Shen Chi-Hsiang, Yang Li-Yu
1 Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
2 College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
Biol Res Nurs. 2017 Mar;19(2):145-152. doi: 10.1177/1099800416683801. Epub 2016 Dec 27.
Nausea and vomiting are the most common side effects of antineoplastic chemotherapy. However, only a small number of studies have been conducted in Taiwan to determine the efficacy of acupressure in treating these side effects in cancer patients receiving chemotherapy. In this quasi-experimental study, we aimed to explore the effects of acupressure on meridian energy as well as nausea and vomiting in 70 lung cancer patients receiving chemotherapy. Patients were assigned to the experimental or control group based on order of hospital admission. The experimental group received acupressure on "Neiguan (PC6)" and "Gongsun (SP4)" points, and the control group received sham acupoint patches on "Houxi (SI3)" point. The results showed that the mean meridian energy in the experimental group after acupressure was significantly higher than in the control group ( F = 28.71, p < .001). The experimental group had significantly less nausea ( p < .001) and vomiting ( p = .006) during the delayed phase than the control group. In conclusion, acupressure significantly increased the mean meridian energy and effectively decreased the severity of nausea and vomiting in lung cancer patients undergoing chemotherapy. We recommend that clinical nurses provide acupressure as an intervention to relieve nausea and vomiting in patients receiving chemotherapy.
恶心和呕吐是抗肿瘤化疗最常见的副作用。然而，台湾仅有少数研究探讨指压法对接受化疗的癌症患者缓解这些副作用的疗效。在这项准实验研究中，我们旨在探究指压法对70例接受化疗的肺癌患者经络能量以及恶心和呕吐的影响。患者根据入院顺序被分配至实验组或对照组。实验组接受“内关（PC6）”和“公孙（SP4）”穴位的指压，对照组在“后溪（SI3）”穴位贴上假穴位贴片。结果显示，指压后实验组的平均经络能量显著高于对照组（F = 28.71，p <.001）。实验组在延迟期的恶心（p <.001）和呕吐（p =.006）情况明显少于对照组。总之，指压法显著提高了平均经络能量，并有效降低了接受化疗的肺癌患者恶心和呕吐的严重程度。我们建议临床护士采用指压法干预，以缓解接受化疗患者的恶心和呕吐症状。
