E., Linden, K., & Waggy, D. (2019). Beyond pills: Acupressure impact on self-rated pain and anxiety scores. The Journal of Alternative and Complementary Medicine, 25(5), 517-521. doi: 10.1089/acm.2018.0422
  • Narimani, M., Ansari Jaberi, A., Negahban Bonabi, T., Sadeghi, T. (2018). Effect of acupressure on pain severity in patients undergoing coronary artery graft: A randomized controlled trial. Anesthesiology and Pain Medicine, 8(5). 82-92. doi: 10.5812/aapm.82920
  • Özyurtlu, F., Özdemir, İ. H., Çetin, N., ve Yavuz, V. (2022). Comparison of access site complications after early or late sheath removal in patients with PCI, regardless of ACT levels. Anatolian Journal of Cardiology, 26(8), 654-661. doi: 10.5152/AnatolJCardiol.2022.1733
  • Paul, A. K., Smith, C. M., Rahmatullah, M., Nissapatorn, V., Wilairatana, P., Spetea, M., … Dietis, N. (2021). Opioid analgesia and opioid-induced adverse effects: A review. Pharmaceuticals, 14(11), 1091. doi:10.3390%2Fph14111091
  • Rizi, M.S., Shamsalinia, A., Ghaffari, F., Keyhanian, S., & Nabi, B.N. (2017). The effect of acupressure on pain, anxiety, and the physiological indexes of patients with cancer undergoing bone marrow biopsy. Complementary Therapies in Clinical Practice, 29, 136-141. doi: 10.1016/j. ctcp.2017.09.002
  • Schlaeger, J.M., Gabzdyl, E.M., Bussell, J.L., Takakura, N., Yajima, H., & Takayama, M. (2017). Acupuncture and acupressure in labor. J Midwifery Womens Health, 62, 12- 28. doi: 10.1111/jmwh.12545
  • Şenyüz, K.Y., ve Koçaşlı, S. (2017). Cerrahi sonrası ağrıda multimodal analjezi ve hemşirelik yaklaşımı. Sağlık Akademisyenleri Dergisi, 4(2), 90-95. doi: 10.5455/sad.13- 1491818424.
  • Topdemir, E. A., ve Saritas, S. (2021). The effect of Acupressure and Reiki application on Patient's pain and comfort level after laparoscopic cholecystectomy: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43, 101385. doi: 10.1016/j.ctcp.2021.101385.
  • Trachsel, L.A., & Cascella, M. (2019). Pain Theory. Treasure Island (FL): StatPearls Publishing.
  • Vagharseyyedin, S. A., Kardan, M., Rahimi, H., BahramiTaghanaki, H., & Azdaki, N. (2022). The effects of ear acupressure on back pain after coronary angiography: A randomized controlled trial. Traditional and Integrative Medicine, 7(2), 180-186. doi: 10.18502/tim.v7i2.9917.
  • Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., … Tsao, C.W. (2020). Heart disease and stroke statistics-2020 update: A report from the American Heart Association. Circulation, 141(9), e139-e596. doi: 10.1161/CIR.0000000000000757.
  • Xu, J.P., & Huang, J.Y. (2021). Nitrates and risk of vasovagal reaction in femoral sheath removal after percutaneous intervention: A retrospective observational study. Herz. 46(1), 130-134. doi: 10.1007/s00059-020-04916-0.
  • Yağcı, Ü., ve Saygın, M. (2019). Ağrı fizyopatolojisi. SDÜ Tıp Fakültesi Dergisi, 26(2), 209-220. doi: 10.17343/ sdutfd.444237.
There are 30 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases Nursing​
Journal Section Derlemeler
Authors

Servet Kalyoncuo 0000-0001-8687-2229

Publication Date September 27, 2024
Submission Date February 27, 2024
Acceptance Date June 11, 2024
Published in Issue Year 2024 Volume: 7 Issue: 3

Cite

APA Kalyoncuo, S. (2024). Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG). Avrasya Sağlık Bilimleri Dergisi, 7(3), 233-240. https://doi.org/10.53493/avrasyasbd.1444019
AMA Kalyoncuo S. Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG). AvrasyaSBD. September 2024;7(3):233-240. doi:10.53493/avrasyasbd.1444019
Chicago Kalyoncuo, Servet. “Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG)”. Avrasya Sağlık Bilimleri Dergisi 7, no. 3 (September 2024): 233-40. https://doi.org/10.53493/avrasyasbd.1444019.
EndNote Kalyoncuo S (September 1, 2024) Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG). Avrasya Sağlık Bilimleri Dergisi 7 3 233–240.
IEEE S. Kalyoncuo, “Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG)”, AvrasyaSBD, vol. 7, no. 3, pp. 233–240, 2024, doi: 10.53493/avrasyasbd.1444019.
ISNAD Kalyoncuo, Servet. “Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG)”. Avrasya Sağlık Bilimleri Dergisi 7/3 (September 2024), 233-240. https://doi.org/10.53493/avrasyasbd.1444019.
JAMA Kalyoncuo S. Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG). AvrasyaSBD. 2024;7:233–240.
MLA Kalyoncuo, Servet. “Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG)”. Avrasya Sağlık Bilimleri Dergisi, vol. 7, no. 3, 2024, pp. 233-40, doi:10.53493/avrasyasbd.1444019.
Vancouver Kalyoncuo S. Acupressure and Nursing in Pain Management of Patients Undergoing Coronary Angiography (CAG). AvrasyaSBD. 2024;7(3):233-40.