Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
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Effects of the Nei-Guan (P6) Acupressure on Nausea, Vomiting, and Pain in Geriatric Patients after Total Knee Replacement Arthroplasty

내관지압이 슬관절 전치환술 받은 노인 환자의 오심, 구토 및 통증에 미치는 효과

  • Yoo, Je-Bog (PACU, Department of Nursing, Samsung Medical Center) ;
  • Jang, Hee-Jung (Division of Nursing, Hallym University) ;
  • Na, Eun-Hee (PACU, Department of Nursing, Samsung Medical Center) ;
  • Kim, Sun-Young (PACU, Department of Nursing, Samsung Medical Center) ;
  • Shin, Dong-Soo (Division of Nursing, Hallym University)
  • 유제복 (삼성서울병원 간호본부 회복실 파트) ;
  • 장희정 (한림대학교 간호학부) ;
  • 나은희 (삼성서울병원 간호본부 회복실) ;
  • 김선영 (삼성서울병원 간호본부 회복실) ;
  • 신동수 (한림대학교 간호학부)
  • Received : 2011.05.14
  • Accepted : 2011.12.26
  • Published : 2011.12.31
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Abstract

Purpose: Patient-controlled epidural analgesia (PCEA) is an effective method for controlling post surgical pain. However, it is associated with adverse drug reactions such as nausea and vomiting. In this, study we tested the effects of Nei-Guan (P6) acupressure on PCEA-associated nausea, vomiting, and pain in geriatric patients after total knee replacement arthroplasty (TKRA). Methods: Ninety-nine patients who had TKRA for the first time were randomly assigned to either, experiment group (n=50) or control groups (n=49). All patients received PCEA immediately after surgery, but acupressure on Nei-Guan (P6) point was applied to experiment group only. Ten minutes of finger acupressure on Nei-Guan (P6) acupressure point was applied twice with 15 minute-interval in the experiment group. The incidence of nausea, vomiting, and retching as well as pain intensity were assessed at 12 and 24 hours after surgery. Nausea, and vomiting were assessed by Index of Nausea, Vomiting and Retching (INVR) questionnaire. Pain intensity was measured with frequency of analgesics. Results: Vomiting both was significantly different between two groups at 12 hours (t=-2.18, p=0.03) and 24 hours (t=-2.64, p=0.01) after surgery. Total scores of nausea, vomiting and retching in experimental group was significantly lower than control group 24hours after surgery (t=-2.18, p=0.03). However, pain was not different between two groups. Conclusion: Nei-Guan (P6) acupressure may be considered as an effective nursing intervention to decrease PCEA-associated nausea and vomiting in older patients after TKRA.

