| Saturday, July 16, 2005: 10:45 AM-12:15 PM | |||
| Meta-Analyses of Acupressure Studies: Effects on Nausea- and Vomiting-Related Symptoms in Three Patient Populations | |||
| Learning Objective #1: Describe the mechanisms of acupressure effects on reducing nausea- and vomiting-related symptoms for three different populations in health care | |||
| Learning Objective #2: Discuss the results of various meridian points used in acupressure studies for three different populations for practice and research | |||
| A growing body of literature for the effects of acupressure on symptoms of nausea and vomiting (NVS) has been cumulated over the past 15 years, investigated by different health care professionals around the world. Treatment of NVS involves counter-stimulation of pathophysiologic pathways including vomiting center in the medulla, vestibular neurofibers, afferent visceral parasympathetic fibers, and the chemoreceptor trigger zone. Stimulation of meridian points by acupuncture or acupressure could reduce NVS by affecting these neurological feedback and control mechanisms. Acupressure can be applied non-invasively on the skin surface with mastered fingers or devices (wristbands or transcutaneous electric stimulator) to stimulate meridian points to produce similar effects of that by acupuncture. Systematic reviews and meta-analyses of acupressure studies on NVS were conducted for three populations including pregnant women, postoperative adult patients, and children for best evidence. Papers focused on cancer patients were not included in this review because a meta-analysis on this group was completed recently. A total of 54 studies (14 for pregnant women, 24 for postoperative adults, and 16 for children) were located. The studies were evaluated by two raters for the quality of study design, data collection methods (accuracy and validity), and completeness of report (quality of scholarly considerations). The most investigated meridian point is Pericardium 6 (P6) point across the three populations, but it is less effective in children. Additional investigated points included K K-9; BL10, BL11, GB34, ST34, ST36, ST44, SP4, and REN12. These acupoints and studies will be discussed. Acupressure treatment is relatively inexpensive and convenient to use for the consumers; and is more effective and feasible than medications to relieve NVS for some populations. Merging the best from the East and the West, more quality research is needed to standardize the dose, frequency, and duration of acupressure effects for symptom relief across different populations. | |||
| Organizer: | Shyang-Yun P. K. Shiao, PhD, RN, FAAN | ||
| Meta-analysis of Acupressure Studies: Effects on Nausea and Vomiting related Symptoms in Pregnant Women Rebecca J. Helmreich, MSN, RN, Shyang-Yun P. K. Shiao, PhD, RN, FAAN, Kara A. Helfenbein, BSN, RN, Linda S. Dune, PhD, RN, CCRN, CEN | |||
| Meta-analysis of Acupressure Studies:Effects on Nausea and Vomiting related Symptoms in Postoperative Adult Patients Shyang-Yun P. K. Shiao, PhD, RN, FAAN, Maria Teresa Tet Ontoy, BSN, RN, Mary Anne Howard, RN, MS, CPAN, Linda S. Dune, PhD, RN, CCRN, CEN | |||
| Meta-analysis of Acupressure Studies:Effects on Nausea and Vomiting related Symptoms in Children Linda S. Dune, PhD, RN, CCRN, CEN, Shyang-Yun P. K. Shiao, PhD, RN, FAAN | |||