Effect of Nei Guan Acupressure Point as Adjuvant Therapy on Highly Emetogenic Chemotherapy-Induced Nausea-Vomiting in School-Age Children with Cancer

Triliana Purwadesi Yuliar, Susi Susanah, Ikeu Nurhidayah

Abstract


Chemotherapy as a pediatric cancer treatment has nausea and vomiting side effects. Nausea and vomiting in school-age children with cancer can lead to nutritional, emotional, playing, and school function disorders, decreasing the quality of life in children. An adjuvant therapy that can decrease chemotherapy-induced nausea and vomiting is acupressure which is non-invasive and safe. Nei Guan acupressure point uses pressure technique on the wrist. This study was conducted to determine effects of Nei Guan acupressure on nausea and vomiting due to highly emetogenic chemotherapy in school-age children with cancer. The study design was quasi-experimental through a pre-post test design study approach, with single-blind control. Thirty respondents obtained from the average calculation of two population hypothesis test, were divided into a control and intervention group comprising 15 people respectively. Both groups got the same antiemetic. Measurement of nausea was performed three times during the study using the Pediatric Nausea Assessment Tools (PeNAT), while vomiting intervals were documented for every vomiting and retching. Data analysis used the Mann Whitney and independent t-test. The analysis result in the control group showed that the average nausea value tended to increase and the vomiting interval was faster than in the intervention group. In conclusion, Nei Guan acupressure affects nausea and vomiting due to highly emetogenic chemotherapy in school-aged children with cancer although it is not statistically significant (p-value> 0.05). Nurses are expected to monitor ongoing nausea and vomiting, and consider acupressure as adjuvant therapy, besides providing pharmacological treatment to reduce nausea and vomiting.


Keywords


Acupressure, chemotherapy, nausea, school-age children, vomiting.

Full Text:

PDF

References


Abusaad, F. S., & Ali, W. G. M. (2016). Effect of point 6 acupressure on chemotherapy associated nausea and vomiting among adolescents with cancer. Journal of Nursing Education and Practices, 06, 122-129.

Apriany, D. (2010). The influence of Music Therapy Over Delayed Nausea Vomiting as Chemotherapy Effect on School Age Who Suffer Cancer at RSUP Dr Hasan sadikin Bandung. Kartika Kesehatan Stikes Jendral Ahmad Yani.

Aseeri, M.,Mukhtar, A.,Elimam, N.,Jastaniah, W., & Al-Khansa, S. (2012). A Retrospective Review of Antiemetic Use for Chemotherapy Induced Nausea and Vomiting in Pediatric Oncology Patients at a Tertiary Care Centre. Journal of Oncology Pharmacy Practice, 19, 138-144. doi: 10.1177/1078155212457966

Balduci , L. (2008). Cancer Treatment. New York: Springer Publishing Company.

Ball, J. W.,Bindler, R. C., & Cowen, K. J. (2012). Principles of Pediatric Nursing : Caring for Children (5 ed.). New Jersey: Pearson Education Inc.

Batson, A. S. K.,Lu, X.,Balsamo, L.,Graber, K.,Devidas, M.,Winick, N. J., dkk. (2016). Prevalence and Predictors of Anxiety and Depression after Completion of Chemotherapy for Childhood Acute Lymphoblastic Leukemia:A Prospective Longitudina Study. American Cancer Society, 122, 1608-1617. doi: 10.1002/cnr.29946

Children's Oncology Group. (2015). Guidelines for The Prevention of Nausea and Vomiting Due to Antineoplastic Medication in Pediatric Cancer Patients.

Corwin, E. J. (2009). Buku Patofisiologi Edisi 3 (E. W. Egi Komara Yudha, Devi Yulianti, Pamilih Eko Karyuni Ed.). Jakarta: EGC.

Dahlan, S. (2010). Besar Sampel dan Cara Pengambilan Sampel dalam Penelitian Kedokteran dan Kesehatan (3 ed.). Jakarta: Salemba Medika.

Dastgir, F. (1988). Combination Aromatherapy and Acupressure for Treating Nausea and Vomiting. Journal of The Royal Society of Medicine.

