أثر تقنية الضغط وتمارين تنفس الحجاب الحاجز على الغثيان والقيء لدى مرضى استئصال المرارة: دراسة مقارنة

Effect of Acupressure Technique and Diaphragmatic Breathing Exercise on Nausea and Vomiting in Cholecystectomy Patients: A Comparative Study

Background: Cholecystectomy is the second most prevalent abdominal procedure following appendectomy, but it is associate with number of adverse effect . Nausea and vomiting are the most frequent side effects of cholecystectomy. Therefore, this study aim to examine the effect of acupressure technique and diaphragmatic breathing exercises on nausea and vomiting in cholecystectomy patients.
Methods: A quasi-experimental study was conducted between September 26th, 2023 and May 12th , 2024, at the surgical word in the Imam Al-Hussein Medical City and Safer Al Imam Al Hussein Surgical Hospital. A non-probability( purposive) sample consists of ninety patients with cholecystectomy divided into acupressure technique, breathing exercise, and control groups. The data were collected for nausea and vomiting measurement by RINVR and VAS. The scale validity was investigated by panel of fifteen experts and reliability by a pilot study. Descriptive statistically analysis include frequency, percentage %; means score& standard deviation. The an inferential analysis concluded the analysis of variance (ANOVA) , paired sample t-test and an independent sample t-test were used to examine the study results, a p-value of < 0.05 was determined to be statistically significant .
Results: All the patients in the three groups had moderate level of nausea and vomiting; during pre-test assessment 53.3%, 46.7%, and 33.3% for control, acupressure, and breathing exercise groups, respectively. Furthermore , a significant difference in the nausea and vomiting level at p value of (0.000) and mean difference (1.300) was found in the post test time between control and acupressure groups. While mean difference between control and breathing exercise groups (0.933) at p value (0.000)
Conclusions: Acupressure technique and breathing exercises are effective method in reducing the severity of nausea and vomiting among patients with cholecystectomy.
Recommendations: This study recommended the important of performing acupressure and breathing exercises for patients with cholecystectomy suffering from nausea and vomiting.