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References

  1. Aidah, A., Karin, E., Vivi-Ann, J., Lilli, O., & Sigga, K. (2002). P6 acupressure may relieve nausea and vomiting after gynecological surgery : an effectiveness study in 410 women. Canadian Journal of Anesthesia, 49, 1037-1039.
  2. Al-Said, M., Newman, B., & Julious, S. A. (1997). Acupuncture in the prevention of postoperative nausea and vomiting. Anesthesia, 52, 659-661.
  3. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed). Hilldale: Laurence erlbaum associates Inc.
  4. East-west nursing research institute. (2000). Introduction to oriental nursing. Seoul: Soomoonsa.
  5. Ham, T. S., & Oh, Y. S. (1999). Pain treatment after surgery. Seoul: Euihak.
  6. Hwang, B. M., Yang, H .S., Hahm, K. D., & Leem, J. G. (2004). The effect of the granisetron and ramosetron on the prevention of postoperative nausea and vomiting during intravenous patient controlled analgesia with fentanyl after total knee replacement surgery. Korean Journal of Pain, 17, 222-227. https://doi.org/10.3344/jkps.2004.17.2.222
  7. Ju, I. Y. (2010). Effects of Kyunghyul acupressure massage ot release pain from patients with lumbago. Unpublished master's thesis, Kyonggi University, Seoul
  8. Kim, D. W. (1999). Acu-moxa royal ide I. Seoul: Sung Han & Kim. Inc.
  9. Kim, N .C., Yoo, J. B., Cho, M. S., Shin, E. J., & Hahm, T. S. (2010). Effects of Nei-Guan(P6) accupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who are using a patients-controlled analgesia. Journal of Korean Academy of Nursing, 40, 423-432. https://doi.org/10.4040/jkan.2010.40.3.423
  10. Kim, M. S., Lee, S. Y., Kim, J. S., Min, S. K., Park, Y. D., & Park, H. J. (2007). The effect of ondansetron or dolasetron for the prevention of postoperative nausea and vomiting in patients with intravenous patient-controlled analgesia. The Journal of the Korean Society of Anesthesiologists, 53, 624-629. https://doi.org/10.4097/kjae.2007.53.5.624
  11. Kim, Y. J., Kim, J. Y., Choi, I. R., Kim, M. Y., & Rhodes, V. (2000). The Index of nausea, vomiting, and retching (Korean translation). The Korean Academic Society of Adult Nursing, 12, 278-285.
  12. Kim, Y. J. (2003). Effects of the nei-guan(P6) acupressure on chemotherapy-related nausea and vomiting in patients with lung cancer. Unpublished master's thesis, Yonsei University, Seoul.
  13. Ko, G. S. (1993). Introduction of acupuncture on spots, Seoul: CheongMoonsa.
  14. Korean society of biological nursing science. (2002). English-Korean Mosby's medical, nursing & allied health dictionary (6th ed). Seoul: Hyunmoonsa.
  15. Kovuranta, M., Laara, L., Snare, L., & Alahuhta, S. (1997). A survey of postoperative nausea and vomiting. Anesthesia, 52, 443-449. https://doi.org/10.1111/j.1365-2044.1997.117-az0113.x
  16. Kwon, J. H. (2011). Effects of Nei-Guan(P6) accupressure wristband on the nausea, vomiting, and retching for female thyroidectomy patients. Unpublished master's thesis, Keimyung University, Daegu.
  17. Lee, K. H. (2002). Effects of nei-guan acupressure on chemotherapy- related nausea and vomiting in patients with ovarian cancer. Unpublished master's thesis, Yonsei University, Seoul.
  18. Lee, M. Y. (2008). Effects of Nei-Guan(P6) accupressure using wrist band for nausea & vomiting after middle ear surgery. Unpublished master's thesis, Dong A University, Busan.
  19. Lee, P. B. (2003). About non-invasive and non-pharmacoogical treatment for prevention of postoperative nausea and vomiting after mastoidectomy with tympanoplasty. Unpublished master's thesis, Seoul University, Seoul.
  20. Lee, Y. Y. (2006). Prediction model on causing factors for the postoperative nausea and vomiting in patients using patient controlled analgesia. Unpublished doctoral dissertation, Chung-Ang University, Seoul.
  21. Ming, J. L., Kuo, Bi., Lin, J. G., & Lin, L. C. (2002). The efficacy of acupressure to prevent nausea and vomiting in postoperative patients. Journal of Advanced Nursing, 39, 343-351. https://doi.org/10.1046/j.1365-2648.2002.02295.x
  22. Park, J. H., Kwon, M. A., Koo, M. S., Kim, Y. I., Kim, S. I., Kim, S. C., et al. (2006). The effects of the preoperative education about analgesics and patient-controlled analgesia (PCA) on the consumption of analgesics after operation. The Journal of the Korean Society of Anesthesiologists, 51, 715-719.
  23. Park, S. H. (2008). Effect of the comfort-functional pain goal on the postoperative pain after unilateral total knee replacement. Unpublished master's thesis, Sung Kyun Kwan University, Seoul.
  24. Rhodes, V. A., & McDaniel, R. W. (1999). The index of nausea, vomiting, and retching: a new format of the index of nausea and vomiting. Oncology Nursing Forum, 26, 889-893.
  25. Rhodes, V. A., Watson, P. M., & Johnson, M. H. (1984). Development of reliable and vaild measures of nausea and vomiting. Cancer Nursing, 7(1), 33-41.
  26. Song, M. S., & Shin, G. Y. (1988). Encouraging chilled oral fluid as a nursing intervention for emesis and decreased fluid intake during cancer chemotherapy. The Seoul Journal of Nursing, 3(1), 1-10.
  27. Shin, C. H. (2004). The effect of PCA education and P6 acupressure on post operative Pain, nausea and vomiting of hysterectomy patient. Unpublished master's thesis, Gyeong-Sang national University, Jinju.
  28. Shin, M. S. (2002). Effect of acupressure on nausea and vomiting during chemotherapy in postoperative stomach cancer patient. Unpublished master's thesis, Daejeon University, Daejeon.
  29. Woo, J. S. (2007). Postoperative pains and the actual conditions of pain management and satisfaction with pain control for elderly operative patients. Unpublished master's thesis, Koshin University, Busan.

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