Nam Cho Kim; Je Bog Yoo; Myung Sook Cho; Eun Ju Shin; Tae Soo Hahm

doi:10.4040/jkan.2010.40.3.423

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Original Article
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):423-432.
DOI: https://doi.org/10.4040/jkan.2010.40.3.423
Published online: June 30, 2010

¹Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

²Nurse Manager, PACU, Sam Sung Medical Center, Seoul, Korea.

³Chief Nursing Officer, Sam Sung Medical Center, Seoul, Korea.

⁴Assistant Professor, Kun San College of Nursing, Gunsan, Korea.

⁵Associate Professor, Anesthesiology and Pain Medicine, Sam Sung Medical Center, Seoul, Korea.

Address reprint requests to: Kim, Nam Cho. College of Nursing, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Korea. Tel: 82-2-2258-7405, Fax: 82-2-2258-7772, kncpjo@catholic.ac.kr

• Received: October 12, 2009 • Accepted: June 15, 2010

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Abstract
NOTES
REFERENCES

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.
Keywords: Acupressure; TENS; Nausea and vomiting; Satisfaction

The authors wishes to acknowledge the financial support of the Catholic Medical Center Research Foundation made in the program year of 2008.

REFERENCES

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Figure 1

Research design.

Figure 2

Nei-Guan (P6) acupressure point.

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.

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.

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.

Table 1

Homogeneity for Characteristics of Participants

^*Fisher's exact test.

Exp. 1=experimental group 1 (finger acupressure); Exp. 2=experimental group 2 (relief band); Cont.=control group; Op.= operation.

Table 2

Homogeneity test for variables on leaving PACU

Exp.1=experimental group (finger acupressure); Exp. 2=experimental group (relief band); Cont.=control group; PACU=post anesthetic care unit.

Figure & Data

REFERENCES

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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

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

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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

Figure 1 Research design.

Figure 2 Nei-Guan (P6) acupressure point.

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.

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.

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.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Effects of Nei-Guan Acupressure on Nausea, Vomiting and Level of Satisfaction for Gynecological Surgery Patients Who Are Using a Patient-Controlled Analgesia

Table 1

Homogeneity for Characteristics of Participants

^*Fisher's exact test.

Exp. 1=experimental group 1 (finger acupressure); Exp. 2=experimental group 2 (relief band); Cont.=control group; Op.= operation.

Table 2

Homogeneity test for variables on leaving PACU

Exp.1=experimental group (finger acupressure); Exp. 2=experimental group (relief band); Cont.=control group; PACU=post anesthetic care unit.

Table 1 Homogeneity for Characteristics of Participants

^*Fisher's exact test.

Exp. 1=experimental group 1 (finger acupressure); Exp. 2=experimental group 2 (relief band); Cont.=control group; Op.= operation.

Table 2 Homogeneity test for variables on leaving PACU

Exp.1=experimental group (finger acupressure); Exp. 2=experimental group (relief band); Cont.=control group; PACU=post anesthetic care unit.