Enikmawati, A. (2016). Pengaruh Aromaterapi Jahe terhadap Mual Muntah Akut akibat Kemoterapi pada Penderita Kanker Payudara di RS PKU Muhammadiyah Surakarta. Jurnal Kebidanan, 07(02), 115-222.

Flank, J.,Robinson, P. D.,Holdsworth, M.,Phillips, R.,Portwine, C.,Gibson, P., dkk. (2016). Guideline for Treatment of Breakthrough ang The Prevention of Refractory Chemotherapy-Induced Nausea and Vomiting in Children with Cancer. Pediatric Blood Cancer, 63. doi: 10.1002/pbc.25955

Gilmore, J. W.,Peacock, N. W.,Gu, A.,Szabo, S.,Rammage, M.,Sharpe, J., dkk. (2013). Antiemetic Guideline Consistency and Incidence of Chemotherapy-Induced Nausea and Vomiting in US Community Oncology Practice : INSPIRE Study. Journal of Oncology Practice, 10(01).

Hockenberry, M. J.,Wilson, D., & Wong, D. L. (2013). Wong's Essentials of Paediatric Nursing (9 ed.). United States of America: Elsevier.

Hosseini, M.,Tirgari, B.,Forouzi, M. A., & Jahani, Y. (2016). Guided Imagery Effects on Chemotherapy Induced Nausea Vomiting in Iranian Breast Cancer Patients. Complementary Therapies in Clinical Practice, 25, 8-12. doi: 10.1016/j.ctcp.2016.07.002

Hussein , A., H, & Abdel Sadek , B., R (2013). Accupressure for chemotherapy Induced Vomiting Among School Age. World Journal of Medical Science. doi: 10.5829/idosi.wjms.2013.8.4.7581

Jie, S. K. (2008). Ilmu Terapi Akupunktur (d. Prof Subowo, MSc.,Ph.D, Trans.). Singapore: TCM Publication.

Katzung , B., G,Master , S., B, & Trevor , A., J. (2013). Farmakologi Dasar dan Klinik (Vol. 2). Jakarta: EGC.

Kementerian Kesehatan RI. (2015). Situasi Penyakit Kanker. Infodatin.

Mason, H.,DeRubuis, B.,Burke, N.,Shannon, M.,Karsies, D.,Wolf, G., dkk. (2016). Symptom management during and after treatment with concurrent chemoradiotherapy for oropharyngeal cancer: A Review of the literature and areas for future research. World Journal of Clinical Oncology, 7(2), 220-226.

Miao, J.,Liu, X.,Wu, C.,Kong, H.,Xie, W., & liu, K. (2017). Effects of acupressure on Chemotherapy-Induced Nausea and Vomiting- a systematic review with Meta-analyses and Trial Sequential Analysis of Randomized Control Trials. International Journal of Nursing Studies, 70, 27-37. doi: 10.1016/j.ijnurstu.2017.02.014

Miladinia , M.,Baraz , S.,Nourt , E., M, & Baeis , M., G. (2015). Effects of Slow-Stroke Back Massage on Chemotherapy-Induced Nausea and Vomiting in Pediatrics with Acute Leukemia : a challenge of Controlling Symptoms. International Journal of Pediatrics, 3.

Navari, R. M. (2017). Cancer Patient a High Risk for Chemotherapy-Induced Nausea and Vomiting- Prediction assessment Tools. Expert Review of Quality of Life ini Cancer Care, 02, 103-108. doi: 10.1080/23809000.2017.1297204

Nurhidayah, I.,Hendrawati, S.,Mediani, H. S., & Adistie, F. (2016). Kualitas Hidup Anak dengan Kanker. Jurnal Keperawatan Padjadjaran, 04.

Owen, J. L.,Hanson, J. L.,Mc.Arthur, J. A., & Mikhailov, T. A. (2013). The Need for Evidence Based Nutrional Guidelines for Pediatric Acute Lymphoblastic Leukemia Patients : Acute and Long-Term Following Treatment. Nutrients, 5. doi: 10.3390/nu5114333

Perhimpunan Rumah Sakit Seluruh Indonesia (PERSI). (2014). Kondisi Pencapaian Program Kesehatan Anak Indonesia. Infodatin.

