Journal of Korean Academy of Nursing

Original Articles

Factors of Anticipatory Nausea and Vomiting in Cancer Patients: Shin Hi Han; Journal of Korean Academy of Nursing 2002;32(7):977-985. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.7.977

Abstract PDF: PURPOSE: The purpose of this research is to identify factors influencing anticipatory nausea and vomiting in cancer patients.
METHODS
The conceptual framework was derived from Roy's Adaptation Model. The subjects for this study were 66 adult patients with various types of cancers, who were scheduled for a third cycle of chemotherapy or above.
RESULTS
47% of the patients experienced anticipatory nausea and vomiting.
CONCLUSION
The study identified two factors, psychological symptoms (p=.002) and severity of post-chemotherapy nausea and vomiting(p=.004), which are directly related to anticipatory nausea and vomiting. These two factors accounted for 39.5% of the anticipatory nausea and vomiting. Identified environmental cues were awareness of hospital setting, sensory stimuli, and experience of chemotherapy which induced nausea and vomiting. Strategies for relieving anticipatory nausea and vomiting taken by cancer patients were religion, reminiscence, distracting imagery, positive thinking, relaxation and physical exercise.

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Combination Effects of Capsicum Plaster at the Korean Hand Acupuncture Points K-D2 with Prophylactic Antiemetic on Postoperative Nausea and Vomiting after Gynecologic Laparoscopy: Hyun Jung Jung, Sang Youn Park; J Korean Acad Nurs 2013;43(2):215-224. Published online April 30, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.2.215

Purpose

This study was done to evaluate the combination effects of capsicum plaster at the Korean hand acupuncture points K-D2 with prophylactic antiemetic on Postoperative Nausea and Vomiting (PONV).

Methods

An experimental research design (a randomized, a double-blinded, and a placebo-control procedure) was used. The participants were female patients undergoing gynecologic laparoscopy; the control group (n=34) received intravenous prophylactic ramosetron 0.3mg, while the experimental group (n=34) had Korean Hand Therapy additionally. In the experimental group, capsicum plaster was applied at K-D2 of both 2nd and 4th fingers by means of Korean Hand Therapy for a period of 30 minutes before the induction of anesthesia and removed 8 hours after the laparoscopy.

Results

The occurrence of nausea, nausea intensity and need for rescue with antiemetic in the experimental group was significantly less than in the control group 2 hours after surgery.

Conclusion

Results of the study show capsicum plaster at K-D2 is an effective method for reducing PONV in spite of the low occurrence of PONV because of the prophylactic antiemetic medication.

Citations

Citations to this article as recorded by

Interleukin-31 Serum And Pruritus Dimension After Acupuncture Treatment In Hemodialysis Patients: A Randomized Clinical Trial
Dedi Ardinata, Rozaimah Zain-Hamid, Irma. D. Roesyanto-Mahadi, Hasan Mihardja
Open Access Macedonian Journal of Medical Sciences.2021; 9(B): 196. CrossRef
Effects of Korean hand acupressure on opioid-related nausea and vomiting, and pain after caesarean delivery using spinal anaesthesia
Na Young Ahn, Hye-Ja Park
Complementary Therapies in Clinical Practice.2017; 28: 101. CrossRef
Effects of Preoperative Dehydration on Postoperative Nausea and Vomiting in Gynecological Surgery Patients
Yunjeong Hwang, SoMi Park
Korean Journal of Women Health Nursing.2015; 21(1): 23. CrossRef
Herbs as Adjuncts to Surgery
Eric Yarnell, Kathy Abascal
Alternative and Complementary Therapies.2014; 20(5): 270. CrossRef
Postoperative nausea and vomiting: pharmacologic and nonpharmacologic therapies
Soo Kyung Lee
Korean Journal of Anesthesiology.2013; 65(6): 491. CrossRef

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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 Kim, Je Bog Yoo, Myung Sook Cho, Eun Ju Shin, Tae Soo Hahm; J Korean Acad Nurs 2010;40(3):423-432. Published online June 30, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.3.423

Abstract PDF

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.

