The effect of acupressure on the intensity of nausea, pain and physiological parameters of patients treated with extracorporeal lithotripsy

INTERVENTION: Intervention 1: Intervention group: Patients in the intervention group will receive the intervention before the extra‐organ stone crushing in the same place in a room with minimal environmental stimuli (such as sound, temperature, light, etc.) while respecting privacy. For this purpose, the researcher first takes out his watch and ring and washes and warms his hands, then stretches the paravans around the patient's bed and the patient lies on the opposite side that is in pain so that the painful side of the patient faces the side. be placed above The patient's knees are slightly bent into the abdomen. Acupressure intervention in the present study is performed at the acupuncture point of Qiu. This point was identified by Unicav Q, a urologist, during several decades of activity in connection with the management of acute renal colic pains. In order to find this point, move down and inside the lumboxtal point by the width of a thumb, and the desired point is selected. After observing the location and choosing the exact location and marking it with his thumb, the researcher presses a force in the direction of 45 degrees to the spine for 5 minutes. Thumb strength will be done gradually and with a regular rhythm until the patient feels warmth in the area. The results examined in this study are measured before the intervention, immediately after 5, 30 and 60 minutes after the massage. Intervention 2: Control group: In the control group, according to the protocol of the acupressure intervention group, they will receive massage intervention at the neutral point and around the main point. CONDITION: N20.0 Urinary stones. ; Calculus of kidney PRIMARY OUTCOME: Blood pressure. Timepoint: Before intervention, 1, 5, 15, 20, 30 and 60 minutes after the intervention. Method of measurement: By sphygmomanometer. Heart rate. Timepoint: Before intervention, 1, 5, 15, 20, 30 and 60 minutes after the intervention. Method of measurement: Number of beats per minute ‐ pulse oximeter. Intensity of nausea. Timepoint: The intensity of nausea will be evaluated before and after extracorporeal shock wave lithotripsy. Method of measurement: Self‐report scale. Intensity of pain. Timepoint: The intensity of pain will be evaluated before and after extracorporeal shock wave lithotripsy. Method of measurement: Numeric pain rating scale (NRS). INCLUSION CRITERIA: Eligible for with extracorporeal lithotripsy according to the doctor's diagnosis Signing an informed consent form The age range of 18 to 65 Perform extracorporeal lithotripsy for the first time