대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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내관 혈 지압이 통증 자가 조절(PCA)을 하는 부인과 수술환자의 오심과 구토 억제 및 환자만족도에 미치는 효과

Effects of Nei-Guan Acupressure on Nausea, Vomiting and Level of Satisfaction for Gynecological Surgery Patients Who Are Using a Patient-Controlled Analgesia

  • 투고 : 2009.10.12
  • 심사 : 2010.06.15
  • 발행 : 2010.06.30
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초록

Purpose: This study was done to examine effects of Nei-Guan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who were using a patient-controlled analgesia (PCA). Methods: For this study, 51 patients were assigned to one of three groups, a control group (17 patients), experimental group 1 (finger acupressure group) (17 patients), and experimental group 2 (relief band group) (17 patients). The data were collected for 24 hr in the recovery room of a university hospital located in Seoul. The 6 hr-intervals including the time of leaving the recovery room were taken into consideration. Results: The occurrence of nausea between the experimental group with Nei-Guan acupressure treatment and the control group was different. However, there was no difference in nausea and vomiting control or level of patient satisfaction between the finger acupressure group and the relief band group. Conclusion: Nei-Guan acupressure is recommended for nursing practice as a way for alleviating the opioid-induced nausea and accelerating the recovery of patients who are using PCA after surgery.

