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Effect of Acupressure on Nausea and Vomiting During Chemotherapy Cycle for Korean Postoperative Stomach Cancer Patients

Shin, Yeong Hee PhD, RN; Kim, Tae Im PhD, RN; Shin, Mi Sook MSN, RN; Juon, Hee-Soon PhD

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Despite the development of effective antiemetic drugs, nausea and vomiting remain the main side effects associated with cancer chemotherapy. The purpose of this study was to examine the effect of acupressure on emesis control in postoperative gastric cancer patients undergoing chemotherapy. Forty postoperative gastric cancer patients receiving the first cycle of chemotherapy with cisplatin and 5-Fluorouracil were divided into control and intervention groups (n = 20 each). Both groups received regular antiemesis medication; however, the intervention group received acupressure training and was instructed to perform the finger acupressure maneuver for 5 minutes on P6 (Nei-Guan) point located at 3-finger widths up from the first palmar crease, between palmaris longus and flexor carpi radialis tendons point, at least 3 times a day before chemotherapy and mealtimes or based on their needs. Both groups received equally frequent nursing visits and consultations, and reported nausea and vomiting using Rhode's Index of Nausea, Vomiting and Retching. We found significant differences between intervention and control groups in the severity of nausea and vomiting, the duration of nausea, and frequency of vomiting. This study suggests that acupressure on P6 point appears to be an effective adjunct maneuver in the course of emesis control.

Keimyung University, Dongsan-dong, Jung-gu, Daegu (Dr Shin), the Daejeon University, Daejeon (Dr Kim), the Daejeon Catholic Hospital, Daejeon (Ms Shin), Korea; and the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md (Dr Juon).

Reprints: Hee-Soon Juon, PhD, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, 712, Baltimore, MD 21205 (e-mail: hjuon@jhsph.edu).

Accepted for publication March 9, 2004.

© 2004 Lippincott Williams & Wilkins, Inc.