Citations

Citations to this article as recorded by

Effectiveness of Integrated Education to Reduce Postoperative Nausea, Vomiting, and Dizziness after Abdominal Surgery under General Anesthesia
Yoonhee Seok, Eunyoung E. Suh, Soo-Young Yu, JeongYun Park, Hyunjin Park, Eunsil Lee
International Journal of Environmental Research and Public Health.2021; 18(11): 6124. CrossRef
Factors Influencing Satisfaction with Patient-Controlled Analgesia Among Postoperative Patients Using a Generalized Ordinal Logistic Regression Model
Wonhee Baek, Yeonsoo Jang, Chang Gi Park, Mir Moon
Asian Nursing Research.2020; 14(2): 73. CrossRef
Contemporary acupressure therapy: Adroit cure for painless recovery of therapeutic ailments
Piyush Mehta, Vishwas Dhapte, Shivajirao Kadam, Vividha Dhapte
Journal of Traditional and Complementary Medicine.2017; 7(2): 251. CrossRef
Effectiveness of Ginger Essential Oil on Postoperative Nausea and Vomiting in Abdominal Surgery Patients
Yu Ri Lee, Hye Sook Shin
The Journal of Alternative and Complementary Medicine.2017; 23(3): 196. CrossRef
Comparing Effects of Two Different Types of Nei-Guan Acupuncture Stimulation Devices in Reducing Postoperative Nausea and Vomiting
Hanna Oh, Bo Hwan Kim
Journal of PeriAnesthesia Nursing.2017; 32(3): 177. CrossRef
Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy
Sung-Hee Lee, Sung-Jung Hong, Hwa Sun Kim, Younghoon Jeon
Korean Journal of Adult Nursing.2015; 27(5): 481. CrossRef
Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting
Anna Lee, Simon KC Chan, Lawrence TY Fan
Cochrane Database of Systematic Reviews.2015;[Epub] CrossRef
Efficacy of Nei-Guan acupressure on Nausea and Vomiting in Patients undergoing laparoscopic prostatectomy with Intravenous Patient Controlled Analgesia
Mi Young Shin, Ju Young Ha
Journal of Korean Academy of Fundamentals of Nursing.2014; 21(2): 131. CrossRef
The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery
Sun Hee Park, Hee Jung Jang
The Journal of the Korea Contents Association.2014; 14(11): 378. CrossRef
Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA
Sung-Jung Hong, Eunjoo Lee
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(2): 137. CrossRef
Combination Effects of Capsicum Plaster at the Korean Hand Acupuncture Points K-D2 with Prophylactic Antiemetic on Postoperative Nausea and Vomiting after Gynecologic Laparoscopy
Hyun Jung Jung, Sang Youn Park
Journal of Korean Academy of Nursing.2013; 43(2): 215. CrossRef
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
Asian Oncology Nursing.2013; 13(4): 184. CrossRef
Effects of Postoperative Oral Care Using Cold Therapy on Nausea, Vomiting and Oral Discomfort in Patients with Laparoscopic Myomectomy
Mi-Young Jung, Hyo-Sun Choi, Kyung-Yeon Park
Journal of Korean Academy of Fundamentals of Nursing.2012; 19(3): 292. CrossRef
RECENT LITERATURE

Focus on Alternative and Complementary Therapies.2010; 15(4): 324. CrossRef

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Effect of Ondansetron combined with Dexamethasone on Postoperative Nausea & Vomiting and Pain of Patients with Laparoscopic Hysterectomy: Miok Nam, Haesang Yoon; J Korean Acad Nurs 2009;39(1):44-52. Published online February 17, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.1.44

Abstract PDF

Purpose:

The purpose of this study was to compare the effects of ondansetron combined with dexamethasone on Post-Operative Nausea and Vomiting (PONV) and pain with ondansetron alone in patients with laparoscopy assisted vaginal hysterectomy under general anesthesia.

Methods:

Data were collected from April 1 through September 30, 2005 using a double blind method. Ondansetron 4 mg and dexamethasone 10 mg were administered to the experimental group (25 patients), and ondansetron 4 mg only to the control group (25 patients). The medications were administered through an intravenous line at the beginning peritoneum suture. PONV by Index of Nausea Vomiting and Retching (INVR), nausea by Visual Analogue Scale (VAS), and pain (VAS) were assessed at postoperative 1 hr, 3 hr, 6 hr, 24 hr, and 48 hr. Data were analyzed using repeated measures ANOVA, and Bonferroni methods.

Results:

The experimental group that received ondansetron combined with dexamethasone had less PONV (p=.048), and nausea (p=.012) than control group that received ondansetron alone. However, there was no difference in pain (p=.557) between the patients in the two groups.

Conclusion:

We conclude that the administration of ondansetron combined with dexamethasone is more effective than the administration of ondansetron alone to reduce PONV in patients with laparoscopic hysterectomy.

