The Effects of P6 Acupressure and Guided Imagery on Nausea, Vomiting, Retching and Anorexia of the Patients with Thyroid Cancer Undergoing Radioactive Iodine Therapy

Mi Kyung Kang; Eunyoung, E. Suh

doi:10.5388/aon.2013.13.4.184

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Kang and Suh: The Effects of P6 Acupressure and Guided Imagery on Nausea, Vomiting, Retching and Anorexia of the Patients with Thyroid Cancer Undergoing Radioactive Iodine Therapy

Original Article

Asian Oncology Nursing 2013; 13(4): 184-192.

Published online: 31 December 2013

DOI: https://doi.org/10.5388/aon.2013.13.4.184

The Effects of P6 Acupressure and Guided Imagery on Nausea, Vomiting, Retching and Anorexia of the Patients with Thyroid Cancer Undergoing Radioactive Iodine Therapy

Mi Kyung Kang¹, Eunyoung, E. Suh²

¹Gynecologic Nursing Unit, Samsung Medical Center, Seoul, Korea.

²College of Nursing and Research Institute of Nursing Science at Seoul National University, Seoul, Korea.

Address reprint requests to: Suh, Eunyoung, E. College of Nursing, Seoul National University, Jonrogu Daehackro 103, Rm 513, Seoul 110-799, Korea. Tel: +82-2-740-8484, +82-10-3035-0747, Fax: +82-2-740-8484, esuh@snu.ac.kr

Received 27 August 2013 Accepted 17 December 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to evaluate the effects of P6 acupressure and guided imagery on nausea, vomiting, retching, and anorexia of the patient with thyroid cancer who were undergoing high dose radio-active iodine therapy (HD-RAIT).

Methods

Using a randomized control group pretest-posttest study design, the participants were randomly assigned into the control group (C), the experimental group I (E1, P6 acupressure only) and the experimental group II (E2, P6 acupressure and a guided imagery). The patients were recruited from December 2011 to June 2012 in a tertiary hospital in Seoul, South Korea. A total of 82 patients completed the study. The Korean version of the Rhodes INVR and the anorexia scale by Grant (1987) were used.

Results

The levels of nausea, vomiting, retching, and anorexia were significantly different among the groups. The levels of nausea and retching especially showed significant group differences over time. Synergic effects of P6 acupressure with guided imagery had significant effects over separate P6 acupressure intervention.

Conclusion

Non-pharmacological and nurse-provided P6 acupressure and guided imagery appeared to be effective and safe in reducing nausea, vomiting, retching, and anorexia of the patients with thyroid cancer underwent HD-RAIT.

Keywords: Acupressure, Imagery, Thyroid Neoplasms, Nursing, Intervention Studies

Figures and Tables

Fig. 1

Flowchart of Participant Progress through the Study.

Fig. 2

Group Differences over time in Outcome Measures.

Table 1

Contents of the Developed Guided Imagery

Table 2

Homogeneity Test of Sociodemographicand Disease-related Characteristics (N=82)

Cont.=Control group; Exp. 1=Experimental group I; Exp. 2=Experimental group II; Dx.=Diagnosis; Tx.=Treatment; M=Mean; RAI=Radioactive iodine remnant ablation; TSH=Thyroid stimulating hormone.

Table 3

INVR and Anorexia Scores by Time Points (N=82)

Cont.=Control group; Exp. 1=Experimental group I; Exp. 2=Experimental group II; P1~P6=data collection points.

^*Statistically significant post-hoc test results.

Notes

This article is a condensed form of the first author's master's thesis from Seoul National University.

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