The effects of P6 acupressure in the prophylaxis of chemotherapy-related nausea and vomiting in breast cancer patients
Summary Background Nausea, and to a lesser extend vomiting, remain significant clinical problems after the administration of chemotherapy, with up to 60% of patients reporting nausea despite use of antiemetics. Combining antiemetics with other non-pharmacological treatments may prove more effective...
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description | Summary Background Nausea, and to a lesser extend vomiting, remain significant clinical problems after the administration of chemotherapy, with up to 60% of patients reporting nausea despite use of antiemetics. Combining antiemetics with other non-pharmacological treatments may prove more effective in decreasing nausea than antiemetics alone. Hence, the aim of the current study was to evaluate the effectiveness of using acupressure in Pericardium 6 (Neiguan) acu-point in managing chemotherapy-induced nausea and vomiting. Methods This was a randomised controlled trial. Acupressure was applied using wristbands (Sea-Band™) which patients in the experimental group had to wear for the 5 days following the chemotherapy administration. Assessments of nausea, retching and vomiting were obtained from all patients daily for 5 days. Thirty-six patients completed the study from two centres in the UK, with 19 patients allocated to the control arm and 17 to the experimental arm. Results It was found that nausea and retching experience , and nausea, vomiting and retching occurrence and distress were all significantly lower in the experimental group compared to the control group ( P < 0.05). The only exception was with the vomiting experience, which was close to significance ( P = 0.06). Discussion Results highlight the important role of safe and convenient non-pharmacological complementary therapies, such as acupressure, in the management of the complex symptoms of chemotherapy-related nausea and vomiting. |
doi_str_mv | 10.1016/j.ctim.2006.07.005 |
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Combining antiemetics with other non-pharmacological treatments may prove more effective in decreasing nausea than antiemetics alone. Hence, the aim of the current study was to evaluate the effectiveness of using acupressure in Pericardium 6 (Neiguan) acu-point in managing chemotherapy-induced nausea and vomiting. Methods This was a randomised controlled trial. Acupressure was applied using wristbands (Sea-Band™) which patients in the experimental group had to wear for the 5 days following the chemotherapy administration. Assessments of nausea, retching and vomiting were obtained from all patients daily for 5 days. Thirty-six patients completed the study from two centres in the UK, with 19 patients allocated to the control arm and 17 to the experimental arm. Results It was found that nausea and retching experience , and nausea, vomiting and retching occurrence and distress were all significantly lower in the experimental group compared to the control group ( P < 0.05). The only exception was with the vomiting experience, which was close to significance ( P = 0.06). Discussion Results highlight the important role of safe and convenient non-pharmacological complementary therapies, such as acupressure, in the management of the complex symptoms of chemotherapy-related nausea and vomiting.</description><identifier>ISSN: 0965-2299</identifier><identifier>EISSN: 1873-6963</identifier><identifier>DOI: 10.1016/j.ctim.2006.07.005</identifier><identifier>PMID: 17352966</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Acupressure ; Acupuncture ; Adult ; Aged ; Antiemetics ; Antiemetics - therapeutic use ; Antineoplastic Agents - adverse effects ; Antineoplastic Agents - therapeutic use ; Breast cancer ; Breast Neoplasms - drug therapy ; Cancer ; Chemotherapy ; Complementary therapies ; Educational Status ; Female ; Humans ; Internal Medicine ; Intervention ; Marital Status ; Medical Education ; Middle Aged ; Nausea ; Nausea - chemically induced ; Nausea - therapy ; Retching ; Vomiting ; Vomiting - chemically induced ; Vomiting - therapy</subject><ispartof>Complementary therapies in medicine, 2007-03, Vol.15 (1), p.3-12</ispartof><rights>Elsevier Ltd</rights><rights>2006 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-8cba8f91d9e1707d48d9056672a11662da3637f0e5ed0e813437983bcf8bf4943</citedby><cites>FETCH-LOGICAL-c437t-8cba8f91d9e1707d48d9056672a11662da3637f0e5ed0e813437983bcf8bf4943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1032997158?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,3539,27911,27912,45982,64370,64372,64374,72224</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17352966$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Molassiotis, A</creatorcontrib><creatorcontrib>Helin, A.M</creatorcontrib><creatorcontrib>Dabbour, R</creatorcontrib><creatorcontrib>Hummerston, S</creatorcontrib><title>The effects of P6 acupressure in the prophylaxis of chemotherapy-related nausea and vomiting in breast cancer patients</title><title>Complementary therapies in medicine</title><addtitle>Complement Ther Med</addtitle><description>Summary Background Nausea, and to a lesser extend vomiting, remain significant clinical problems after the administration of chemotherapy, with up to 60% of patients reporting nausea despite use of antiemetics. Combining antiemetics with other non-pharmacological treatments may prove more effective in decreasing nausea than antiemetics alone. Hence, the aim of the current study was to evaluate the effectiveness of using