Main Article Content

Abstract

Most cancer patients receive chemotherapy which contributes to prolong life, with the most common side effects of constipation. Constipation causes general symptoms that are bad and affect the quality of life of patients. The purpose of evidance based nursing (EBN) is to identify the effectiveness of Auricular acupressure in overcoming symptoms of constipation in cancer patients receiving chemotherapy. This EBN uses quasi experiments involving 14 participants in the chemotherapy treatment room with pre and post intervention assessments. The results of the analysis of the independent t-test showed that there was a significant difference in the form of faeces on day 6 with p <0.000 (95% CI). Conclusion: Auricular acupressure can be used as a constipation management nursing intervention in cancer patients undergoing chemotherapy.

Keywords

auricular acupressure, constipation, chemotherapy

Article Details

How to Cite
Edianto, E., Waluyo, A., Yona, S., & Gultom, Y. (2020). Penerapan Auricular Acupressure Untuk Mengurangi Konstipasi Pasien Kemoterapi. Jurnal Keperawatan, 5(2), 161 - 170. https://doi.org/10.32668/jkep.v5i2.387

References

    Belsey, J., Greenfield, S., Candy, D., & Geraint, M. (2010). Systematic review: Impact of constipation on quality of life in adults and children. Alimentary Pharmacology & Therapeutics, 31, 938-949. doi:10.1111/j.1365-2036.2010.04273.x

    Chumpitazi, B. P., Self, M. M., Czyzewski, D. I., Cejka, S., Swank, P. R., & Shulman, R. J. (2016). Bristol Stool Form Scale reliability and agreement decreases when determining Rome III stool form designations. Neurogastroenterology & Motility, 28, 443-448. doi:10.1111/nmo.12738

    Continence Foundation of Australia (2014), “Sembelit dan Mengendalikan Isi Perut (Constipation and Bowel Control) ”. diunduh dari http//:www. continence.org.au pada tanggal 20 Februari 2019

    DeLaume, S C & Ladner, P K (2011). Fundamental of Nursing. Standart & Practice (4th Ed). Delmar Chengenge Learning

    Gori, F & Firenzuoli, F. (2007) “Ear acupuncture in European traditional medicine,” Evidence-Based Complementary and Alternative Medicine, vol. 4, supplement 1, pp. 13–16.

    Hanai, A., Ishiguro, H., Sozu, T., Tsuda, M., Arai, H., Mitani, A., & Tsuboyama, T. (2016). Effects of a self-management program on antiemetic-induced constipation during chemotherapy among breast cancer patients: A randomized controlled clinical trial. Breast Cancer Research and Treatment, 155, 99-107. doi:10.1007/s10549-015-3652 -4

    Jing, X., Liu, J., Wang, C., Ji, M., Chen, X., & Mei, Y. (2018). Complementary Therapies in Clinical Practice Auricular acupressure is an alternative in treating constipation in leukemia patients undergoing chemotherapy : A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 31, 282–289. https://doi.org/10.1016/j.ctcp.2018.03.005 Kementrian Kesehatan RI (2014).

    Kim, S. H., Lee, R., & Lee, K. S. (2009). Symptom clusters in patients with breast cancer. Korean Journal of Adult Nursing, 21, 705-717

    Larkin, P. J., Sykes, N., Centeno, C., Ellershaw, Elsiner, F., Eugene, B., … Zuurmond, W. (2015). The management of constipation in palliative care : clinical practice recommendations. Palliative Medicine, 22, 796–807.

    Li, M. K., Lee, T. F. D., & Suen, K. P. L. (2014). Complementary effects of auricular acupressure in relieving constipation symptoms and promoting disease-specific health-related quality of life : A randomized placebo-controlled trial ଝ. Complementary Therapies in Medicine, 22, 266–277. https://doi.org/10.1016/j.ctim.2014.01.010

    Lin, Y. W., & Hsieh, C. L. (2014) “Auricular electroacupuncture reduced inflammation-related epilepsy accompanied by altered TRPA1, pPKC????, pPKC????, and pERk1/2 signaling pathways in kainic acid-treated rats,” Mediators of Inflammation, vol.2014, Article ID 493480, 9 pages.

    Liu, X., Feng, L., Nicole, R., & Wong, N. (2017). European Journal of Integrative Medicine Review article Effects of auricular acupressure therapy for preventing constipation in leukemia patients undergoing chemotherapy : Protocol for a systematic review. European Journal of Integrative Medicine, 15(September), 42–46. https://doi.org/10.1016/j.eujim.2017.09.002

    Lee, E. J., & Frazier, S. K. (2011). The efficacy of acupressure for symptom management: A systematic review. Journal of Pain and Symptom Management, 42, 589- 603. doi:10.1016/j.jpainsymman.2011.01.007

    Park, J. H., Jun, E. Y., Kang, M. Y., Joung, Y. S., & Kim, G. S. (2009). Symptom experience and quality of life in breast cancer survivors. Journal of Korean Academy of Nursing, 39, 613-621. doi:10.4040/jkan.2009.39.5.613

    Shin, J., & Park, H. (2016). Effects of Auricular Acupressure on Constipation in Patients With Breast Cancer Receiving Chemotherapy : A Randomized Control Trial. Western Journal of Nursing Research, 1–17. https://doi.org/10.1177/0193945916680362

    Suen, L. K. P., Wong, T. K. S., & Leung, A. W. N. (2001). Is there a place for auricular therapy in the realm of nursing ? ComplementaryTherapies in Nursing &Midwifery, 7, 132–139. https://doi.org/10.1054/ctnm.2001.0565

    Suen, L. K., Wong, T. K., Chung, J. W., & Yip, V. Y. (2007). Auriculotherapy on low back pain in the elderly. Complementary Therapies in Clinical Practice, 13, 63-69. doi:10.1016/j.ctcp.2006.10.005

    Wang, P., Hsu, C., Liu, C., Lai, T., Tzeng, F., & Huang, C. (2019). Effect of acupressure on constipation in patients with advanced cancer. Supportive Care in Cancer.

    Yan, X. K., Chui, J. M., & Yang, Y. Q. (2005). Development on clinical treatment of constipation with acupuncture and moxibustion. World Journal of Acupuncture— Moxibustion, 15(3), 56-64.

    Yang, L. H., Duan, P. B., Du, S. Z., Sun, J. F., Mei, S. J., Wang, X. Q., & Zhang, Y. Y. (2014). Efficacy of auriculotherapy for constipation in adults: A systematic review and meta-analysis of randomized controlled trials. The Journal of Alternative and Complementary Medicine, 20, 590-605. doi:10.1089/acm.2013.0324

    Zhao, Y. X., He, W., Jing, X. H. et al., (2012) “Transcutaneous auricular vagus nerve stimulation protects endotoxemic rat from lipopolysaccharide- induced inflammation,” Evidence-Based Complementary and Alternative Medicine, vol. 2012, Article ID 627023, 10 pages.