Meta-analysis of Acupressure Studies: Effects on Nausea and Vomiting related Symptoms in Pregnant Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/156592
Type:
Presentation
Title:
Meta-analysis of Acupressure Studies: Effects on Nausea and Vomiting related Symptoms in Pregnant Women
Abstract:
Meta-analysis of Acupressure Studies: Effects on Nausea and Vomiting related Symptoms in Pregnant Women
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Helmreich, Rebecca J., MSN, RN
P.I. Institution Name:University of Texas Health Science Center at Houston
Title:DSN Student
Co-Authors:Shyang-Yun P. K. Shiao, PhD, RN, FAAN; Kara A. Helfenbein, BSN, RN; Linda S. Dune, PhD, RN, CCRN, CEN
About 50% to 90% of pregnant women have symptoms of morning sickness including nausea, dry retching, and vomiting (NVS), during the early stage of pregnancy. Reduced gastric motility and the stimulation of chemoreceptor trigger zone with increased hormone levels are major causes of NVS. Increased heart rate and respiratory rate with increased metabolic demands during pregnancy further decrease parasympathetic capacity to organize the neurological responses to cause NVS. With increased concerns for complications of drugs to fetus and the stimulations of chemoreceptor zone, acupressure is more feasible than medications for pregnant women. Previous reviews on NVS during pregnancy included all complementary and alternative therapies and indicated significant effects with acupressure, vitamine B6, and ginger; and of 6 trials reviewed, acupuncture and acupressure effects were combined. Thus, systematic reviews and meta-analyses of acupressure studies were conducted for pregnant women for the current best evidence. Fourteen studies were located for pregnant women, including 11 acupressure studies and 3 acupuncture studies; of which wrist acuband was used in 8 studies; manual finger pressure in 2 studies, and transcutaneous electric nerve stimulator in 1 study. The results were coded and evaluated by two raters to reach 100% agreement. Pericardium 6 point was used in all studies without side effects. All studies except two indicated significant NVS relief with acupressure therapy, and these two studies without significant effects were poor quality papers for design, data collection, and scholarly considerations. The pooled relative risk reduction for NVS was 0.51 (n = 879, P < 0.0001) comparing acupressure to placebo effects. Nausea symptom was reduced in 6 studies, and NVS in 3 studies. Use of unilateral acuband was as effective as bilateral acubands. Additional acupoints used in acupuncture studies included ST34, ST36, ST44, SP4, and REN12. These acupoints and the studies will be discussed during the presentation.
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 Pregnant Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156592-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Meta-analysis of Acupressure Studies: Effects on Nausea and Vomiting related Symptoms in Pregnant Women</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">Helmreich, Rebecca J., MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Texas Health Science Center at Houston</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">DSN Student</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rhelmreich@uth.tmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Shyang-Yun P. K. Shiao, PhD, RN, FAAN; Kara A. Helfenbein, BSN, RN; Linda S. Dune, PhD, RN, CCRN, CEN</td></tr><tr><td colspan="2" class="item-abstract">About 50% to 90% of pregnant women have symptoms of morning sickness including nausea, dry retching, and vomiting (NVS), during the early stage of pregnancy. Reduced gastric motility and the stimulation of chemoreceptor trigger zone with increased hormone levels are major causes of NVS. Increased heart rate and respiratory rate with increased metabolic demands during pregnancy further decrease parasympathetic capacity to organize the neurological responses to cause NVS. With increased concerns for complications of drugs to fetus and the stimulations of chemoreceptor zone, acupressure is more feasible than medications for pregnant women. Previous reviews on NVS during pregnancy included all complementary and alternative therapies and indicated significant effects with acupressure, vitamine B6, and ginger; and of 6 trials reviewed, acupuncture and acupressure effects were combined. Thus, systematic reviews and meta-analyses of acupressure studies were conducted for pregnant women for the current best evidence. Fourteen studies were located for pregnant women, including 11 acupressure studies and 3 acupuncture studies; of which wrist acuband was used in 8 studies; manual finger pressure in 2 studies, and transcutaneous electric nerve stimulator in 1 study. The results were coded and evaluated by two raters to reach 100% agreement. Pericardium 6 point was used in all studies without side effects. All studies except two indicated significant NVS relief with acupressure therapy, and these two studies without significant effects were poor quality papers for design, data collection, and scholarly considerations. The pooled relative risk reduction for NVS was 0.51 (n = 879, P &lt; 0.0001) comparing acupressure to placebo effects. Nausea symptom was reduced in 6 studies, and NVS in 3 studies. Use of unilateral acuband was as effective as bilateral acubands. Additional acupoints used in acupuncture studies included ST34, ST36, ST44, SP4, and REN12. These acupoints and the studies will be discussed during the presentation.</td></tr></table>en_GB
dc.date.available2011-10-26T14:55:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:55:59Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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