Hyun Jung Jung; Sang Youn Park

doi:10.4040/jkan.2013.43.2.215

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Original Article
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):215-224.
DOI: https://doi.org/10.4040/jkan.2013.43.2.215
Published online: April 30, 2013

¹Department of Nursing, Cheongju University, Cheongju, Korea.

²College of Nursing, Kyungpook National University, Daegu, Korea.

Address reprint requests to: Park, Sang Youn. College of Nursing, Kyungpook National University, 101 Dongin-dong, Jung-gu, Daegu 700-422, Korea. Tel: +82-53-420-4929, Fax: +82-53-421-2758, syepark@knu.ac.kr

• Received: September 7, 2012 • Accepted: December 7, 2012

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Abstract
NOTES
REFERENCES

Abstract

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.
Keywords: Postoperative nausea and vomiting; Gynecology; Laparoscopy; Acupuncture points; Capsicum plaster

This manuscript is a revision of the first author's doctoral dissertation from Kyungpook National University.

REFERENCES

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Figure 1

Theoretical framework of this study based on Korean hand therapy and meridian theory.

Figure 2

Location of the Korean hand acupuncture point K-D2. In the experimental group, capsicum plaster (5×5mm²) was applied at the K-D2 points of both 2nd and 4th fingers. Patients of both groups were dressed with an inactive tape for a period of 30 minutes before the induction of anesthesia and removed 8 hours after laparoscopy.

Table 1

Homogeneity Test for Characteristics of Participants related to Postoperative Nausea and Vomiting (N=68)

Exp.=Experimental group; Cont.=Control group; PONV=Postoperative nausea and vomiting.

Table 2

Homogeneity Test for Characteristics related to Anesthesia and Surgery (N=68)

Exp.=Experimental group; Cont.=Control group; IV=Intravenous; PCA=Patient controlled analgesia; ASA=American society of anesthesiologist.

Table 3

Comparisons of Postoperative Nausea and Vomiting after Laparoscopy (N=68)

^*Mann-Whitney test; ^†Fisher's exact test;

Exp.=Experimental group; Cont.=Control group.

Figure & Data

REFERENCES

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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

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

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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

Figure 1 Theoretical framework of this study based on Korean hand therapy and meridian theory.

Figure 2 Location of the Korean hand acupuncture point K-D2. In the experimental group, capsicum plaster (5×5mm2) was applied at the K-D2 points of both 2nd and 4th fingers. Patients of both groups were dressed with an inactive tape for a period of 30 minutes before the induction of anesthesia and removed 8 hours after laparoscopy.

Figure 1

Figure 2

Combination Effects of Capsicum Plaster at the Korean Hand Acupuncture Points K-D2 with Prophylactic Antiemetic on Postoperative Nausea and Vomiting after Gynecologic Laparoscopy

Table 1

Homogeneity Test for Characteristics of Participants related to Postoperative Nausea and Vomiting (N=68)

Exp.=Experimental group; Cont.=Control group; PONV=Postoperative nausea and vomiting.

Table 2

Homogeneity Test for Characteristics related to Anesthesia and Surgery (N=68)

Exp.=Experimental group; Cont.=Control group; IV=Intravenous; PCA=Patient controlled analgesia; ASA=American society of anesthesiologist.

Table 3

Comparisons of Postoperative Nausea and Vomiting after Laparoscopy (N=68)

^*Mann-Whitney test; ^†Fisher's exact test;

Exp.=Experimental group; Cont.=Control group.

Table 1 Homogeneity Test for Characteristics of Participants related to Postoperative Nausea and Vomiting (N=68)

Exp.=Experimental group; Cont.=Control group; PONV=Postoperative nausea and vomiting.

Table 2 Homogeneity Test for Characteristics related to Anesthesia and Surgery (N=68)

Exp.=Experimental group; Cont.=Control group; IV=Intravenous; PCA=Patient controlled analgesia; ASA=American society of anesthesiologist.

Table 3 Comparisons of Postoperative Nausea and Vomiting after Laparoscopy (N=68)