The Effectiveness of Acupressure on The Reduction of Delayed Nausea and Vomiting on The Cancer Patients undergoing Chemotherapy Bima Adi Saputra (a*), Dewi Prabawati (b), Havidz Aima (b)
a) Faculty of Nursing, Universitas Pelita Harapan
Jl. Boulevard Jendral Sudirman No.15, Karawaci, Tangerang 15811, Indoensia
*bima.saputra[at]uph.edu
b)STIK Sint Carolus
Abstract
Chemotherapy is one of the main choices of cancer treatment. Although chemotherapy patient has been getting antiemetic drugs but the side effects delayed nausea and vomiting still occur. Acupressure is a non-pharmacological method that can reduce delayed nausea and vomiting. The purpose of this study was to assess effectiveness of acupressure against delayed chemotherapy include nausea and vomiting cancer patients in DKI Jakarta. This study was a quasi-experimental study with pre and post-test design which recruited 46 respondents assigned into intervention and control group that was selected used purposive sampling technique. The results showed there was a decrease in the mean score of both the frequency and quantity of vomiting as well as duration and frequency of nausea in the intervention group. Based on Wilcoxon test, there was a significant difference between pre and post-test result in delayed nausea and vomiting after acupressure in the intervention group (p=0.000). Meanwhile, based on Mann-Whitney test there was a significant difference of delayed nausea and vomiting between intervention group and control group (p=0.001). Based on Chi-Square and Kendall Tau-B test, it was found that chemotherapy type (p=0.005) and combination of chemotherapy regimen (p=0.007) had a significant relation to delayed nausea and vomiting. While age (p=0.73), gender (p=0.900) and a history of motion sickness (p=0.959) did not have significant relationship to delayed nausea and vomiting. This study recommended acupressure as a complementary therapy that can be administered either by nurses, patient families or patients themselves to reduce delayed nausea and vomiting caused by chemotherapy.
Keywords: Acupressure- Chemotherapy- Nausea and Vomiting Delayed
