{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T20:08:44Z","timestamp":1768075724300,"version":"3.49.0"},"reference-count":30,"publisher":"Walter de Gruyter GmbH","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_ijamh-2018-0177_s_999\">\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>Tonsillectomy is one of the most commonly used pediatric surgeries with high stress levels for children and their parents. The present study was designed and implemented regarding the fact that limited studies have ever been carried out about the effects of complementary therapies such as acupressure on the preoperative anxiety levels in children throughout the world.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_ijamh-2018-0177_s_998\">\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>Present study was a randomized clinical trial that was done in three groups with 144 children aged 5\u201312 years undergoing tonsillectomy. In present study, the children were allocated in three groups: intervention, control and sham. In the intervention group, the acupressure was applied on the Yintang point and in the sham group, was applied at a sham acupoint. No intervention was performed in the control group. Before and after intervention, the pediatric anxiety levels were measured using instruments. The results were analyzed using descriptive and inferential statistics such as the Kruskal-Wallis and Wilcoxon tests, chi-square (\u03c72) and analysis of variance (ANOVA) test. The significance level was considered p &lt; 0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_ijamh-2018-0177_s_997\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The total anxiety score in children was (70.39 \u00b1 20.93) in the control group, (67.83 \u00b1 16.78) in the intervention group and (71.40 \u00b1 21.82) in the sham group, not significant difference (p &gt; 0.05). The different in the overall anxiety score among children before intervention compare to after intervention was as following: Control group (\u20133 \u00b1 17.46), intervention group (8.42 \u00b1 32.98) and sham group (\u20134.32 \u00b1 24.47).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_ijamh-2018-0177_s_996\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Like other surgical procedures, the tonsillectomy has serious stress for children. Our study demonstrates that the acupressure has a significant effect on the level of preoperative anxiety in children undergoing surgery. Therefore, nurses can use this technique to reduce the pediatric anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/ijamh-2018-0177","type":"journal-article","created":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T05:01:58Z","timestamp":1556859718000},"source":"Crossref","is-referenced-by-count":6,"title":["Effectiveness of acupressure on anxiety of children undergoing anesthesia"],"prefix":"10.1515","volume":"33","author":[{"given":"Milad","family":"Borji","sequence":"first","affiliation":[{"name":"Nursing and Midwifery School, Students Research Committee, Kermanshah University of Medical Sciences , Kermanshah , Iran"},{"name":"Department of Nursing, Faculty of Nursing and Midwifery, Kermanshah University of Medical Science , Kermanshah , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somaye","family":"Pouy","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery , Guilan University of Medical Sciences , Rasht , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasaman","family":"Yaghobi","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery , Guilan University of Medical Sciences , Rasht , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bahram Naderi","family":"Nabi","sequence":"additional","affiliation":[{"name":"Anesthesiology Department , Guilan University of Medical Sciences , Rasht , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2019,5,3]]},"reference":[{"key":"2025112723594936191_j_ijamh-2018-0177_ref_001","unstructured":"Mirbagher Ajorpaz N, Sadat Shahshani M, Dianati M. 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