Effects of Auricular Acupressure on Constipation in Patients With Breast Cancer Receiving Chemotherapy: A Randomized Control Trial

Abstract

The purpose was to examine the effects of auricular acupressure to relieve constipation in patients with breast cancer who were undergoing chemotherapy. Participants were 52 patients with breast cancer receiving chemotherapy at E University Hospital, Seoul, Korea, randomized into two groups of equal size. For the experimental group, auricular acupressure was applied to seven auricular acupoints for 6 weeks using vaccaria seeds, whereas the control group received the usual care. Constipation-assessment scores of the experimental group were significantly lower compared with the control group (p < .001). Stool-form scores of the experimental group were significantly higher compared with the control group (p = .003). Patient Assessment of Constipation–Quality of Life scores of the experimental group were significantly lower compared with the control group (p < .001). Auricular acupressure was effective at relieving constipation in patients with breast cancer receiving chemotherapy. Auricular acupressure was also a safe and acceptable nursing intervention.

Keywords

auricular acupressure constipation breast cancer chemotherapy nursing intervention

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References

Belsey

Greenfield

Candy

Geraint

(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

Castledine

Grainger

Wood

Dilley

(2007). Researching the management of constipation in long-term care: Part 1. British Journal of Nursing, 16, 1128-1131. doi:10.12968/bjon.2007.16.19.27361

Chumpitazi

B. P.

Self

M. M.

Czyzewski

D. I.

Cejka

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

Epplein

Zheng

Chen

Penson

. . . Shu

(2011). Quality of life after breast cancer diagnosis and survival. Journal of Clinical Oncology, 29, 406-412. doi:10.1200/JCO.2010.30.6951

Hanai

Ishiguro

Sozu

Tsuda

Arai

Mitani

Tsuboyama

(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

Heaton

K. W.

Radvan

Cripps

Mountford

R. A.

Braddon

F. E. M.

Hughes

A. O.

(1992). Defecation frequency and timing, and stool form in the general population: A prospective study. Gut, 33, 818-824. doi:10.1136/gut.33.6.818

Jeong

S. Y.

Jung

H. M.

(2005). The effects of abdominal meridian massage on constipation among CVA patients. Journal of Korean Academy of Nursing, 35, 135-142.

Jung

Y. H.

Jun

J. Y.

(2008). The effect of meridian acupressure on constipation in the bed-ridden aged with stroke. Korean Journal of Adult Nursing, 20, 664-673.

Kim

M. Y.

Kang

E. H.

Byun

E. K.

(2014). Effects of meridian acupressure on constipation in the institutionalized elderly. The Korean Journal of Rehabilitation Nursing, 17, 48-55. doi:10.7587/kjrehn.2014.48

10.

Kim

S. H.

Lee

K. S.

(2009). Symptom clusters in patients with breast cancer. Korean Journal of Adult Nursing, 21, 705-717.

11.

Lai

T. K. T.

Cheung

M. C.

C. K.

K. L.

Fung

Y. H.

Tong

Yau

C. C.

(2011). Effectiveness of aroma massage on advanced cancer patients with constipation: A pilot study. Complementary Therapies in Clinical Practice, 17, 37-43. doi:10.1016/j.ctcp.2010.02.004

12.

Larkin

P. J.

Sykes

N. P.

Centeno

Ellershaw

J. E.

Elsner

Eugene

(2008). The management of constipation in palliative care: Clinical practice recommendations. Palliative Medicine, 22, 796-807. doi:10.1177/0269216308096908

13.

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

14.

M. K.

Lee

T. F.

Suen

K. P.

(2012). Auriculotherapy in relieving symptoms of constipation and improving quality of life for the elderly: A pilot project. Hong Kong Medical Journal, 18, S30-S33.

15.

M. K.

Lee

T. F.

Suen

K. P.

(2014). Complementary effects of auricular acupressure in relieving constipation symptoms and promoting disease-specific health-related quality of life: A randomized placebo-controlled trial. Complementary Therapies in Medicine, 22, 266-277. doi:10.1016/j.ctim.2014.01.010

16.

Marquis

Loge

Dubois

McDermott

Chassany

(2005). Development and validation of the Patient Assessment of Constipation Quality of Life questionnaire. Scandinavian Journal of Gastroenterology, 40, 540-551. doi:10.1080/00365520510012208

17.

McMillan

S. C.

Williams

F. A.

(1989). Validity and reliability of the Constipation Assessment Scale. Cancer Nursing, 12, 183-188. doi:10.1097/00002820-198906000-00012

18.

Montemurro

Mittica

Cagnazzo

Longo

Berchialla

Solinas

. . . Calori

(2016). Self-evaluation of adjuvant chemotherapy-related adverse effects by patients with breast cancer. JAMA Oncology, 2, 445-452. doi:10.1001/jamaoncol.2015.4720

19.

National Cancer Information Center, Ministry of Health & Welfare. (2015). National cancer information. Retrieved from http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040103000000

20.

Park

J. E.

Sul

J. U.

Kang

Shin

B. C.

Hong

K. E.

Choi

S. M.

(2011). The effectiveness of moxibustion for the treatment of functional constipation: A randomized, sham-controlled, patient blinded, pilot clinical trial. BMC Complementary and Alternative Medicine, 11, Article 124. doi:10.1186/1472-6882-11-124

21.

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

22.

S. O.

Lee

H. Y.

Lee

Kim

(2013). Effects of auricular acupressure on menstrual pain, dysmenorrhea, and academic stress in women college students. Korean Journal of Adult Nursing, 25, 356-364.

23.

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

24.

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.

25.

Yang

L. H.

Duan

P. B.

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

26.

Yang

(1992). Effects on fluid intake, dietary fiber supplement and abdominal muscle exercise on antipsychotic drug-induced constipation in schizophrenics. Journal of Catholic Medical College, 45, 1501-1514.

27.

Yoon

Y. S.

Park

K. O.

Kang

M. S.

J. Y.

(2014). Effect of abdominal massage and meridian acupressure on constipation in long-term care residents. Global Health & Nursing, 4(1), 1-10.

28.

Zhou

X. X.

Zhong

Teng

(2012). Senile habitual constipation treated with auricular therapy based on the pattern/syndrome differentiation: A randomized controlled trial. Chinese Acupuncture & Moxibustion, 32, 1090-1092.