An interventional study of Acupressure and Progressive Muscle Relaxation in Sleep Quality, Rhinoplasty and Patient Comfort, sponsored by Altinbas University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-11-06.
Sponsored by Altinbas University · Not applicable, Interventional, and Treatment
This study aimed to evaluate the effects of acupressure and progressive muscle relaxation exercises on sleep quality and comfort in patients undergoing rhinoplasty. A total of 147 patients were randomly assigned to three groups: an acupressure group, a progressive muscle relaxation group, and a control group receiving routine care. Patients in the intervention groups received either acupressure or progressive muscle relaxation exercises. Sleep quality and comfort levels were assessed using questionnaires before and after the interventions. The results of the three groups were compared to determine whether acupressure or progressive muscle relaxation could improve sleep quality and comfort during the postoperative recovery period.
This study was conducted to evaluate and compare the effects of acupressure and progressive muscle relaxation exercises on sleep quality and comfort in patients undergoing rhinoplasty.
A randomized, controlled, three-arm study design was used. A total of 147 patients were included and randomly allocated to one of three groups: the acupressure group (n=49), the progressive muscle relaxation group (n=49), and the control group (n=49).
Patients in the acupressure group received an acupressure intervention lasting approximately 25-30 minutes. The intervention involved applying pressure to selected acupressure points, including HT7, GB20, SP6, PC7, PC6, LI4, ST36, GV20, Yintang, GB21, and LR2/LR3.
Patients in the progressive muscle relaxation group received a relaxation intervention lasting approximately 30-40 minutes, guided by an audio recording. The exercise involved systematically tensing and relaxing different muscle groups, with each muscle group being tensed for approximately 5 seconds and then relaxed for approximately 10 seconds.
Patients in the control group received routine postoperative care without the additional acupressure or progressive muscle relaxation interventions.
Sleep quality and comfort were evaluated before and after the interventions. Sleep quality was assessed using the Richards-Campbell Sleep Questionnaire (RCSQ), and patient comfort was assessed using the 24-item General Comfort Questionnaire developed based on Kolcaba's Comfort Theory.
The results were compared among the three groups to determine the effects of acupressure and progressive muscle relaxation exercises on postoperative sleep quality and comfort in patients undergoing rhinoplasty.
2,722 studies on the registry are indexed under Sleep Initiation and Maintenance Disorders; 726 are open to participants now.
This study's enrollment of 147 is above the median of 68 across 2,350 interventional studies indexed under Sleep Initiation and Maintenance Disorders.
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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants in this group received a 25-30-minute acupressure intervention at selected acupoints during the preoperative and postoperative periods, in addition to routine perioperative nursing care.
Behavioral: Acupressure
Participants in this group received guided progressive muscle relaxation exercises lasting 30-40 minutes, involving 16 muscle groups during the preoperative and postoperative periods, in addition to routine perioperative nursing care.
Behavioral: Progressive Muscle Relaxation
Participants in this group received routine perioperative nursing care without additional acupressure or progressive muscle relaxation interventions. Sleep quality and perioperative comfort were assessed using the same measurement instruments as those used in the intervention groups.
Participants in the acupressure group received a 25-30-minute acupressure intervention targeting selected acupoints, including PC6, HT7, GB20, SP6, PC7, LI4, ST36, GV20, Yintang, GB21, and LR3. The intervention was performed before surgery and during the postoperative period, in addition to routine perioperative nursing care. The intervention aimed to improve sleep quality and perioperative comfort in patients undergoing rhinoplasty.
Participants in the progressive muscle relaxation group received a 30-40-minute guided relaxation intervention involving 16 muscle groups. Each muscle group was contracted for approximately 5 seconds and then relaxed for 10 seconds. The exercises were performed with audio guidance during the preoperative and postoperative periods, in addition to routine perioperative nursing care. The intervention aimed to improve sleep quality and perioperative comfort in patients undergoing rhinoplasty.
Sleep Quality
The Richards-Campbell Sleep Questionnaire (RCSQ) is a five-item instrument used to assess subjective sleep quality. Each item is scored from 0 to 100. The total score is calculated as the mean of the five items and ranges from 0 to 100. Higher scores indicate better sleep quality.
Time frame: Baseline (preoperative evening) and postoperative Day 1 (after the first postoperative night)
Patient Comfort
The Perianesthesia Comfort Scale (PCS) consists of 24 items rated on a six-point Likert scale. Negatively worded items are reverse-scored. The total score ranges from 24 to 144, with higher scores indicating greater comfort. When expressed as the mean item score, values range from 1 to 6, with higher scores indicating better comfort.
Time frame: Baseline (preoperative evening) and postoperative Day 1 (after the first postoperative night)
Plan to share: No — Individual participant data will not be shared because of patient privacy and confidentiality considerations. The informed consent process did not include provisions for sharing individual-level data with external researchers.
No publications or documents are linked to this record.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is completed, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.
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Altinbas University