The Effect of Acupressure Chemotherapy-related Nausea Vomiting in Children

Akdeniz University

Status: Completed

Conditions: Nausea With Vomiting Chemotherapy-Induced; Pediatric Cancer

Treatments: Behavioral: placebo manuel acupressure; Behavioral: sea-band acupressure; Behavioral: manuel acupressure; Behavioral: placebo sea-band

Study type: Interventional

Funder types: Other

Identifiers

NCT04651608

TYL-2016-1099 (Other Identifier)

Details and patient eligibility

About

This study is carried out to evaluate and compare the efficiency of acupressure practice applied with pressure or sea-band and their placebo on managing the acute nausea-vomiting symptoms developing due to chemotherapy in pediatric oncology patients.

Full description

Every year children aged 0 to 19 years old are diagnosed with cancer around the world. For pediatric oncology patients, chemotherapy-related acute nausea and vomiting are among most common symptoms and has a bad influence on quality of life. When it cannot be prevented, it can cause serious medical problems. Continuous, repetitive and unavoidable vomiting affects patients' and their families' quality of life adversely, causing delay or even termination in chemotherapy treatment. It is a well-known fact that medical treatment is insufficient to control nausea and vomiting symptoms. Therefore, supportive care is needed besides medical treatment. One of the approaches mentioned is acupressure. Non-invasive stimulation of the P6 acupuncture point is a harmless and complementary approach to health. The point between flexor carpi radialis and palmaris longus, located at a three finger distance from the wrist crease, is named as "P6 Nei-Guan". This acupuncture point, placed on the pericardium channel, is generally used to harmonize stomach and relieve the vomiting. Acupressure is a way of stimulation applied on acupuncture points by finger, palm or acustimulation bands (sea-band, relief band) and can be used for children as well. Acupressure is defined as one of the complementary health approaches which nurses can apply. It is stated that this method, which is non-invasive, economical, easy to apply and reliable, has no side effect and patients can apply to themselves with a good guidance.

Chemotherapy-related nausea and vomiting are among the symptoms affecting children's quality of life and their adaptation to the treatment. There are limited amount of research intended to manage pediatric oncology patients' chemotherapy-related nausea and vomiting symptoms by using acupressure. It is thought that the research will provide significant contribution for literature, nursing practice and the quality of patient care since power of the study is high and it is the first study which efficiency of wrist-band, manuel acupressure and placebos is being compared for management of chemotherapy-related acute nausea and vomiting symptoms in pediatric oncology patients.

Enrollment: 44 patients

Sex: All

Ages: 5 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children between the ages of 5-18,
• Who have a chemotherapy protocol with a high and moderate emetogenic effect according to MASCC / ESMO Antiemetic Guidance Classification
• Not having a verbal communication disorder.

Exclusion criteria

• If the participants did not receive chemotherapy or were receiving it for the first time,
• Branching, redness, phlebitis, edema, open wound, fracture, infection, etc. in the wrist
• Any obstacles for the verbal assessment of the child (intubation, etc.).

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Triple Blind

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44 participants in 2 patient groups

manuel acupressure

Experimental group

Description:

In this group, manual acupress was applied to children receiving chemotherapy with moderate and high emetogenic effects.

Treatment:

Behavioral: manuel acupressure

Behavioral: placebo manuel acupressure

sea-band acupressure

Experimental group

Description:

In this group, sea-band acupressure was applied to children receiving chemotherapy with moderate and high emetogenic effects.

Treatment:

Behavioral: sea-band acupressure

Behavioral: placebo sea-band