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      Analysis of acupoint massage combined with touch on relieving anxiety and pain in patients with oral implant surgery

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          Abstract

          BACKGROUND

          Oral implant surgery is an effective procedure for artificial implants in missing tooth areas under local anesthesia. Because patients under local anesthesia are conscious during this procedure, compared with general anesthesia-related operations, they are more likely to experience negative emotions, such as anxiety and tension. These emotional reactions result in shivering and chills in the limbs, leading to poor doctor-patient cooperation and even avoidance of treatment. In traditional Chinese medicine, it is believed that acupoint massage regulates blood and Qi, dredge menstruation, and relieve pain, which is beneficial for patients’ emotional adjustment; however, there are few related clinical studies.

          AIM

          To observe the changes in anxiety and pain in patients with oral implant after acupoint massage combined with touch therapy.

          METHODS

          One hundred patients undergoing oral implantation in our hospital between May 2020 and May 2023 were randomly divided into control and study groups, according to a random number table, with 50 patients in each group. The control group received routine intervention, and the study group received acupoint massage combined with touch on the basis of the control group. Anxiety [assessed using the Modified Dental Anxiety Scale (MDAS)], pain severity, blood pressure, heart rate, and satisfaction were compared between the two groups.

          RESULTS

          Before intervention, the difference in MDAS score between the two groups was not significant ( P > 0.05), while after the intervention, the MDAS scores decreased in both groups compared with those before the intervention ( P < 0.05); the MDAS score of the study group was lower than that of the control group, with a statistically significant difference ( P < 0.05). The degree of pain in the intervention group was significantly lower than that in the control group ( P < 0.05). Before the intervention, there were no significant differences in systolic and diastolic blood pressures or heart rate between the two groups ( P > 0.05). The systolic and diastolic blood pressures and heart rate in the intervention group, during and after the intervention, were significantly lower than those in the control group ( P < 0.05). The total degree of satisfaction in the study group was significantly higher than that in the control group ( P < 0.05).

          CONCLUSION

          Acupoint massage combined with touch better relieves anxiety and pain in patients undergoing dental implant surgery, improving the perioperative comfort of these patients and ensuring safety and a smooth operation.

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          Most cited references36

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          Association between Anxiety and Pain in Dental Treatment: A Systematic Review and Meta-analysis.

          Accumulating evidence has revealed that dental anxiety (DA), as a dispositional factor toward the dental situation, is associated with the state anxiety (SA) and pain related to dental procedures. However, conclusions from individual studies may be limited by the treatment procedures that patients received, the tools used to assess DA, or the treatment stages when anxiety or pain was assessed. It is unclear whether DA, at the study level, accounts for the variance in pretreatment SA. The impact of DA and SA on pain at different treatment stages has not been systematically investigated. To address these questions, we present novel meta-analytical evidence from 35 articles (encompassing 47 clinical groups) that investigated DA in a clinical group. Subgroup analyses revealed that the studies of surgical and nonsurgical procedures did not significantly differ in either DA or pretreatment SA. Furthermore, metaregressions revealed DA as a significant predictor that explained the variance in SA assessed before and during treatment but not after treatment. The findings suggest that patient DA has a significant impact on patient SA. Metaregressions revealed DA as a significant predictor that explained the variance in expected pain, pain during treatment and posttreatment pain. In contrast, pretreatment SA was a significant predictor that explained the variance in expected pain. The findings reveal that DA has a consistent impact on pain through the entire period of dental treatment. Altogether, the findings highlight the role of DA as an overall indicator for anxiety and pain, across different types of dental procedures or treatment stages. We conclude that anxiety should be assessed as a critical step not only in anxiety management for high-DA patients, but also in pain control for all dental patients.
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            Incidence and Risk Factors for Permanent Pacemaker Implantation Following Mitral or Aortic Valve Surgery

            Risk factors for post-operative conduction disturbances after cardiac valve surgery requiring a permanent pacemaker (PPM) are poorly characterized.
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              Pacemaker Implantation After Mitral Valve Surgery With Atrial Fibrillation Ablation

