Myung Yun Lee; Hye Sook Min

doi:10.4040/jkan.2008.38.4.503

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 38(4); 2008 > Article

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

¹Nurse, Department of Nursing, Dong-A University Medical Center, Korea.

²Associate Professor, Department of Nursing, Dong-A University, Busan, Korea.

Address reprint requests to: Min, Hye-Sook. Department of Nursing, Dong-A University, 1 Dongdaesin-dong 3ga, Seo-gu, Busan 602-714, Korea. Tel: 82-51-240-2872, Fax: 82-51-240-2947, hsmin@dau.ac.kr

• Received: May 6, 2008 • Accepted: July 4, 2008

14 Views
0 Download
7 Scopus

prev next

Full Article

Download PDF

Abstract
REFERENCES

Abstract

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.
Keywords: Acupressure; Operation; Nausea and vomiting

REFERENCES

1. Agarwal A, Pathak A, Gaur A. Acupressure wristbands do not prevent postoperative nausea and vomiting after urological enodscopic surgery. Canadian Journal of Anesthesia. 2002;47:319–324.
2. Alkaissi A, Evertsson K, Johnsson VA, 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.Article PubMed PDF
3. Andrews PL. Physiology of nausea and vomiting. British journal of anaesthesia. 1992;69(7):Suppl 1. 2S–19S.Article PubMed
4. Barsoum G, Perry EP, Fraser IA. Postoperative nausea is relieved by acupressure. Journal of Royal Social Medicine. 1990;83(2):86–89.Article PDF
5. 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.Article PubMed PMC
6. Choi YH. Effects of P6 acupressure and Korean band accupuncture on chemotherapy-induced nausea, vomiting, and anorexia among cancer patients. 2003;Daegu, Keimyung University. Unpublished doctoral dissertation.
7. Cohen J. Statistical power analysis for the behavioral science. 1988;2nd ed. Hillsdale, NJ, Lawrence Erlbaum Association Pub.
8. Dundee JW, Yang J. Prolongation of the antiemetic action of P6 acupressure in patients having cancer chemotherapy. Journal of the Royal Society Medicine. 1990;83:360–362.
9. Fan CF, Tanhui E, Joshi S, Trivedi S, Hong Y, Shevde K. Acupressure treatment for prevention of postoperative nausea and vomiting. Anesthesia and Analgesia. 1997;84:821–825.Article PubMed
10. Ghaly R.G., Fitzpatrick KT, Dundee JW. Antiemetic studies with traditional Chinese acupucture. A comparison of manual needling with electrical stimulation and commonly used antiemetics. Anaesthesia. 1987;42:1108–1110.Article PubMed
11. 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.Article
12. Kim EJ. Effects of NeiGuan acupressure by wrist band on chemotherapy-related nausea and vomiting in patients with liver cancer. 2007;Seoul, Yonsei University. Unpublished master's thesis.
13. 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.
14. Kim YJ, Kim JY, Choi IR, Kim MW, Rhodes V. The index of nausea, vomiting, and retching. Journal of Korean Academy of Adult Nursing. 2000;12:278–285.
15. Kovac AL. Prevention and treatment of postoperative nausea and vomiting. Drugs. 2000;59:213–243.Article PubMed
16. Lee A, Done ML. The use of nonpharmacologic techniques to prevent postoperative nausea and vomiting. A meta-analysis. The use of nonpharmacologic techniques to prevent postoperative nausea and vomiting: A meta-analysis. Anesthesia and Analgesia. 1999;88:1362–1369.PubMed
17. Lee GH. Effects of Nei-Guan acupressure on chemotherapy-related nausea and vomiting in patients with ovarian cancer. 2002;Seoul, Yonsei University. Unpublished master's thesis.
18. Macario A, Weinger M, Truong P, Lee M. Which clinical anesthesia outcomes are both common and important to avoid? The perspective of a panel of expert anesthesiologists. Anesthesia and Analgesia. 1999;88:1085–1091.Article PubMed
19. Mann E. Using acupressure and acupuncture to treat postoperative emesis. Professional Nurse. 1999;14:691–694.PubMed
20. 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.Article PubMed
21. National Institute of Health (NIH) consensus conference. Acupunture. Journal of American Medicine Association. 1998;280:518.
22. Norris CM. Norris CM. Nausea and vomiting. In: Concept clarification in nursing. 1982;Rockville, MD, Aspeu. 8–11.
23. Palazzo MG, Strunin L. Anesthesia and emesis. I. Etiology. Canadian Anaesthetist's Society Journal. 1984;31:178–187.
24. Rhodes VA, McDaniel RW. The index of nausea, vomiting and retching a new format of the index of nausea and vomiting. Oncology Nursing Forum. 1999;26:889–894.PubMed
25. Roscoe JA, Morrow GR, Hickok JT, Bushunow P, Pierce HI, Flynn PJ, et al. The efficacy of acupressure and acustimulation wrist bands for the relief of chemotherapy induced nausea and vomiting. A University of Rochester Cancer Center Community Clinical Oncology Program multicenter study. Journal of Pain and Symptom Management. 2003;26:731–742.Article PubMed
26. 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.Article PubMed PDF
27. Sin CH. Effect of PCA education and P6 acupressure on post operative pain, nausea and vomiting of hysterectomy patient. 2004;Jinju, Gyeongsang National University. Unpublishedmaster's thesis.
28. Sin MS. Effect of acupressure on nausea and vomiting during chemotherapy in postoperative stomach cancer patient. 2002;Daejeon, Daejeon University. Unpublished master's thesis.
29. Stoeling RK. Pharmacology and physiology in anesthetic practice. 1987;Philadelphia, PA, J. B. Lippincott.
30. Strong TH Jr. Alternative therapies of morning sickness. Clinical Obstetrics and Gynecology. 2001;44:653–660.Article PubMed
31. White PF. Are nonpharmacological techniques useful alternative to antiemetic drugs for the prevention of nausea and vomiting? Anesthesia and Analgesia. 1997;84:712–714.PubMed

