穴位按摩能否減輕化學治療引起的噁心、嘔吐之實證探討與臨床運用

Acupressure Can Alleviate Chemotherapy-Induced Nausea and Vomiting (CINV)-Evidence and Clinical Application

莊素完(Su-Wan Chuang) ； 連憶瑄(Yi-Hsuan Lian) ； 房瑞玲(Jui-Ling Fang)

《榮總護理》 31卷1期 (2014/03) Pp. 34-42

https://doi.org/10.6142/VGHN.31.1.34

摘要

Clinically, chemotherapy-induced side effects include nausea and vomiting. These are two of the most common side effects which could easily lead to the patient's discomfort and affect the patient's decision to continue to receive chemotherapy. In recent years, massage therapy is often used in Western aid in order to alleviate the physical symptoms of the disease or to ease discomfort after the treatment process. The authors would like to know whether giving a massage can help to relieve chemotherapy-induced nausea and vomiting. Based on evidence-based reviewed, including three randomized controlled trials and one systematic review article, the conclusion stand that intervention massage (Neiguan) can reduce nausea effectively. According to repeated measures analysis, the selected 70 patients who had nausea or vomiting symptoms after received chemotherapy, the degree of nausea had great improved in experimental group which was received acupressure (F=14.245, P＜0.01). Therefore, the authors stated that acupressure can decrease patient severe nausea obviously. Finally, this results can guide the clinical staff how to relief nausea and vomiting symptoms for cancer patient after chemotherapy, and also it can provide an alternative care in the oncology nursing.

關鍵字

化學治療 ； 噁心 ； 嘔吐 ； 穴位按摩

並列摘要

Clinically, chemotherapy-induced side effects include nausea and vomiting. These are two of the most common side effects which could easily lead to the patient's discomfort and affect the patient's decision to continue to receive chemotherapy. In recent years, massage therapy is often used in Western aid in order to alleviate the physical symptoms of the disease or to ease discomfort after the treatment process. The authors would like to know whether giving a massage can help to relieve chemotherapy-induced nausea and vomiting. Based on evidence-based reviewed, including three randomized controlled trials and one systematic review article, the conclusion stand that intervention massage (Neiguan) can reduce nausea effectively. According to repeated measures analysis, the selected 70 patients who had nausea or vomiting symptoms after received chemotherapy, the degree of nausea had great improved in experimental group which was received acupressure (F=14.245, P＜0.01). Therefore, the authors stated that acupressure can decrease patient severe nausea obviously. Finally, this results can guide the clinical staff how to relief nausea and vomiting symptoms for cancer patient after chemotherapy, and also it can provide an alternative care in the oncology nursing.

並列關鍵字

chemotherapy ； nausea ； vomiting ； acupressure