穴位按摩能否減輕化學治療引起的噁心、嘔吐之實證探討與臨床運用

Acupressure Can Alleviate Chemotherapy-Induced Nausea and Vomiting (CINV) - Evidence and Clinical Application

臨床上化學治療引起的副作用，噁心嘔吐屬最常見副作用之一，易造成病人之不適與影響病人是否持續接受化學治療。近年來穴位按摩常被運用於輔助西醫治療，藉以緩解身體疾病症狀或治療過程中引發的不適感。本文作者想了解針對化學治療引起的噁心、嘔吐，給予穴位按摩是否能減輕噁心、嘔吐情形。透過實證方法，共搜尋到隨機對照試驗文獻三篇及系統性文獻回顧一篇。經系統文獻查證，將內關穴穴位按摩運用於臨床癌症病人化學治療後有出現噁心或嘔吐者，共納入70人次，以重複測量分析，噁心程度之改善，實驗組顯著較對照組改善程度大（F＝14.245，p＜.01），顯示穴位按摩能有效改善病人噁心程度，其結果與實證文獻查證相符合。藉此結果提供臨床醫護同仁在照護因接受化學治療引起的噁心、嘔吐的病人，除了常規照護外，提供另一種照護指導，以提升癌症照護品質。

Clinically, chemotherapy-induced side effects include nausea and vomiting. These are two of the most common side effects which could easily lead to the patient's discomfort and affect the patient’s decision to continue to receive chemotherapy. In recent years, massage therapy is often used in Western aid in order to alleviate the physical symptoms of the disease or to ease discomfort after the treatment process. The authors would like to know whether giving a massage can help to relieve chemotherapy-induced nausea and vomiting. Based on evidence based reviewed, including three randomized controlled trials and one systematic review article, the conclusion stand that intervention massage (Neiguan) can reduce nausea effectively. According to repeated measures analysis, the selected 70 patients who had nausea or vomiting symptoms after received chemotherapy, the degree of nausea had great improved in experimental group which was received acupressure (F = 14.245, P < 0.01 ). Therefore, the authors stated that acupressure can decrease patient severe nausea obviously. Finally, this results can guide the clinical staff how to relief nausea and vomiting symptoms for cancer patient after chemotherapy, and also it can provide an alternative care in the oncology nursing.