Figure 1

Research design.

Table 1

Homogeneity Test for Characteristics of Subjects (N=40)

Anesth.=anesthesia; ASA=American Society of Anesthesiology; Exp.=experimental group; Cont.=control group.

Table 2

Group Comparisons in Nauea and Vomiting using INVR between Experimental and Control Group (N=40)

INVR=Index of Nausea, Vomiting and Retching.

Table 3

Group Comparisons in Occurrence of Nauea and Vomiting between Experimental and Control Group (N=40)

PACU=post anesthesia care unit; anesth.=anesthesia.

Table 4

Group Comparisons in Injection of Antiemetics between Experimental and Control Group (N=40)

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Effects of the Nei-Guan Acupressure by Wrist Band on Postoperative Nausea and Vomiting after Middle Ear Surgery

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

XML Download

Figure

We recommend

Effects of the Nei-Guan Acupressure by Wrist Band on Postoperative Nausea and Vomiting after Middle Ear Surgery

Figure 1 Research design.

Figure 1

Effects of the Nei-Guan Acupressure by Wrist Band on Postoperative Nausea and Vomiting after Middle Ear Surgery

Table 1

Homogeneity Test for Characteristics of Subjects (N=40)

Anesth.=anesthesia; ASA=American Society of Anesthesiology; Exp.=experimental group; Cont.=control group.

Table 2

Group Comparisons in Nauea and Vomiting using INVR between Experimental and Control Group (N=40)

INVR=Index of Nausea, Vomiting and Retching.

Table 3

Group Comparisons in Occurrence of Nauea and Vomiting between Experimental and Control Group (N=40)

PACU=post anesthesia care unit; anesth.=anesthesia.

Table 4

Group Comparisons in Injection of Antiemetics between Experimental and Control Group (N=40)

Table 1 Homogeneity Test for Characteristics of Subjects (N=40)

Anesth.=anesthesia; ASA=American Society of Anesthesiology; Exp.=experimental group; Cont.=control group.

Table 2 Group Comparisons in Nauea and Vomiting using INVR between Experimental and Control Group (N=40)

INVR=Index of Nausea, Vomiting and Retching.

Table 3 Group Comparisons in Occurrence of Nauea and Vomiting between Experimental and Control Group (N=40)

PACU=post anesthesia care unit; anesth.=anesthesia.

Table 4 Group Comparisons in Injection of Antiemetics between Experimental and Control Group (N=40)