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Use of Seva Stress Release Acupressure to Reduce Pain, Stress, and Fatigue in Patients Hospitalized for Cancer Treatment

Sand-Jecklin, Kari, EdD, MSN, RN, AHN-BC; Reiser, Victoria, BSN, RN

Journal of Hospice & Palliative Nursing: December 2018 - Volume 20 - Issue 6 - p 521–528
doi: 10.1097/NJH.0000000000000484
Symptom Management Series

Patients undergoing treatment for cancer often experience stress, fatigue, and pain during their treatment. Medical management of these symptoms can cause additional adverse effects, but it is possible that noninvasive complementary therapies may be able to reduce these symptoms without unwanted adverse effects. The purpose of this study was to assess the feasibility and impact of the Seva Stress Release acupressure protocol on stress, fatigue, pain, and vital signs of patients hospitalized for cancer treatment. Thirty patients receiving cancer treatment and experiencing stress, fatigue, and pain were recruited for the study. After obtaining informed consent, baseline data (survey and vital signs) were obtained, followed by administration of the Seva Stress Release. After the intervention, vital signs were obtained, and patients completed 2 additional surveys. After Seva, patient stress, fatigue, pain, heart rate, and respirations were significantly decreased (P = .000). Sixty-six percent of participants experienced symptom relief for at least 1 to 4 hours. Qualitative findings also indicated that patients reported better sleep and mental clarity after the intervention. The Seva protocol could be taught to nurses and be used as an independent intervention for patients experiencing adverse effects of cancer treatment, to promote comfort and reduce stress and fatigue.

Kari Sand-Jecklin, EdD, MSN, RN, AHN-BC, is associate professor, West Virginia University School of Nursing, Morgantown.

Victoria Reiser, BSN, RN, is DNP student, University of Pittsburgh School of Nursing, Pennsylvania.

Address correspondence to Kari Sand-Jecklin, EdD, MSN, RN, AHN-BC, West Virginia University School of Nursing, PO Box 9640 HSS, Morgantown, WV 26506 (

The authors have no conflicts of interest to disclose.

© 2018 by The Hospice and Palliative Nurses Association.