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Effects of Nei-Guan (P6) Acupressure Wristband: On Nausea, Vomiting, and Retching in Women After Thyroidectomy.

AbstractBACKGROUND:
Postoperative nausea and vomiting (PONV) after thyroidectomy is a common health problem in the recovery room.
OBJECTIVE:
The aim of this study is to examine the effect of the Nei-Guan (P6) acupressure wristband for PONV among patients undergoing thyroidectomy.
METHODS:
Sixty Korean female participants were assigned to 1 of 3 groups (n = 20 each). The control group received usual care without the wristband. The placebo group received usual nursing care plus a wristband at the non-P6 site. The treatment group received usual care plus a wristband at the P6 acupoint 30 minutes before anesthesia; the wristband was removed before leaving the recovery room. Data were collected at 3 periods: in the recovery room and at 6 and 24 hours after surgery.
RESULTS:
The nausea scores of the treatment group were significantly lower than the scores of the placebo or control groups in the recovery room (F = 6.229, P = .044). There were no significant differences in vomiting or retching among the groups.
CONCLUSIONS:
The P6 stimulation with wristband suppressed nausea right after thyroidectomy in the recovery room but did not suppress subsequent vomiting or retching.
IMPLICATION FOR PRACTICE:
The findings indicate that P6 acupressure has the short-term effect of relieving nausea but not vomiting and retching. Use of P6 wristband holds promise and suggests the need for further testing in a larger randomized clinical trial. Identifying other acupoints is recommended to achieve successful management of PONV.
AuthorsJung-Hee Kwon, Yeonghee Shin, Hee-Soon Juon
JournalCancer nursing (Cancer Nurs) 2016 Jan-Feb Vol. 39 Issue 1 Pg. 61-6 ISSN: 1538-9804 [Electronic] United States
PMID25730589 (Publication Type: Journal Article, Randomized Controlled Trial)
Topics
  • Acupressure (instrumentation, methods)
  • Acupuncture Points
  • Female
  • Humans
  • Korea
  • Middle Aged
  • Postoperative Nausea and Vomiting (prevention & control)
  • Thyroidectomy
  • Treatment Outcome
  • Wrist

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