Journal List > J Korean Acad Nurs > v.40(3) > 1002631

TOOLS
Kim, Yoo, Cho, Shin, and Hahm: Effects of Nei-Guan Acupressure on Nausea, Vomiting and Level of Satisfaction for Gynecological Surgery Patients Who Are Using a Patient-Controlled Analgesia
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2010; 40(3): 423-432.

Published online: 30 June 2010

DOI: https://doi.org/10.4040/jkan.2010.40.3.423

Effects of Nei-Guan Acupressure on Nausea, Vomiting and Level of Satisfaction for Gynecological Surgery Patients Who Are Using a Patient-Controlled Analgesia

Nam Cho Kim1, Je Bog Yoo2, Myung Sook Cho3, Eun Ju Shin4, Tae Soo Hahm5

1Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

2Nurse Manager, PACU, Sam Sung Medical Center, Seoul, Korea.

3Chief Nursing Officer, Sam Sung Medical Center, Seoul, Korea.

4Assistant Professor, Kun San College of Nursing, Gunsan, Korea.

5Associate Professor, Anesthesiology and Pain Medicine, Sam Sung Medical Center, Seoul, Korea.

Address reprint requests to: Kim, Nam Cho. College of Nursing, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Korea. Tel: 82-2-2258-7405, Fax: 82-2-2258-7772, kncpjo@catholic.ac.kr

Received 12 October 2009       Accepted 15 June 2010

Copyright © 2010 Korean Society of Nursing Science

Abstract

Purpose

This study was done to examine effects of Nei-Guan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who were using a patient-controlled analgesia (PCA).

Methods

For this study, 51 patients were assigned to one of three groups, a control group (17 patients), experimental group 1 (finger acupressure group) (17 patients), and experimental group 2 (relief band group) (17 patients). The data were collected for 24 hr in the recovery room of a university hospital located in Seoul. The 6 hr-intervals including the time of leaving the recovery room were taken into consideration.

Results

The occurrence of nausea between the experimental group with Nei-Guan acupressure treatment and the control group was different. However, there was no difference in nausea and vomiting control or level of patient satisfaction between the finger acupressure group and the relief band group.

Conclusion

Nei-Guan acupressure is recommended for nursing practice as a way for alleviating the opioid-induced nausea and accelerating the recovery of patients who are using PCA after surgery.

Keywords: Acupressure, TENS, Nausea and vomiting, Satisfaction

Figures and Tables

Figure 1
Research design.
jkan-40-423-g001
Figure 2
Nei-Guan (P6) acupressure point.
jkan-40-423-g002
Figure 3
Comparisons of Nausea between three groups.
Group p-value=0.708; Time*Group p=0.019.
*Repeated measures ANCOVA adjusted on leaving Post Anesthetic Care Unit.
jkan-40-423-g003
Figure 4
Comparisons of Vomiting between three groups.
Group p-value=5.552; Time*Group p=0.169.
*Repeated measures ANCOVA adjusted on leaving Post Anesthetic Care Unit.
jkan-40-423-g004
Figure 5
Comparisons of Patients' Satisfaction between three groups.
Group p-value=0.192; Time*Group p=0.418.
*Repeated measured ANCOVA adjusted on leaving Post Anesthetic Care Unit.
jkan-40-423-g005
Table 1
Homogeneity for Characteristics of Participants
jkan-40-423-i001

*Fisher's exact test.

Exp. 1=experimental group 1 (finger acupressure); Exp. 2=experimental group 2 (relief band); Cont.=control group; Op.= operation.

Table 2
Homogeneity test for variables on leaving PACU
jkan-40-423-i002

Exp.1=experimental group (finger acupressure); Exp. 2=experimental group (relief band); Cont.=control group; PACU=post anesthetic care unit.

Notes

The authors wishes to acknowledge the financial support of the Catholic Medical Center Research Foundation made in the program year of 2008.

