Meta-analysis of Acupressure Studies:Effects on Nausea and Vomiting related Symptoms in Postoperative Adult Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/153648
Type:
Presentation
Title:
Meta-analysis of Acupressure Studies:Effects on Nausea and Vomiting related Symptoms in Postoperative Adult Patients
Abstract:
Meta-analysis of Acupressure Studies:Effects on Nausea and Vomiting related Symptoms in Postoperative Adult Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Shiao, Shyang-Yun P. K., PhD, RN, FAAN
P.I. Institution Name:Univesity of Texas Health Science Center at Houston
Title:Associate Professor
Co-Authors:Maria Teresa Tet Ontoy, BSN, RN; Mary Anne Howard, RN, MS, CPAN; Linda S. Dune, PhD, RN, CCRN, CEN
About 20-90% of patients might experience postoperative nausea and vomiting (PONV) after surgical procedures, and vomiting could be serious when pulmonary aspiration occurs. Common reasons include the stimulations of chemoreceoptor zone for vomiting by anesthetic agents and medications; also decreased gastric motility and motions sickness, with the surgery; as well as fear, anxiety, pain, and increased respiratory rate after surgery. Female gender and past history of motion sickness and PONV are important predictors of PONV. Previous reviews on PONV focused only on P6 meridian acupoint and reported results combining adults and children, as well as acupuncture and acupressure studies together, of which 14 studies were related to acupressure effects. We have located 24 trials for acupressure effects on PONV. The most investigated meridian point is P6 acupoint (23 trials), and K K-9 acupoint was used in one study. General abdominal surgeries were included in 8 studies; women undergoing gynecological surgeries in 9 studies; cesarean (C-) section in 4 studies; cardiac patients in 2 studies; and urology surgery in 1 study. These papers were coded and reviewed by two raters for the quality and the calculation of pooled relative risk (RR) rate. RR was reduced to 0.46 for nausea symptom and 0.53 for vomiting (n = 3136, P < 0.0001) comparing acupressure to placebo effects. Acupressure had no effects for urology patients in one study. Acupressure was less effective for women and cardiac patients. RR on vomiting was 0.59 for gynecology patients, 0.52 for C-section (spinal anesthesia), and 0.55 for cardiac patients, compared to 0.49 for general surgery patients with combined gender. Most studies examined PONV for 24 hours. Acupressure treatment is safe and effective for PONV. More quality research is needed to standardize the dose, frequency, and duration of different acupoints for acupressure effects in different populations.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMeta-analysis of Acupressure Studies:Effects on Nausea and Vomiting related Symptoms in Postoperative Adult Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153648-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Meta-analysis of Acupressure Studies:Effects on Nausea and Vomiting related Symptoms in Postoperative Adult Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Shiao, Shyang-Yun P. K., PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Univesity of Texas Health Science Center at Houston</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Pamela.Shiao@uth.tmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Maria Teresa Tet Ontoy, BSN, RN; Mary Anne Howard, RN, MS, CPAN; Linda S. Dune, PhD, RN, CCRN, CEN</td></tr><tr><td colspan="2" class="item-abstract">About 20-90% of patients might experience postoperative nausea and vomiting (PONV) after surgical procedures, and vomiting could be serious when pulmonary aspiration occurs. Common reasons include the stimulations of chemoreceoptor zone for vomiting by anesthetic agents and medications; also decreased gastric motility and motions sickness, with the surgery; as well as fear, anxiety, pain, and increased respiratory rate after surgery. Female gender and past history of motion sickness and PONV are important predictors of PONV. Previous reviews on PONV focused only on P6 meridian acupoint and reported results combining adults and children, as well as acupuncture and acupressure studies together, of which 14 studies were related to acupressure effects. We have located 24 trials for acupressure effects on PONV. The most investigated meridian point is P6 acupoint (23 trials), and K K-9 acupoint was used in one study. General abdominal surgeries were included in 8 studies; women undergoing gynecological surgeries in 9 studies; cesarean (C-) section in 4 studies; cardiac patients in 2 studies; and urology surgery in 1 study. These papers were coded and reviewed by two raters for the quality and the calculation of pooled relative risk (RR) rate. RR was reduced to 0.46 for nausea symptom and 0.53 for vomiting (n = 3136, P &lt; 0.0001) comparing acupressure to placebo effects. Acupressure had no effects for urology patients in one study. Acupressure was less effective for women and cardiac patients. RR on vomiting was 0.59 for gynecology patients, 0.52 for C-section (spinal anesthesia), and 0.55 for cardiac patients, compared to 0.49 for general surgery patients with combined gender. Most studies examined PONV for 24 hours. Acupressure treatment is safe and effective for PONV. More quality research is needed to standardize the dose, frequency, and duration of different acupoints for acupressure effects in different populations.</td></tr></table>en_GB
dc.date.available2011-10-26T12:25:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:25:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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