              The incidence of permanent pacemaker (PPM) implantation is higher following mitral valve surgery (MVS) with ablation for atrial fibrillation (AF) compared to MVS alone. We identified risk factors and outcomes associated with PPM implantation in a randomized trial evaluating ablation for AF in recipients of MVS. Two hundred forty-three patients with AF and without prior PPM were randomly assigned to MVS alone (n=117) or MVS+ablation (n=126). Patients in the ablation group were further randomized to pulmonary vein isolation (PVI; n=62) or biatrial maze (n=64). Using competing risk models, we examined the association between PPM and baseline and operative risk factors, and the effect of PPM on time to discharge, readmissions and 1-year mortality. Thirty-five patients received a PPM within the first year (14.4%), 29 (83%) were implanted during the index hospitalization. The frequency of PPM implantation was 7.7% in patients randomized to MVS alone, 16.1% in MVS+PVI, and 25% in MVS+biatrial maze. The indications for PPM were similar among patients having MVS with and without ablation. Ablation, multi-valve surgery, and NYHA Class III/IV were independent risk factors for PPM implantation. Length of stay post-surgery was longer in patients receiving a PPM, but it was not significant when adjusted for randomization assignment (MVS vs. ablation) and age (HR 0.81;95%CI 0.61–1.08; p=0.14). PPM implantation did not increase 30-day readmission rate (HR 1.43;95%CI 0.50–4.05; p=0.50). The need for PPM was associated with a higher risk of 1- year mortality (HR 3.21;95%CI 1.01–10.17; p=0.05) after adjustment for randomization assignment, age and NYHA Class. AF ablation, multi-valve surgery and NYHA Class III/IV are associated with an increased risk for permanent pacing. PPM implantation following MVS is associated with a significant increase in 1-year mortality. Permanent pacemaker (PPM) implantation is higher following mitral valve surgery (MVS) with ablation for atrial fibrillation (AF) compared to MVS alone. Risk factors and outcomes associated with PPM implantation were examined in a randomized trial evaluating ablation for AF in 243 recipients of MVS. Thirty-five patients received a PPM within the first year (14.4%). The frequency was 7.7% in MVS alone, 16.1% in MVS + pulmonary vein isolation and 25% in MVS+biatrial maze. Ablation, multi-valve surgery, and NYHA Class III/IV were independent risk factors for permanent pacing. PPM implantation was associated with a higher risk of 1-year mortality. Clinical Trial: ClinicalTrials.gov : NCT00903370 .
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                Author and article information

                Contributors
                Journal
                World J Psychiatry
                WJP
                World Journal of Psychiatry
                Baishideng Publishing Group Inc
                2220-3206
                19 April 2024
                19 April 2024
                : 14
                : 4
                : 533-540
                Affiliations
                Department of Stomatology, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Hangzhou 311300, Zhejiang Province, China
                Department of Software R&D, Hangzhou Broadlink Technology Co, Ltd., Hangzhou 311300, Zhejiang Province, China
                Department of Stomatology, Hangzhou Red Cross Hospital, Hangzhou 310003, Zhejiang Province, China
                Department of Cardiovascular, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Hangzhou 311300, Zhejiang Province, China
                Department of Traditional Chinese Medicine Development, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Hangzhou 311300, Zhejiang Province, China. 710125030@ 123456qq.com
                Author notes

                Co-first authors: Jin-Hong Qu and Qin Wang.

                Author contributions: Qu JH and Wang Q contributed equally to this work as co-first authors; Qu JH, Shou CC, He X, Wang Q, and Fang YX designed the research study; Qu JH, Shou CC, He X, Wang Q, and Fang YX performed the research; Qu JH and Wang Q contributed new reagents and analytic tools; Qu JH and Wang Q analyzed the data and wrote the manuscript; and all authors have read and approve the final manuscript.

                Corresponding author: Yue-Xia Fang, RN, Associate Chief Nurse, Department of Traditional Chinese Medicine Development, Hangzhou Lin'an Traditional Chinese Medicine Hospital, No. 288 Xishui North Road, Jinbei Street, Lin'an District, Hangzhou 311300, Zhejiang Province, China. 710125030@ 123456qq.com

                Article
                jWJP.v14.i4.pg533 89282
                10.5498/wjp.v14.i4.533
                11036460
                38659606
                4cbc79ee-9867-4030-bca1-b6d3d3ff1c10
                ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

                This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

                History
                : 19 December 2023
                : 13 January 2024
                : 7 March 2024
                Categories
                Observational Study

                oral implant,acupoint massage,touch,anxiety,degree of pain
                oral implant, acupoint massage, touch, anxiety, degree of pain

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