Post-Operative Nausea and Vomiting after Receiving Taiyang Acupressure in Patients Undergoing Gynecological Surgery with General Anesthesia
Article Sidebar
Main Article Content
Abstract
Abstract: This quasi-experimental research aimed to compare the effects of Taiyang acupressure in reducing preoperative nausea and vomiting in patients undergoing gynecological surgery with general anesthesia. The sample consisted of 60 participants, randomly assigned into two groups: 30 patients in the experimental group receiving Taiyang acupressure, and 30 patients in the control group receiving Ondansetron as standard. Data were collected from October 2023 to February 2024 using an assessment form for postoperative nausea and vomiting during the recovery phase. Data analysis was performed using Chi-square, Fisher’s exact test, independent t-test and McNemar test. The results showed no significant differences in body mass index, smoking, or health status (p >.05) but the groups differed significantly in age and history of motion sickness (p <.05). Overall, patients receiving Taiyang acupressure had reduced nausea and vomiting with 29 of them having no symptom and only 1 patient having nausea and vomiting. Among the control group, who received Ondansetron as a prophylaxis, 4 patients (13.3%) had nausea and vomiting. In conclusion, Taiyang acupressure can reduce nausea and vomiting in patients after general anesthesia. This study did not follow up at the ward, longer follow up with a larger sample size is recommended for future study and educate the families/relatives about acupressure techniques to enhance their participation in patient care.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Wongyingsinn M. Preanesthetic evaluation and preparation. Essentials in preoperative assessment. Bangkok: Department of Anesthesia Faculty of Medicine Siriraj Hospital Mahidol University; 2020. P.1-26. Thai.
Wongyingsinn M. Preoperative testing. Essentials in preoperative assessment. Bangkok: Department of Anesthesia Faculty of Medicine Siriraj Hospital Mahidol University; 2020. P.27-50. Thai.
Pranootnarabhal T, Wongyingsinn M. Smoking cessation. Essentials in preoperative assessment. Bangkok: Department of Anesthesia Faculty of Medicine Siriraj Hospital Mahidol University; 2020. P.51-68. Thai.
The Royal College of Anesthesiologist of Thailand. Clinical practice guidelines for prevention and management of Postoperative Nausea and Vomiting (PONV); 2020. Thai.
Public Heaith Foundation of Development. Thai Massage Texbook Volume 1.5th Edition. Bangkok: Mochao Ban Publishing House; 2020. Thai.
Sirimasrungsee S. Effectiveness of clinical practice guideline for the prevention of Postoperative Nausea and Vomiting (PONV) in Pakchong Nana Hospital. Chaiyaphum Medical Journal. 2023; 43(2): 1-13. Thai.
Pancharoen W. The Study of clinical practice guideline for Prevention of Postoperative Nausea and Vomiting (PONV) in Lopburi Cancer Hospital. Thai Cancer J. 2021; 41(2): 78-89. Thai.
Byju A, Pavithran S, Antony R. Effectiveness of acupressure on the experience of nausea and vomiting among patients receiving chemotherapy. Can Oncol Nurs J. 2018; 28(2): 132-8. doi: 10.5737/ 23688076282132138.
Hoffmann D, Murray C, Beck J, et al. Acupressure in Management of Postoperative Nausea and Vomiting in High-Risk Ambulatory Surgical Patients. J Perianesth Nurs. 2017; 32(4): 271-8. doi: 10.1016/j.jopan.2015.09.010.
Onjel E, Erdag E, Adiyeke E, et al. Acupressure versus ondansetron usage for postoperative nausea and vomiting after gynecologic surgeries. Cureus. 2023; 15(3): e36862. doi: 10.7759/cureus.36862.
