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This study is to evaluate the effect of preoperative acupressure application on Postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic cholecystectomy in terms of being in high risk group for PONV.
Prevention of postoperative complications is one of the main tasks of nurses. However, there are limited nursing interventions that can be done to prevent PONV. The American Society of PeriAnesthesia Nurses suggest nurses to teach patients with a high risk of PONV about acupressure application on P6 acupoint or to apply acupressure wristbands preoperatively. However this suggestion has a low evidence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acupressure Wrist Band | Active Comparator | Patient receive preoperative education a day before surgery, education for acupressure application on the day of surgery, an acupressure wrist band is applied on P6 acupoint in both wrist an hour before surgery |
|
| Placebo Wrist Band | Placebo Comparator | Patient receive preoperative education a day before surgery, an placebo acupressure wrist band is applied in both wrist an hour before surgery |
|
| Control Grup Without Band | No Intervention | Patient receive preoperative education a day before surgery, and patient are only visited an hour before surgery |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acupressure Wrist Band | Device | Acupressure wrist band is a knitted elasticated wrist band, which operates by applying pressure on the P6 acupressure point on each wrist by means of a plastic stud. |
| Measure | Description | Time Frame |
|---|---|---|
| Acupressure affect on Postoperative Nausea, Vomiting and medication need | Postoperative nausea, vomiting and medication need are assessed on 2nd, 6th and 24th hours postoperative. Nausea severity measured by 0-10 scoring (0- no nausea,10- nausea as bad as can be), and vomiting is assessed as episodes. Number of antiemetics and analgesics medications that are given (out of routine therapy) are also evaluated. | 24 hours postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Pain | Pain measured by 0-10 scoring (0- no pain,10- pain as bad as can be) on 2nd, 6th and 24th hours postoperative. | 24 hours postoperatively |
| Perioperative Stress | Perioperative Stress measured by State-Trait Anxiety Inventory (STAI) score on day before surgery and day after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Emine Iyigun, Assoc.Prof. | Gulhane Military Medical Academy, School of Nursing, Department of Surgical Nursing | Study Chair |
| Mehmet F CAN, Assoc.Prof. | Gulhane Military Medical Academy, Department of General Surgery | Study Chair |
| Sibel Yilmaz Sahin, PhDs | Gulhane Military Medical Academy, School of Nursing, Department of Surgical Nursing | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25276717 | Background | Adib-Hajbaghery M, Etri M, Hosseainian M, Mousavi MS. Pressure to the p6 acupoint and post-appendectomy pain, nausea, and vomiting: a randomized clinical trial. J Caring Sci. 2013 Jun 1;2(2):115-22. doi: 10.5681/jcs.2013.014. eCollection 2013 Jun. | |
| 12067865 | Background | Agarwal A, Bose N, Gaur A, Singh U, Gupta MK, Singh D. Acupressure and ondansetron for postoperative nausea and vomiting after laparoscopic cholecystectomy. Can J Anaesth. 2002 Jun-Jul;49(6):554-60. doi: 10.1007/BF03017380. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jan 12, 2022 | |
| Reset | Feb 4, 2022 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jan 12, 2022 | Feb 4, 2022 |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D020250 | Postoperative Nausea and Vomiting |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009325 | Nausea |
| D012817 | Signs and Symptoms, Digestive |
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|
| Placebo Acupressure Wrist Band | Device | Placebo Acupressure Wrist Band is a knitted elasticated wrist band without a plastic stud. |
|
| 48 hour |
| 16935735 | Background | American Society of PeriAnesthesia Nurses PONV/PDNV Strategic Work Team. ASPAN'S evidence-based clinical practice guideline for the prevention and/or management of PONV/PDNV. J Perianesth Nurs. 2006 Aug;21(4):230-50. doi: 10.1016/j.jopan.2006.06.003. No abstract available. |
| 16261854 | Background | Hickman AG, Bell DM, Preston JC. Acupressure and postoperative nausea and vomiting. AANA J. 2005 Oct;73(5):379-85. |
| 19370583 | Background | Lee A, Fan LT. Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD003281. doi: 10.1002/14651858.CD003281.pub3. |
| 23350886 | Background | Sadati L, Pazouki A, Mehdizadeh A, Shoar S, Tamannaie Z, Chaichian S. Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scand J Caring Sci. 2013 Dec;27(4):994-8. doi: 10.1111/scs.12022. Epub 2013 Jan 28. |
| D012816 | Signs and Symptoms |
| D014839 | Vomiting |