Browse > Article
http://dx.doi.org/10.14370/jewnr.2017.23.1.75

The Effect of Pericardium Kimek (K9) and Nei-Guan (P6) Acupressure on Anxiety, Nausea, Retching, and Physiologic Changes in Patients Performed Unsedated Esophagogastroduodenoscopy  

Kim, Ji Hyun (Dept.of Nursing, College of Medicine, Wonkwang University)
Jeong, Gye Seon (Chosun Nursing College)
Publication Information
Journal of East-West Nursing Research / v.23, no.1, 2017 , pp. 75-85 More about this Journal
Abstract
Purpose: This study was conducted to examine the effects of Pericardium Kimek (K9) and Nei-Guan (P6) acupressure on relief of the anxiety, nausea, retching and physiologic changes (oxygen saturation, blood pressure, heart rate, temperature and respiration) in the patients undergoing unsedated esophagogastroduodenoscopy. Methods: A quasi-experimental research design was used. The participants were assigned into the listed three groups, i.e., the control group, the first experimental group (E1: K9 acupressure group) and the second experimental group (E2: P6 acupressure group). A total of 60 participants were included for analysis. Results: The severity of nausea (F=3.503, p=.037), the oxygen saturation (F=5.417, p=.007). and the respiration rate (F=7.270, p=.002) showed statistically significant differences in three groups. Conclusion: Based on the results of the present study, K9 acupressure with moxa pellets and P6 acupressure with wristbands (Sea-Band) are considered to be safe and an easy-to-apply intervention to relieve nausea and maintain the level of oxygen saturation and respiration rate in patients undergone unsedated esophagogastroduodenoscopy.
Keywords
Acupressure; Nausea; Retching;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Kim JT, Shin DK. (1978). A study on the standardization of STAI for Korea. The New Medical Journal, 1978;21;69-75.
2 Cline M, Herman J, Shaw ER, Morton RD. Standardization of the visual analogue scale. Nursing Research. 1992;41(6):378-379. http://dx.doi.org/10.1097/00006199-199211000-00013   DOI
3 Kim YJ, Kim JY, Choi IR, Kim MW, Rhodes VA. The Index of nausea, vomiting and retching(Korean translation). Korean Journal of Adult Nursing, 2000;12(2):278-285.
4 Yoo JY, Hahm SK, Chun JY, Lee SH, Cho SH, Park JA. The effect of family member's attendance on relief of patient's discomfort during upper gastrointestinal endoscopy. Korean Journal of Family Medicine. 2008;29:13-19.
5 Kwon YE, Kim BH. The effects of video-audio information provision on physical discomfort, anxiety, and nursing satisfaction of the clients for gastroscopy. Korean Journal of Adult Nursing, 2013;25(1):231-239. http://dx.doi.org/10.7475/kjan.2013.25.2.231   DOI
6 Kim GM, Lee DW, Park KH, Jeong HS, Choi JH. The Effect of relaxation music on anxiety in subjects performed unsedated esophagogastroduodenoscopy. Korean Journal of Family Medicine. 2010;31:786-792. http://dx.doi.org/10.4082/kjfm.2010.31.10.786   DOI
7 Leung WW, Mui WL, Ng SS, Lee JF, Ng EK, Lau JY. Acupuncture for diagnostic upper endoscopy in adults: a randomized sham-controlled trial. Journal of the American Society for Gastrointestinal Endoscopy. 2008;67(5),AB245. DOI:http://dx.doi.org/10.1016/j.gie.2008.03.646   DOI
8 Chen YB, Lu Q, Lan AZ, Su R, Huang HH. Clinical observation on acupuncture for intervening the response in gastroscopy. Zhongguo Zhen Jiu(Chinese Acupuncture & Moxibustion), 2007;27(9), 685-686. https://www.ncbi.nlm.nih.gov/pubmed/17926624
9 Tarcin O, Gurbuz AK, Pocan S, Keskin O, Demirturk L. Acustimulation of the neiguan point during gastroscopy : its effects on nausea and retching. The Turkish Journal of Gastroenterology, 2004;15(4);258-262. https://www.ncbi.nlm.nih.gov/pubmed/16249982
10 National Cancer Institute. Acupuncture($PDQ^{(R)}$)-Health Professional Version 2016.[Internet] National Cancer Institute at the National Institutes of Health[cited 2016 September 2] Available from: https://www.cancer.gov/about-cancer/treatment/cam/hp/acupuncture-pdq
11 Witt CM, Meissner K, Pach D, Thiele C, Lüdtke R, Ghadiyali Z, et al. Stimulation of gastric slow waves with manual acupuncture at acupuncture points ST36 and PC6-A randomized single blind controlled trial. Journal of Neurogastroenterology and Motility, 2012;24(5);438-445. http://dx.doi.org/10.1111/j.1365-2982.2012.01877.x   DOI
12 Naurani S, Aparnak F, Nabavi SR, Ebrahimzadeh S. Comparison of K-K9 and P6 acupoints acupressure on nausea and vomiting in the first half of pregnancy. The Journal of Urmia University of Medical, 2011;22(4);369-378.