References

1. Alkaissi A, Evertsson K, Johnsson V, Ofenbartl L, Kalman S. P6 acupressure may relieve nausea and vomiting after gynecological surgery: An effectiveness study in 410 women. Canadian Journal of Anesthesia. 2002. 49:1034–1039.
2. ndrews PL. Physiology of nausea and vomiting. British Journal of Anesthesia. 1992. 69:7 Suppl 1. 2S–19S.
3. Baek YH, Ok SY, Kim SI, Kim SC, Lee MH. Effects of continuous epidural infusion after thoracic epidural anesthesia for mastectomy on postoperative pain, nausea and vomiting. Korean Journal of Anesthesiology. 2007. 52:396–402.
4. Choi DH, Ko JS, Ahn HJ, Kim JA. A Korean predictive model for postoperative nausea and vomiting. Journal of Korean Medical Science. 2005. 20:811–815.
5. Dundee JW, Ghaly RG. Does the timming of P6 acupuncture influence its efficacy as a postoperative anti-emetic? British Journal of Anaesthesia. 1989. 63:630.
6. Dundee JW, Yang J. Prolongation of the antiemetic action of p6 acupuncture by acupressure in patients having cancer chemotherapy. Journal of the Royal Society Medicine. 1990. 83:360–362.
7. Eberhart LH, Geldner G, Kranke P, Morin AM, Schauffelen A, Treiber M, et al. The development and validation of a risk score to predict the probability of postoperative vomiting in pediatric patients. Anesthesia and Analgesia. 2004. 99:1630–1637.
8. Fassoulaki A, Papilas K, Sarantopoulos C, Zotou M. Transcutaneous electrical nerve stimulation reduces the incidence of vomiting after hysterectomy. Anesthesia and Analgesia. 1993. 76:1012–1014.
9. Hwang KI, Shim KD, Lee SH, Kim HD. The effect of continuous infusion of ondansetron on nausea and vomiting during intravenous patient-controlled analgesia. Korean Journal of Anesthesiology. 2004. 47:830–833.
10. Jang YS, Kim SC, Hong JT, Ok SY, Kim SI. Transcutaneous electrical stimulation of the P6 acupoint reduces postoperative nausea and vomiting after laparoscopic cholecystectomy. Korean Journal of Anesthesiology. 2003. 44:853–859.
11. Kim JS, Choi HY, Park CH, Na HW, Hong SS. Effects of the Nei-Guan acupressure by wrist band on post operative nausea and vomiting after thyroidectomy. Clinical Nursing Research. 2007. 13:79–89.
12. Kim KS, Kim DS, Shin KI, Kim YS. Effect of electric acupuncture stimulation of PC 6 and PC 7 antiemetic point on postoperative nausea and vomiting. Korean Journal of Anesthesiology. 1995. 28:433–439.
13. Kim MS, Lee SY, Kim JS, Min SK, Park YD, Park HJ. The effect of ondansetron or dolasetron for the prevention of postoperative nausea and vomiting in patients with intravenous patient-controlled analgesia. Korean Journal of Anesthesiology. 2007. 53:624–629.
14. Kim SI, Kim SC, Choi JK, Jin HC. Transcutaneous electrical acupoint stimulation for prevention of postoperative nausea and vomiting in female patients receiving iv-PCA. Intravenous Anesthesia. 2001. 5:210–215.
15. Kim SI, Yoo IS, Park HN, Ok SY, Kim SC. Transcutaneous electrical stimulation of the P6 acupoint reduces postoperative nausea after minor breast surgery. Korean Journal of Anesthesiology. 2004. 47:834–839.
16. Kim WM, Kwak SH, Yoon MH. Effect of the P6 acupoint on opioid-induced nausea. Korean Journal of Anesthesiology. 2002. 42:450–454.
17. Kim YS. The effects of the Nei-Guan (P6) acupressure on chemotherapy related nausea and vomiting in patients with lung cancer. 2003. Seoul: Yonsei University;Unpublished master's thesis.
18. Lee HS, Song JH, Kim TJ, Han JU, Lim HK, Shin H, et al. Comparison of dexamethasone and ondansetron for the prevention of nausea and vomiting using intravenous patient-controlled analgesia after gynecologic surgery. Korean Journal of Anesthesiology. 2004. 47:726–731.
19. Lee KH. Effects of Nei-Guan acupressure on chemotherapy-related nausea and vomiting in patients with ovarian cancer. 2002. Seoul: Yonsei University;Unpublished master's thesis.
20. Lee MY, Min HS. Effects of the Nei-Guan acupressure by wrist band on postoperative nausea and vomiting after middle ear surgery. Journal of Korean Academy of Nursing. 2008. 38:503–512.
21. Lee PB, Park JH, Seo MS, Kim YC, Lee SC. The study upon non-invasive and non-pharmacological treatments for the prevention of postoperative nausea and vomiting after mastoidectomy with tympanoplasty. Korean Journal of Anesthesiology. 2003. 45:743–748.
22. Machin D, Campbell MJ, Fayers PM, Pinol AP. Sample size tables for clinical studies. 1997. 2nd ed. Oxford: Blackwell Science Ltd.
23. Ming JL, Kuo BI, Lin JG, Lin LC. The efficacy of acupressure to prevent nausea and vomiting in post-operative patients. Journal of Advanced Nursing. 2002. 39:343–351.
24. Park CK, Choi HY, Cho CK, Kim MS. Comparison of postoperative nausea and vomiting between gynecologic surgery and cesarean section during intravenous patient controlled analgesia with fentanyl. Korean Journal of Anesthesiology. 2004. 46:306–310.
25. Shin HS, Song YA. The effect of P6 acupressure for symptom control in pregnant women having hyperemesis gravidarum. Journal of Korean Academy of Nursing. 2005. 35:593–601.
26. Shin MS. Effect of acupressure on nausea and vomiting during chemotherapy in postoperative stomach cancer patient. 2002. Daejeon: Daejeon University;Unpublished master's thesis.
TOOLS
Similar articles