Citations

Citations to this article as recorded by

Analgesia for Gynecologic Oncologic Surgeries: A Narrative Review
Kaiwal Patel, Sukhman Shergill, Nalini Vadivelu, Kanishka Rajput
Current Pain and Headache Reports.2022; 26(1): 1. CrossRef
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network meta-analysis
Stephanie Weibel, Gerta Rücker, Leopold HJ Eberhart, Nathan L Pace, Hannah M Hartl, Olivia L Jordan, Debora Mayer, Manuel Riemer, Maximilian S Schaefer, Diana Raj, Insa Backhaus, Antonia Helf, Tobias Schlesinger, Peter Kienbaum, Peter Kranke
Cochrane Database of Systematic Reviews.2020;[Epub] CrossRef
Pain management after laparoscopic hysterectomy: systematic review of literature and PROSPECT recommendations
Philipp Lirk, Juliette Thiry, Marie-Pierre Bonnet, Girish P Joshi, Francis Bonnet
Regional Anesthesia & Pain Medicine.2019; 44(4): 425. CrossRef
Comparing Effects of Two Different Types of Nei-Guan Acupuncture Stimulation Devices in Reducing Postoperative Nausea and Vomiting
Hanna Oh, Bo Hwan Kim
Journal of PeriAnesthesia Nursing.2017; 32(3): 177. CrossRef
Combination of 5-HT3 Antagonist and Dexamethasone Is Superior to 5-HT3 Antagonist Alone for PONV Prophylaxis After Laparoscopic Surgeries
Anirban Som, Sulagna Bhattacharjee, Souvik Maitra, Mahesh K Arora, Dalim Kumar Baidya
Anesthesia & Analgesia.2016; 123(6): 1418. CrossRef
Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy
Sung-Hee Lee, Sung-Jung Hong, Hwa Sun Kim, Younghoon Jeon
Korean Journal of Adult Nursing.2015; 27(5): 481. CrossRef
Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA
Sung-Jung Hong, Eunjoo Lee
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(2): 137. CrossRef
Impact of perioperative dexamethasone on postoperative analgesia and side-effects: systematic review and meta-analysis
N.H. Waldron, C.A. Jones, T.J. Gan, T.K. Allen, A.S. Habib
British Journal of Anaesthesia.2013; 110(2): 191. CrossRef

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Effects of the Nei-Guan Acupressure by Wrist Band on Postoperative Nausea and Vomiting after Middle Ear Surgery: Myung Yun Lee, Hye Sook Min; J Korean Acad Nurs 2008;38(4):503-512. Published online August 31, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.4.503

Abstract PDF

Purpose

This study was to identify the effects of Nei-Guan accupressure using a wrist band on postoperative nausea and vomiting after middle ear surgery

Methods

The study design was a nonequivalent control group non-synchronized posttest design. Forty patients were assigned into two groups of 20 patients, the wrist band group and the control group. In the wristband group, acupressure was applied with a wrist band on the P6 point at both wrists from 30 min before to 24 hr after anesthesia.

Results

The 1st hypothesis 'Applied wrist band groups will have a greater reduction in the nausea & vomiting grades by INVR than the control group' was accepted (t=2.303, p=.028). The 2nd hypothesis 'The Applied wrist band groups will have a greater reduction in the occurrence of nausea & vomiting than the control group' was partly accepted. The 3rd hypothesis 'The applied wrist band group will have a greater reduction in injection of antiemetics for 24 hr. post anesthesia than the control group' was rejected.

Conclusion

Acupressure on the P6 point using a wrist band is effective to alleviate nausea for middle ear surgery patients.

Citations

Citations to this article as recorded by

Comparing Effects of Two Different Types of Nei-Guan Acupuncture Stimulation Devices in Reducing Postoperative Nausea and Vomiting
Hanna Oh, Bo Hwan Kim
Journal of PeriAnesthesia Nursing.2017; 32(3): 177. CrossRef
Efficacy of Nei-Guan acupressure on Nausea and Vomiting in Patients undergoing laparoscopic prostatectomy with Intravenous Patient Controlled Analgesia
Mi Young Shin, Ju Young Ha
Journal of Korean Academy of Fundamentals of Nursing.2014; 21(2): 131. CrossRef
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 Kim, Je Bog Yoo, Myung Sook Cho, Eun Ju Shin, Tae Soo Hahm
Journal of Korean Academy of Nursing.2010; 40(3): 423. CrossRef

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