The aim of this article is to present the method of combined acupoint application with acupressure to assess the, in the management of CINV. Acupoint application combined with acupressure is a traditional Chinese medical operation that can effectively alleviate the nausea and the vomiting. Modern medicine often employs acid suppression, gastric protection, and antiemetic medications to alleviate discomfort.
Despite these drugs, over 30%of cancer patients undergoing chemotherapy still experience CINV, and the nausea symptoms are as high as 60%to 70%A non-pharmacological approach not only yields a significant effects, but also enhance the effectiveness of treatment, reduce nausea severity, and minimizes potential sides effects, and the drug resistance associated with medication. To begin, grind 100 grams of Chinese herbs in the grinder machine. Seal the paste in a medical bent plate for later use.
Mix 50 grams of the Chinese herbal powder with 50 milliliters of saline and 50 grams of medical Vaseline to make a paste. Then, shape a thumb-sized amount of the Chinese herbal paste from the medical bent plate into a ball and apply it to the breathable adhesive application. Place the prepared acupoint applications in a medical bowl for later use.
For patient preparation, instruct the patient to empty their bladder in advance. After confirming the patient's information, assess the local skin around the acupoint to ensure it is free of lesions or damage. Inform the patient or their family about the purpose of the treatment, its contents, and possible adverse reactions.
Assist the patient in lying down comfortably on the treatment bed in a supine position. To begin, instruct the patient to sit down. Locate the intersection of three cun below the concave point of the patient's lateral knee joint, and once one cun from the anterior edge of the tibia.
Mark this position as Zusanli. Ask the patient to lie in a horizontal position with both legs straight and flat. Mark the patient's center of the naval as Shenque.
Next, ask the patient to sit, stretch the arm, and hold the fist, slightly bending the wrist. Record two cun from the midpoint of the wrist stripes as Neiguan in the forearm area. Then, disinfect both hands.
Place the thumb thread surface at the patient's Neiguan and expand the remaining forefingers in a relative position to balance the force. Bend the wrist joint 40 to 60 degrees. Use the thumb pulp to actively exert force and continuously extend and flex the first finger joint of the thumb to press the acupoint.
Now, grasp the fist, using the back of the first knuckle of the index finger as the force point. Press and knead the Zusanli acupoint. After wearing medical rubber gloves, soak cotton swabs in 75%ethyl alcohol and rub the bilateral Zusanli and Shenque acupoints with the cotton.
Fix the breathable adhesive acupoint applications containing the Chinese herbal paste on the patient's Shenque, and then on the patient's bilateral Zusanli points. Clean up the excess paste around the acupoint and assist the patient in dressing. Once the operation is completed, pick up the remaining items, sort the medical waste, and assist the patient in restoring the position.
Fill the upper part of the MAT scale within 24 hours after chemotherapy. Fill the lower part 24 hours post chemotherapy. Grade the degree of nausea and vomiting according to the scores and WTO evaluation indicators.
Collect data from the MAT scale scores of the treatment and control groups. Consider grade zero to one as complete remission, grade two as partial remission, and grades three to four as no remission. In the acute phase of chemotherapy-induced nausea and vomiting, the control group had a markedly effective rate of 66.7%while the treatment group had 83.3%though the difference was not statistically significant.
During the delayed phase, the control group had a markedly effective rate of 16.7%compared to 83.3%in the treatment group, indicating a significant difference. Nausea severity scores during the acute phase showed no significant differences between the groups. However, in the delayed phase, the treatment group had significantly lower nausea severity scores than the control group.
