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Jang and Park: The Meta-Analysis of the Effect of Acupressure for Nausea and Vomiting in Cancer Patients Receiving Chemotherapy
Original Article
Journal of Korean Oncology Nursing

Journal of Korean Oncology Nursing 2011; 11(2): 116-126.

Published online: 31 August 2011

DOI: https://doi.org/10.5388/jkon.2011.11.2.116

The Meta-Analysis of the Effect of Acupressure for Nausea and Vomiting in Cancer Patients Receiving Chemotherapy

Soon Yang Jang1, Jeong Sook Park2

1Full-time Lecturer, Department of Nursing, College of Health and Welfare, Kyungwoon University, Gumi, Korea.

2Professor, College of Nursing, Keimyung University, Daegu, Korea.

Address reprint requests to: Park, Jeong Sook. College of Nursing, Keimyung University, 1000 Sindang-dong, Dalseo-gu, Daegu 704-701, Korea. Tel: +82-53-580-3907, Fax: +82-53-580-3904, jsp544@kmu.ac.kr

Received 30 May 2011       Accepted 28 July 2011

© 2011 Korean Oncology Nursing Society

Abstract

Purpose

This study was to analyze the characteristics and effect size of intervention studies that used acupressure for the control of chemotherapy-induced nausea and vomiting (CINV).

Methods

Nine electronic databases including Korea Education Research and Information, the National Assembly Library, KISS, Korea Med, NDSL, PubMed, EBSCO, Cochrane library, and OVID (to December, 2009) were searched. Thirteen studies of randomized controlled trials (RCTs) or controlled clinical trials (CCTs) were selected. Data were analyzed by SPSS/WIN 18.0.

Results

Overall effect size of acupressure was moderate (0.684). Nausea had a moderate effect size (0.770) and nausea and vomiting had a high effect size (0.899). Acupressure using sticker needles had a high effect size (1.368) among finger acupressure, si-acupuncture, and wrist band treatment.

Conclusion

This study suggests that acupressure using sticker needles on the spots of nei-guan, chok-samni and hap-kok can reduce the levels of nausea and vomiting in cancer patients receiving chemotherapy. For improving the reliability of the meta-analysis results, further randomized controlled trials with better study methodology are needed.

Keywords: Acupressure, Nausea, Vomiting, Chemotherapy, Meta-analysis

Figures and Tables

Fig. 1
Process of study selection.
jkon-11-116-g001
Fig. 2
Effect size of dependent variables and intervention type.
jkon-11-116-g002
Fig. 3
Effect size difference (error bars indicates 95% Cls).
jkon-11-116-g003
Table 1
Characteristics of sample studies
jkon-11-116-i001

*Academic disciplines were nursing. The rest was medicine.

Table 2
Effect size of dependent variables and intervention type (N=204)
jkon-11-116-i002

*F=33.242, p<.001, a,c<b.

Table 3
Effect size according to acupressure point and application method
jkon-11-116-i003

*p<.05.

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