13 Dundee JW, Chestnutt WN, Ghaly RG, Lynas AG. Traditional Chinese acupuncture: A potentially useful antiemetic?. British Medical Journal, 293, 583-584. https://doi.org/10.1136/bmj.293.6547.583   DOI
14 Taspinar A, Sirin A. (2010). Effect of acupressure on chemotherapyinduced nausea and vomiting in gynecologic cancer patients in Turkey. European Journal of Oncology Nursing, 2010;14(1);49-54. http://dx.doi.org/10.1016/j.ejon.2009.07.006   DOI
15 Yoo TW. Seogeum therapy. Seoul: Society of Koryosoojichim; 2010.
16 Chung IK. Gastric cancer screening guidelines & recommendations. Korean Society of Gastrointestinal Endoscopy. 2016;54th Seminar; 103-106. http://dx.doi.org/schedule/old_data/semina/2016_54/semina/21-%EC%A0%95%EC%9D%BC%EA%B6%8C%20%EC%84%A0%EC%83%9D%EB%8B%98.pdf
17 Kim NC, Yoo JB, Cho MS, Shin EJ, Hahm TS. Effects of nei-guan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who are using a patient-controlled analgesia. Journal of Korean Academy of Nursing, 2013;40(3):423-432. http://dx.doi.org/10.4040/jkan.2010.40.3.423   DOI
18 Boehler M, Mitterschiffthaler G, Schlager A. Korean hand acupressure reduces postoperative nausea and vomiting after gynecological laparoscopic surgery. Anesthesia and Analgesia, 2002;94(4);872-875. http://dx.doi.org/10.1097/00000539-200204000-00018   DOI
19 Bertalanffy P, Klaus H, Roman F, Helmut S, Franziska W, Manfred G, et al. Korean hand acupressure for motion sickness in prehospital trauma care: a prospective, randomized, double-blinded trial in a geriatric population, Anesthesia & Analgesia, 2004;98(1);220-223. http://dx.doi.org/10.1213/01.ane.0000093252.56986.29   DOI
20 Jones MP, Ebert CC, Sloan T, Spanier J, Bansal A, Howden C W, et al. Patient anxiety and elective gastrointestinal endoscopy. Journal of Clinical Gastroenterology, 2004;38(1), 35-40. http://dx.doi.org/10.1097/00004836-200401000-00009   DOI
21 Choi JM, Kim SG. Diagnosis and treatment of helicobacter pylori infection: Korean and overseas guidelines. The Korean Journal of Medicine, 2015;89(2),157-168. http://dx.doi.org/10.3904/kjm.2015.89.2.157   DOI
22 Miller AD, Leslie RA. The area postrema and vomiting. Frontiers in neuroendocrinology, 1994;15(4);301-320. http://dx.doi.org/10.1006/frne.1994.1012   DOI
23 Choi JH, Jeong HS, Lee DW, Park KH, Kim GM. Factors related to pre-procedural anxiety for gastroscopy in health check examinee. Korean Journal of Family Medicine. 2010;31:923-929. http://dx.doi.org/10.4082/kjfm.2010.31.12.923   DOI
24 Schaible A, Schwan K, Bruckner T, Plaschke K, Buchler MW, Weigand M, et al. Acupuncture to improve tolerance of diagnostic esophagogastroduodenoscopy in patients without systemic sedation: results of a single-center, double-blinded, randomized controlled trial. Trials. 2016;17(350); 2-9. http://dx.doi.org/10.1186/s13063-016-1468-0   DOI
25 Gennaro S, Hennessy MD. Psychological and physiological stress: impact on preterm birth. Journal of Obstetric, Gynecologic & Neonatal Nursing, 2003;32(5),668-675. https://doi.org/10.1177/0884217503257484   DOI
26 Lee HS, Sung KW, Son BK, Kim JS, Lee HJ, Lee SY. Effects of hand massage through korean hand acupuncture therapy on nausea, vomiting and anorexia induced by chemotherapy in cancer patients. Clinical Nursing Research, 2006;11(2);7-19.
27 Pazoki S, Yazdi B, Sarvarian A, Aliabady, R. (2008). Evaluation of capsicum ointment application on korean hand acupressure points K-D2, K-K9 in reducing postoperative nausea and vomiting after cataract surgery with general anesthesia, Arak University of Medical Science Journal, 2008;11(4);15-22.http://pesquisa.bvsalud.org/oncologiauy/resource/en/emro-112757
28 Choi EH, Kwon KN. Effects of hand acupressure on blood pressure of older adults, Journal of Korean Gerontological Nursing, 2013; 15(2);112-119.
29 Shin SJ, Kim KH, Hwang EH, Chun WJ. The effectiveness of hand acupuncture therapy on the depression, anxiety, and insomnia in postmenopausal women. Yosong Kongang, 2007;8(2);29-48.
30 Spielberger CD, Barratt ES. Anxiety: Current trends in theory and research, Vol I. United States: Academic Press;1972.