acupressure in Pericardium 6 (Neiguan) acu-point in managing chemotherapy-induced nausea and vomiting. Methods This was a randomised controlled trial. Acupressure was applied using wristbands (Sea-Band™) which patients in the experimental group had to wear for the 5 days following the chemotherapy administration. Assessments of nausea, retching and vomiting were obtained from all patients daily for 5 days. Thirty-six patients completed the study from two centres in the UK, with 19 patients allocated to the control arm and 17 to the experimental arm. Results It was found that nausea and retching experience , and nausea, vomiting and retching occurrence and distress were all significantly lower in the experimental group compared to the control group ( P < 0.05). The only exception was with the vomiting experience, which was close to significance ( P = 0.06). Discussion Results highlight the important role of safe and convenient non-pharmacological complementary therapies, such as acupressure, in the management of the complex symptoms of chemotherapy-related nausea and vomiting.</description><subject>Acupressure</subject><subject>Acupuncture</subject><subject>Adult</subject><subject>Aged</subject><subject>Antiemetics</subject><subject>Antiemetics - therapeutic use</subject><subject>Antineoplastic Agents - adverse effects</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Cancer</subject><subject>Chemotherapy</subject><subject>Complementary therapies</subject><subject>Educational Status</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Intervention</subject><subject>Marital Status</subject><subject>Medical Education</subject><subject>Middle Aged</subject><subject>Nausea</subject><subject>Nausea - 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therapeutic use</topic><topic>Antineoplastic Agents - adverse effects</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - drug therapy</topic><topic>Cancer</topic><topic>Chemotherapy</topic><topic>Complementary therapies</topic><topic>Educational Status</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Intervention</topic><topic>Marital Status</topic><topic>Medical Education</topic><topic>Middle Aged</topic><topic>Nausea</topic><topic>Nausea - chemically induced</topic><topic>Nausea - therapy</topic><topic>Retching</topic><topic>Vomiting</topic><topic>Vomiting - chemically induced</topic><topic>Vomiting - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Molassiotis, A</creatorcontrib><creatorcontrib>Helin, A.M</creatorcontrib><creatorcontrib>Dabbour, R</creatorcontrib><creatorcontrib>Hummerston, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Complementary therapies in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Molassiotis, A</au><au>Helin, A.M</au><au>Dabbour, R</au><au>Hummerston, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of P6 acupressure in the prophylaxis of chemotherapy-related nausea and vomiting in breast cancer patients</atitle><jtitle>Complementary therapies in medicine</jtitle><addtitle>Complement Ther Med</addtitle><date>2007-03-01</date><risdate>2007</risdate><volume>15</volume><issue>1</issue><spage>3</spage><epage>12</epage><pages>3-12</pages><issn>0965-2299</issn><eissn>1873-6963</eissn><abstract>Summary Background Nausea, and to a lesser extend vomiting, remain significant clinical problems after the administration of chemotherapy, with up to 60% of patients reporting nausea despite use of antiemetics. Combining antiemetics with other non-pharmacological treatments may prove more effective in decreasing nausea than antiemetics alone. Hence, the aim of the current study was to evaluate the effectiveness of using acupressure in Pericardium 6 (Neiguan) acu-point in managing chemotherapy-induced nausea and vomiting. Methods This was a randomised controlled trial. Acupressure was applied using wristbands (Sea-Band™) which patients in the experimental group had to wear for the 5 days following the chemotherapy administration. Assessments of nausea, retching and vomiting were obtained from all patients daily for 5 days. Thirty-six patients completed the study from two centres in the UK, with 19 patients allocated to the control arm and 17 to the experimental arm. Results It was found that nausea and retching experience , and nausea, vomiting and retching occurrence and distress were all significantly lower in the experimental group compared to the control group ( P < 0.05). The only exception was with the vomiting experience, which was close to significance ( P = 0.06). Discussion Results highlight the important role of safe and convenient non-pharmacological complementary therapies, such as acupressure, in the management of the complex symptoms of chemotherapy-related nausea and vomiting.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>17352966</pmid><doi>10.1016/j.ctim.2006.07.005</doi><tpages>10</tpages></addata></record> |
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subjects | Acupressure Acupuncture Adult Aged Antiemetics Antiemetics - therapeutic use Antineoplastic Agents - adverse effects Antineoplastic Agents - therapeutic use Breast cancer Breast Neoplasms - drug therapy Cancer Chemotherapy Complementary therapies Educational Status Female Humans Internal Medicine Intervention Marital Status Medical Education Middle Aged Nausea Nausea - chemically induced Nausea - therapy Retching Vomiting Vomiting - chemically induced Vomiting - therapy |
title | The effects of P6 acupressure in the prophylaxis of chemotherapy-related nausea and vomiting in breast cancer patients |
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