Gür Sevgi, Öztekin Seher Deniz, Öztekin İlhan, Yalçın Orhan
Selçuk University Faculty of Nursing, Department of Surgical Nursing, Konya, Turkey.
Doğuş University School of Health Sciences, Department of Nursing, Istanbul, Turkey.
J Educ Health Promot. 2024 Sep 28;13:347. doi: 10.4103/jehp.jehp_1812_23. eCollection 2024.
The aim of this study is to determine the effect of Korean hand acupressure applied after thyroidectomy on postoperative pain, nausea, vomiting, and retching of number and severity.
The type of study is a randomized study with a post-test-control group. The protocol was prepared according to the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) 2013 checklist. The CONSORT 2017 guideline was followed in reporting the protocol. The study was conducted with 42 patients (intervention/control group = 21) who underwent thyroidectomy in a hospital in Istanbul between February 2021 and June 2022, who met the inclusion criteria, and whose verbal and written informed consent was obtained. Korean hand acupressure was applied for 3 min using mung bean seeds 30 min before anesthesia was given to the patients in the intervention group. The application was continued every 2 h after the operation. The application was terminated at the eighth hour. The control group (patients) received routine post-operative treatment and care. Pain severity, nausea, vomiting, and retching number and severity, antiemetic use, and Rhodes nausea, vomiting, and retching index score at the end of the 24 hour were evaluated at the 2, 6, and 24 hour postoperatively. Data analysis was done with the SPSS 25.0 program.
For the patients in the intervention and control groups, it was found that the number and severity of nausea and vomiting were highest in the 6 hour after surgery. The application of Korean hand acupressure was an effective nursing intervention on the retching state (number/severity) that developed at the 6 hour after thyroidectomy and reduced the use of antiemetics.
本研究旨在确定甲状腺切除术后应用韩式手部穴位按压对术后疼痛、恶心、呕吐及干呕的次数和严重程度的影响。
本研究类型为随机后测对照组研究。研究方案根据2013年SPIRIT（标准方案项目：干预性试验推荐）清单制定。报告方案时遵循了2017年CONSORT指南。本研究对2021年2月至2022年6月期间在伊斯坦布尔一家医院接受甲状腺切除术、符合纳入标准并获得口头和书面知情同意的42例患者（干预组/对照组 = 21）进行。在给干预组患者麻醉前30分钟，使用绿豆籽进行3分钟的韩式手部穴位按压。术后每2小时继续进行一次。在第八小时终止按压。对照组（患者）接受常规术后治疗和护理。在术后2、6和24小时评估术后24小时末的疼痛严重程度、恶心、呕吐及干呕的次数和严重程度、止吐药使用情况以及罗兹恶心、呕吐及干呕指数评分。使用SPSS 25.0程序进行数据分析。
对于干预组和对照组患者，发现术后6小时恶心和呕吐的次数和严重程度最高。韩式手部穴位按压对甲状腺切除术后6小时出现的干呕状态（次数/严重程度）是一种有效的护理干预措施，并减少了止吐药的使用。
