Independent Researcher, Bremen, Germany.
Department of Gynecology and Obstetric Nursing, University of Erciyes, Health Science Faculty, Kayseri, Turkey.
J Perianesth Nurs. 2021 Aug;36(4):420-427. doi: 10.1016/j.jopan.2020.10.017. Epub 2021 Jun 17.
This randomized controlled experimental study was conducted to determine the effect of acupressure on nausea, vomiting, and vital signs in patients undergoing gynecologic surgery.
A randomized controlled experimental study.
Study participants consisted of females aged 18 to 65 years who underwent surgery in the gynecology clinic of the related hospital between October 2016 and March 2017. The sample originally consisted of 111 patients: K-K9 group (n = 39), P6 group (n = 37), and control group (n = 35). The point P6 in both wrists was determined, and the patients in that group wore a wristband 1 hour before the operation. The point K-K9 in both hands was determined, and one Black Pepper Seed was fixed on the point with the help of a plaster almost 1 hour before the operation. Once the wristband and the seed were placed, they remained in place for 24 hours. The control group received routine care, with no application of acupressure devices.
Final sample number was 103 after six were lost to follow-up. Vital signs of the patients showed a difference between the intervention groups and control group after the surgical procedure. The pulse values varied at statistically significant levels according to groups in the first and second measurements. The respiratory values of the K-K9 and P6 groups were statistically lower than those in the control group in the first, second, fourth, and fifth measurements (P < .05). The first measurement of nausea scores varied statistically according to the groups. The K-K9 group nausea scores were statistically lower than those in the control group (P < .05). At the time of the first measurement, the number of those who retched in the P6 group was statistically higher than those in the K-K9 group (P < .05).
We examined the effect of two types of acupressure in the management of postoperative nausea and vomiting in the first 24 hours after gynecologic surgeries. Although some findings of ours did not show a statistically significant difference, these alternative therapies showed promise.
本随机对照实验研究旨在探讨按压穴位对妇科手术患者恶心、呕吐和生命体征的影响。
随机对照实验研究。
研究对象为 2016 年 10 月至 2017 年 3 月在相关医院妇科诊所接受手术的 18 至 65 岁女性。最初的样本包括 111 名患者：K-K9 组（n=39）、P6 组（n=37）和对照组（n=35）。在手腕上确定 P6 点，该组患者在手术前 1 小时佩戴腕带。在手的 K-K9 点上确定，并用膏药将一粒黑胡椒籽固定在穴位上，大约在手术前 1 小时。一旦戴上腕带并放置好种子，它们就会保持 24 小时。对照组接受常规护理，不使用按压穴位设备。
6 名患者失访后，最终样本数量为 103 名。手术后，患者的生命体征在干预组和对照组之间存在差异。在第一和第二次测量中，根据组别的不同，脉搏值存在统计学差异。在第一、第二、第四和第五次测量中，K-K9 和 P6 组的呼吸值均明显低于对照组（P<0.05）。第一次恶心评分测量结果根据组别的不同存在统计学差异。K-K9 组的恶心评分明显低于对照组（P<0.05）。在第一次测量时，P6 组呕吐的人数明显多于 K-K9 组（P<0.05）。
我们检查了两种类型的按压穴位对妇科手术后 24 小时内恶心和呕吐的管理效果。尽管我们的一些发现没有显示出统计学上的显著差异，但这些替代疗法显示出了希望。
