J Korean Acad Nurs.  2010 Jun;40(3):423-432. 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

• Kim NC
• Yoo JB
• Cho MS
• Shin EJ
• Hahm TS

• KMID: 987589
• DOI: http://doi.org/10.4040/jkan.2010.40.3.423

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.

Keyword

Acupressure; TENS; Nausea and vomiting; Satisfaction

MeSH Terms

*Acupressure
Adult
*Analgesia, Patient-Controlled
Female
Genital Diseases, Female/*psychology/surgery
Hospitals, University
Humans
Middle Aged
*Personal Satisfaction
Postoperative Care
Postoperative Nausea and Vomiting/*prevention & control
Young Adult

Figure

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  Figure 1 Research design.

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  Figure 2 Nei-Guan (P6) acupressure point.

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  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.

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  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.

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  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.

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