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참고문헌

  1. Alkaissi, A., Evertsson, K., Johnsson, V., Ofenbartl L., & Kalman, S. (2002). P6 acupressure may relieve nausea and vomiting after gynecological surgery: An effectiveness study in 410 women. Canadian Journal of Anesthesia, 49, 1034-1039. https://doi.org/10.1007/BF03017897
  2. Andrews, P. L. (1992). Physiology of nausea and vomiting. British Journal of Anesthesia, 69 (7 Suppl 1), 2S-19S.
  3. Baek, Y. H., Ok, S. Y., Kim, S. I., Kim, S. C., & Lee, M. H. (2007). Effects of continuous epidural infusion after thoracic epidural anesthesia for mastectomy on postoperative pain, nausea and vomiting. Korean Journal of Anesthesiology, 52, 396-402. https://doi.org/10.4097/kjae.2007.52.4.396
  4. Choi, D. H., Ko, J. S., Ahn, H. J., & Kim, J. A. (2005). A Korean predictive model for postoperative nausea and vomiting. Journal of Korean Medical Science, 20, 811-815. https://doi.org/10.3346/jkms.2005.20.5.811
  5. Dundee, J. W., & Ghaly, R. G. (1989). Does the timming of P6 acupuncture influence its efficacy as a postoperative anti-emetic? British Journal of Anaesthesia, 63, 630.
  6. Dundee, J. W., & Yang, J. (1990). Prolongation of the antiemetic action of p6 acupuncture by acupressure in patients having cancer chemotherapy. Journal of the Royal Society Medicine, 83, 360-362.
  7. Eberhart, L. H., Geldner, G., Kranke, P., Morin, A. M., Schauffelen, A., Treiber, M., et al. (2004). The development and validation of a risk score to predict the probability of postoperative vomiting in pediatric patients. Anesthesia and Analgesia, 99, 1630-1637.
  8. Fassoulaki, A., Papilas, K., Sarantopoulos, C., & Zotou, M. (1993). Transcutaneous electrical nerve stimulation reduces the incidence of vomiting after hysterectomy. Anesthesia and Analgesia, 76, 1012-1014.
  9. Hwang, K. I., Shim, K. D., Lee, S. H., & Kim, H. D. (2004). The effect of continuous infusion of ondansetron on nausea and vomiting during intravenous patient-controlled analgesia. Korean Journal of Anesthesiology, 47, 830-833.
  10. Jang, Y. S., Kim, S. C., Hong, J. T., Ok, S. Y., & Kim, S. I. (2003). Transcutaneous electrical stimulation of the P6 acupoint reduces postoperative nausea and vomiting after laparoscopic cholecystectomy. Korean Journal of Anesthesiology, 44, 853-859.
  11. Kim, J. S., Choi, H. Y., Park, C. H., Na, H. W., & Hong, S. S. (2007). Effects of the Nei-Guan acupressure by wrist band on post operative nausea and vomiting after thyroidectomy. Clinical Nursing Research, 13, 79-89.
  12. Kim, K. S., Kim, D. S., Shin, K. I., & Kim, Y. S. (1995). Effect of electric acupuncture stimulation of PC 6 and PC 7 antiemetic point on postoperative nausea and vomiting. The Journal of the Korean Society of Anesthesiologists, 28, 433-439.
  13. Kim, M. S., Lee, S. Y., Kim, J. S., Min, S. K., Park, Y. D., & Park, H. J. (2007). The effect of ondansetron or dolasetron for the prevention of postoperative nausea and vomiting in patients with intravenous patient-controlled analgesia. Korean Journal of Anesthesiology, 53, 624-629. https://doi.org/10.4097/kjae.2007.53.5.624
  14. Kim, S. I., Kim, S. C., Choi, J. K., & Jin, H. C. (2001). Transcutaneous electrical acupoint stimulation for prevention of postoperative nausea and vomiting in female patients receiving iv-PCA. Intravenous Anesthesia, 5, 210-215.
  15. Kim, S. I., Yoo, I. S., Park, H. N., Ok, S. Y., & Kim, S. C. (2004). Transcutaneous electrical stimulation of the P6 acupoint reduces postoperative nausea after minor breast surgery. Korean Journal of Anesthesiology, 47, 843-849.
  16. Kim, W. M., Kwak, S. H., & Yoon, M. H. (2002). Effect of the P6 acupoint on opioid-induced nausea. Korean Journal of Anesthesiology, 42, 450-454.
  17. Kim, Y. S. (2003). The effects of the Nei-Guan (P6) acupressure on chemotherapy related nausea and vomiting in patients with lung cancer. Unpublished master's thesis, Yonsei University, Seoul.
  18. Lee, H. S., Song, J. H., Kim, T. J., Han, J. U., Lim, H. K., Shin, H., et al. (2004). Comparison of dexamethasone and ondansetron for the prevention of nausea and vomiting using intravenous patient-controlled analgesia after gynecologic surgery. Korean Journal of Anesthesiology, 47, 726-731.
  19. Lee, K. H. (2002). Effects of Nei-Guan acupressure on chemotherapyrelated nausea and vomiting in patients with ovarian cancer. Unpublished master's thesis, Yonsei University, Seoul.
  20. Lee, M. Y., & Min, H. S. (2008). Effects of the Nei-Guan acupressure by wrist band on postoperative nausea and vomiting after middle ear surgery. Journal of Korean Academy of Nursing, 38, 503-512. https://doi.org/10.4040/jkan.2008.38.4.503
  21. Lee, P. B., Park, J. H., Seo, M. S., Kim, Y. C., & Lee, S. C. (2003). The study upon non-invasive and non-pharmacological treatments for the prevention of postoperative nausea and vomiting after mastoidectomy with tympanoplasty. Korean Journal of Anesthesiology, 45, 743-748.
  22. Machin, D., Campbell, M. J., Fayers, P. M., & Pinol, A. P. (1997). Sample size tables for clinical studies (2nd ed.). Oxford: Blackwell Science Ltd.
  23. Ming, J. L., Kuo, B. I., Lin, J. G., & Lin, L. C. (2002). The efficacy of acupressure to prevent nausea and vomiting in post-operative patients. Journal of Advanced Nursing, 39, 343-351. https://doi.org/10.1046/j.1365-2648.2002.02295.x
  24. Park, C. K., Choi, H. Y., Cho, C. K., & Kim, M. S. (2004). Comparison of postoperative nausea and vomiting between gynecologic surgery and cesarean section during intravenous patient controlled analgesia with fentanyl. Korean Journal of Anesthesiology, 46, 306-310.
  25. Shin, H. S., & Song, Y. A. (2005). The effect of P6 acupressure for symptom control in pregnant women having hyperemesis gravidarum. Journal of Korean Academy of Nursing, 35, 593-601.
  26. Shin, M. S. (2002). Effect of acupressure on nausea and vomiting during chemotherapy in postoperative stomach cancer patient. Unpublished master's thesis, Daejeon University, Daejeon.

피인용 문헌

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  10. Effectiveness of Ginger Essential Oil on Postoperative Nausea and Vomiting in Abdominal Surgery Patients vol.23, pp.3, 2010, https://doi.org/10.1089/acm.2015.0328
  11. 심포기맥(K9) 지압과 내관(P6) 지압이 비의식하 진정 위내시경 대상자의 불안, 오심과 구역 및 생리적 변화에 미치는 효과 vol.23, pp.1, 2010, https://doi.org/10.14370/jewnr.2017.23.1.75
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  13. Factors Influencing Satisfaction with Patient-Controlled Analgesia Among Postoperative Patients Using a Generalized Ordinal Logistic Regression Model vol.14, pp.2, 2010, https://doi.org/10.1016/j.anr.2020.03.001
  14. Effectiveness of Integrated Education to Reduce Postoperative Nausea, Vomiting, and Dizziness after Abdominal Surgery under General Anesthesia vol.18, pp.11, 2021, https://doi.org/10.3390/ijerph18116124