Postoperative Complications, Postoperative Nausea and Vomiting
Conditions
Keywords
Acupressure, Perioperative Care, Postoperative Nausea and Vomiting, Nursing Care Management
Brief summary
This study is to evaluate the effect of preoperative acupressure application on Postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic cholecystectomy in terms of being in high risk group for PONV.
Detailed description
Prevention of postoperative complications is one of the main tasks of nurses. However, there are limited nursing interventions that can be done to prevent PONV. The American Society of PeriAnesthesia Nurses suggest nurses to teach patients with a high risk of PONV about acupressure application on P6 acupoint or to apply acupressure wristbands preoperatively. However this suggestion has a low evidence.
Interventions
DEVICEAcupressure Wrist Band
Acupressure wrist band is a knitted elasticated wrist band, which operates by applying pressure on the P6 acupressure point on each wrist by means of a plastic stud.
DEVICEPlacebo Acupressure Wrist Band
Placebo Acupressure Wrist Band is a knitted elasticated wrist band without a plastic stud.
Sponsors
Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient undergoing elective laparoscopic cholecystectomy * Patients who make their admission the day before surgery * Patients with American Society of Anesthesiologists (ASA) physical status classification system I and II * Patient who gave written consent to participate in the study
Exclusion criteria
* Patient who undergone urgent laparoscopic cholecystectomy * Patients who make their admission on the day of surgery * Patients with who do not conform physical status of ASA I and II * Patients who loss single or both upper extremity * Patients with open wounds, scar tissue or infection on wrist in acupressure application area
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acupressure affect on Postoperative Nausea, Vomiting and medication need | 24 hours postoperatively | Postoperative nausea, vomiting and medication need are assessed on 2nd, 6th and 24th hours postoperative. Nausea severity measured by 0-10 scoring (0- no nausea,10- nausea as bad as can be), and vomiting is assessed as episodes. Number of antiemetics and analgesics medications that are given (out of routine therapy) are also evaluated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain | 24 hours postoperatively | Pain measured by 0-10 scoring (0- no pain,10- pain as bad as can be) on 2nd, 6th and 24th hours postoperative. |
| Perioperative Stress | 48 hour | Perioperative Stress measured by State-Trait Anxiety Inventory (STAI) score on day before surgery and day after surgery |
Outcome results
None listed