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IRCT201304298717N2 IRCT 2014-01-20 Vice chancellor for research, Semnan University of Medical Sciences The effect of acupressure on prevention of nausea and vomiting The effect of acupressure on severity of nausea and vomiting during hemodialysis in hemodialysis patients 2013-12-22 anticipated Complete https://irct.ir/trial/9213 interventional Randomization: N/A, Blinding: Single blinded, Placebo: Not used, Assignment: Single, Purpose: Prevention, Other design features: This study is single blinded so that patients do not know anything about the type of the intervention (acupressure or placebo). Also in this study, placebo is used, so that when the Sea-Band button is placed on the opposite site of P6 (Nei guan) on the back of the forearm, it has the placebo role. When the Sea-Band button is placed on the point P6 (Nei guan) in the inner surface of the forearm, it has the acupressure role. 3 Chronic kidney disease. Intervention 1: First intervention (Routine care): In the control group patients receive routine care, that is consisted of normal saline (200 ml) after nausea and vomiting. After removing hemodialysis needles and dressing of vascular access site, a nurse measures the severity of nausea and vomiting during hemodialysis by using verbal numerical rating scale (VNRS) and korttila vomiting severity scale. Intervention 2: The second intervention (use of acupressure): In the intervention group, 10 minutes before inserting hemodialysis needles, the Sea-Band is closed on patients’ wrists so that its button is placed on the P6 point (Nei guan) on the inner surface of the forearm, about 2 inches (three fingers width) above the Internal groove of wrist. The Sea-Band remains during hemodialysis and is removed at the end of hemodialysis just before removing hemodialysis needles. After removing hemodialysis needles and dressing of vascular access site, a nurse measures the severity of nausea and vomiting during hemodialysis by using verbal numerical rating scale (VNRS) and korttila vomiting severity scale. Intervention 3: The third intervention (use of placebo): In the intervention group, using placebo, 10 minutes before entering the hemodialysis needles, the Sea-Band is closed on patients’ wrists so that its button is placed on opposite of P6 point (Nei guan) on the back of the forearm. The Sea-Band during hemodialysis remains and is removed at the end of hemodialysis just before removing hemodialysis needles. After removing hemodialysis needles and dressing of vascular access site, a nurse measures the severity of nausea and vomiting during hemodialysis by using verbal numerical rating scale (VNRS) and korttila vomiting severity scale.
public Dr. Mohammad Reza Asgari
Faculty of nursing and allied, Semnan University of Medical Sciences, Semnan, Iran
Semnan Iran (Islamic Republic of) 3514743365 +98 23 1445 3365 asgari5000@gmail.com Semnan University of Medical Sciences scientific ِDr. Mohammad Reza Asgari
Faculty of nursing and allied, Semnan University of Medical Sciences, Semnan, Iran
Semnan Iran (Islamic Republic of) 3514743365 +98 23 1445 3365 asgari5000@gmail.com Semnan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria are: (1) being alert; (2) not taking antiemetic drugs at least six hours before hemodialysis; (3) beginning of hemodialysis at least three months before the study; (4) being over 20 years old; (5) having no skin problem such as allergies and ulcers at the Sea-Band site; (6) being depended on three cycles of hemodialysis per week. Exclusion criteria are: (1) having a low level of consciousness, (2) being transfered to other centers during the study (3) requiring emergency hemodialysis; (4) taking a long journey by car just before hemodialysis ;(5) having acute gastrointestinal illnesses; (6) having pain or severe anxiety; (7) having motion sickness. 20 years 90 years Both N18.5 Chronic kidney disease, stage 5 Treatment - Other Treatment - Devices Placebo First intervention (Routine care): In the control group patients receive routine care, that is consisted of normal saline (200 ml) after nausea and vomiting. After removing hemodialysis needles and dressing of vascular access site, a nurse measures the severity of nausea and vomiting during hemodialysis by using verbal numerical rating scale (VNRS) and korttila vomiting severity scale. The second intervention (use of acupressure): In the intervention group, 10 minutes before inserting hemodialysis needles, the Sea-Band is closed on patients’ wrists so that its button is placed on the P6 point (Nei guan) on the inner surface of the forearm, about 2 inches (three fingers width) above the Internal groove of wrist. The Sea-Band remains during hemodialysis and is removed at the end of hemodialysis just before removing hemodialysis needles. After removing hemodialysis needles and dressing of vascular access site, a nurse measures the severity of nausea and vomiting during hemodialysis by using verbal numerical rating scale (VNRS) and korttila vomiting severity scale. The third intervention (use of placebo): In the intervention group, using placebo, 10 minutes before entering the hemodialysis needles, the Sea-Band is closed on patients’ wrists so that its button is placed on opposite of P6 point (Nei guan) on the back of the forearm. The Sea-Band during hemodialysis remains and is removed at the end of hemodialysis just before removing hemodialysis needles. After removing hemodialysis needles and dressing of vascular access site, a nurse measures the severity of nausea and vomiting during hemodialysis by using verbal numerical rating scale (VNRS) and korttila vomiting severity scale. Severity of vomiting. Timepoint: At the end of hemodialysis, after removing hemodialysis needles and dressing of vascular access site. Method of measurement: korttila vomiting severity scale. Severity of nausea. Timepoint: At the end of hemodialysis, after removing hemodialysis needles and dressing of vascular access site. Method of measurement: Verbal Numeric Rating Scale (VNRS). Vice chancellor for research, Semnan University of Medical Sciences Approved 2010-08-20 Ethics committee of semnan university of Medical Sciences Semnan University of Medical Sciences, Semnan, Semnan Province, Iran Semnan Iran (Islamic Republic of)