A Systematic Review and Meta-analysis of Acupressure for Postoperative Gastrointestinal Symptoms among Abdominal Surgery Patients
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摘要Background: Postoperative ileus is a common and often life-threatening gastrointestinal complication with few management methods available for patients. Acupressure was reported to bring benefits in preventing postoperative ileus.
Purpose: This systematic review and meta-analysis aims to evaluate the efficacy of acupressure in treating signs and symptoms of postoperative ileus among patients undergoing abdominal surgery.
Methods: The MEDLINE, EMBASE, Web of Science, CINAHL, China Journal Net and Wanfang databases were searched for high-quality RCTs using keywords such as acupressure, postoperative ileus, abdominal surgery etc.
Results: A total of six studies (N=894) were included in this review. The quality of the literature was found to be uniformly moderate by the Effective Public Health Practice Project (EPHPP) assessment tool. The results of meta-analyses revealed that acupressure could significantly reduce risks for postoperative nausea (OR 0.52, 95% CI 0.39–0.70, P<0.0001) and vomiting (OR 0.54, 95% CI 0.39–0.75, P<0.001) compared with the control group, without significant heterogeneity among studies. Meta-analysis of the need for antiemetic drugs suggested that the OR was 0.39 (95% CI 0.20–0.78, P<0.01) with significant heterogeneity among studies.
Conclusion: Our results suggested that acupressure might be effective in reducing the incidence of postoperative nausea and vomiting and the need for antiemetic drugs among patients undergoing abdominal surgery.
Implications for nursing: This review lays a foundation for future nursing research and practice and provides evidence for nurses to incorporate acupressure into perioperative nursing care to enhance postoperative recovery of patients.
著者Yunhong Liu, Winnie Tang, Shengxiang Gong, Carmen W.H. Chan
會議名稱3rd Asian Oncology Nursing Society (AONS) Conference

上次更新時間 2019-09-01 於 12:57