Price , S. A., & Wilson , L. M. (2009). Patofisiologi : Konsep Klinis Proses-Proses Penyakit (Peter, Trans.). Jakarta: EGC.

Rahmayanti, N. D., & Agustin, N. (2015). Kualitas Tidur Anak Usia Sekolah yang Menjalani Kemoterapi di Rumah Sakit Kanker. Jurnal Keperrawatan Indonesia, 18.

Rhodes, V. A., & Mc Daniels, R. W. (2001). Nausea,Vomiting and Retching: Complex Problem in Palliative Care. Cancer Journal for Clinicians, 51, 232-248.

Rithirangsriroj, K.,Manchana, T., & Akkayagorn, L. (2014). Efficacy of Acupuncture in Prevention of Delayed Chemotherapy Induced Nausea and Vomiting in Gynecologic Cancer Patients. Elsevier, 136, 82-86. doi: 10.1016/j.ygyno.10.025

Sefrina, A.,Nurhaeni, N., & Hayati, H. (2014). Aplikasi Theory of Unpleasant Symptoms (ToUS) pada Anak yang Mengalami Mual Akibat Kemoterapi di Ruang Rawat Non Infeksi RSCM Jakarta. Jurnal Keperawatan Muhammadiyah.

Shen, C. H., & Yang, L. Y. (2016). The Effect of Acupressure on Meridian energy as Well as nausea and Vomiting in Lung Cancer Patients Receiving Chemotherapy. Biological Research for Nursing.

Suardi, D. R. (2011). Peran dan Dampak Terapi Komplementer/Alternatif bagi Pasien Kanker. CDK, 38.

Sukanta, P. O. (2008). Pijat Akupresur untuk Kesehatan (S. Kusumawati Ed. 01 ed.). Jakarta: Penebar Plus+.

Syarif, H.,Nurachmah, E., & Gayatri, D. (2011). Terapi Akupresur dapat menurunkan keluhan mual muntah akut akibat kemoterapi pada pasien kanker:Randomized Clinical Trial. Jurnal Keperawatan Indonesia, 14, 133-140.

Utami, T. K. (2014). Pengaruh akupresure p6 terhadap mual muntah lambat akibat kemoterapi pada anak Usia Sekolah dengan Leukemia Limfoblastik Akut. COPING NERS (Community Publishing in Nursing), 2.

Wahyuni, D.,Huda, N., & Utami, G. T. (2015). Studi Fenomenologi : Pengalaman Kanker Stadium Lanjut yang Menjalani Kemoterapi. Jurnal Online Mahasiswa, 2(2).

Waqar, S. N.,Mann, J.,Baggstorm, M. Q.,Waqar, M. A.,Chitneni, P.,William, K., dkk. (2016). Delayed nausea and vomiting from carboplastin doublet chemotherapy. ACTA ONCOLOGICA, 55(6). doi: 10.3109/0284186X.2016.1154603

WHO. (2016). International Childhood Cancer Day : Much Remains to be Done to Fight Childhood Cancer. IARC.

Wong,Hockenberry , M., J, & David, W. (2011). Nursing Care of Infants and Children (9 ed. Vol. 1). New York: Elsevier.




DOI: https://doi.org/10.24198/jkp.v7i1.657
Abstract view : 188     PDF Downloads : 10

DOI (PDF): https://doi.org/10.24198/jkp.v7i1.657.g216

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Jurnal Keperawatan Padjadjaran



JKP is indexed on:

http://jkp.fkep.unpad.ac.id/public/site/images/admin/IPI5.pnghttp://jkp.fkep.unpad.ac.id/public/site/images/admin/isjd1.png

Jurnal Keperawatan padjadjaran


Faculty of Nursing, Universitas Padjadjaran
Jalan Raya Bandung-Sumedang Km. 21 Jatinangor, Sumedang, Indonesia 45363
WA: 085317736810

Tlp. 022-7795596 
Email: jkp.fkep@unpad.ac.id

Creative Commons License
JKP is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License