Clinical trial NCT02510183: P6 Acupressure Before Laparoscopic Cholecystectomy
Official title: Evaluation of the Effects of P6 Acupressure Application on Postoperative Nausea and Vomiting Before Laparoscopic Cholecystectomy
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Postoperative Complications
Postoperative Nausea and Vomiting
Keywords: Acupressure
Perioperative Care
Postoperative Nausea and Vomiting
Nursing Care Management
Lead sponsor: Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Sponsor class: OTHER
First posted: 2015-07-29
Enrollment: 111
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: SUPPORTIVE_CARE

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.

Eligibility criteria: 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

Primary outcomes:
measure: Acupressure affect on Postoperative Nausea, Vomiting and medication need
timeFrame: 24 hours postoperatively
Secondary outcomes:
measure: Pain
timeFrame: 24 hours postoperatively
measure: Perioperative Stress
timeFrame: 48 hour
Other outcomes:
Locations:
Study officials:
affiliation: Gulhane Military Medical Academy, School of Nursing, Department of Surgical Nursing
name: Emine Iyigun, Assoc.Prof.
role: STUDY_CHAIR
affiliation: Gulhane Military Medical Academy, Department of General Surgery
name: Mehmet F CAN, Assoc.Prof.
role: STUDY_CHAIR
affiliation: Gulhane Military Medical Academy, School of Nursing, Department of Surgical Nursing
name: Sibel Yilmaz Sahin, PhDs
role: PRINCIPAL_INVESTIGATOR
References:
citation: Adib-Hajbaghery M, Etri M, Hosseainian M, Mousavi MS. Pressure to the p6 acupoint and post-appendectomy pain, nausea, and vomiting: a randomized clinical trial. J Caring Sci. 2013 Jun 1;2(2):115-22. doi: 10.5681/jcs.2013.014. eCollection 2013 Jun.
citation: Agarwal A, Bose N, Gaur A, Singh U, Gupta MK, Singh D. Acupressure and ondansetron for postoperative nausea and vomiting after laparoscopic cholecystectomy. Can J Anaesth. 2002 Jun-Jul;49(6):554-60. doi: 10.1007/BF03017380.
citation: American Society of PeriAnesthesia Nurses PONV/PDNV Strategic Work Team. ASPAN'S evidence-based clinical practice guideline for the prevention and/or management of PONV/PDNV. J Perianesth Nurs. 2006 Aug;21(4):230-50. doi: 10.1016/j.jopan.2006.06.003. No abstract available.
citation: Hickman AG, Bell DM, Preston JC. Acupressure and postoperative nausea and vomiting. AANA J. 2005 Oct;73(5):379-85.
citation: Lee A, Fan LT. Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD003281. doi: 10.1002/14651858.CD003281.pub3.
citation: Sadati L, Pazouki A, Mehdizadeh A, Shoar S, Tamannaie Z, Chaichian S. Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scand J Caring Sci. 2013 Dec;27(4):994-8. doi: 10.1111/scs.12022. Epub 2013 Jan 28.