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Effect of acupressure therapy point HT 6 and LI 4 on post cesarean sectio's pain

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... These released substances block certain receptors on the sensory nerve endings, thereby prevent sensing and transportation of senses that disturb the body (Maxwell 1997;Cevik and Tasci 2017). Acupressure is used for women's health in menstrual period and symptoms (Wong et al. 2010;Gharloghi et al. 2012;Kannan and Claydon 2014;Chen et al. 2015;Abaraogu and Tabansi-Ochuogu, 2015), menopausal symptoms (Kung et al. 2011), complications occurring during the treatment of cancer (Dibble et al. 2007;Eghbali et al. 2016) complications occurring during pregnancy (Steele et al. 2001;Hollyer et al. 2002;Puangsricharern and Mahasukhon 2008;Naeimi Rad et al. 2012;Festin 2014;Bastani 2015;Silva et al. 2016;Neri et al. 2016), vaginal birth (Lee et al. 2004;Hajiamini et al. 2012;Dabiri and Shahi 2014;Mafetoni and Shimo 2015;Ozgoli et al. 2016;Torkzahrani et al. 2017), cesarean section (Chen et al. 2005;Nani et al. 2015;Ramezani et al. 2016) and lactation period (Esfahani et al. 2015). ...
... Various pharmacological methods are used to reduce this pain (Cetin 2012;Taskin 2016). Acupressure, a non-pharmacologic complementary and alternative therapy, is frequently used to reduce pain after cesarean section (Chen et al. 2005;Nani et al. 2015). In a study of Chen et al. (2005) conducted with 104 Taiwanese women, acupressure was applied to the intervention group on P6 point the night before cesarean section, 2-4 hours after cesarean section and 8-10 hours after cesarean section, and the control group received routine nursing care. ...
... As a result of the study, the pain levels of the intervention group were found to be low compared to the control group. In a randomized controlled study, acupressure applied to the HT6 and LI4 points was effective in post-cesarean pain (Nani et al. 2015), whereas in another randomized controlled study, only acupressure performed on LI4 point was not effective on post-cesarean pain (Ramezani et al. 2016). ...
... Chen et al., (2005) found that P6 acupressure on post-caesarean pain with spinal anesthesia reduced post-caesarean pain and improved vital signs [19]. In the randomized controlled trial (RCT), HT6 (Heart 6) and LI4 (Large Intestine 4) acupressure were found to be statistically significant in reducing post-caesarean pain [20]. In another study, Korean acupressure, which is a combination of 12 acupressure points on the hand, reduced post-caesarean pain, nausea and vomiting as well as analgesic and antiemetic consumption of women [15]. ...
... It is recommended to determine the acupressure points based on the meridians of the relevant organs and peripheral organs, to combine the relevant points and to repeat the intervention [16,18]. Previous studies recommend the use of P6 and LI4 along with combined points on uterine pain [20,21]. This study was unique in that the P6 and LI4 are combined, and the acupressure is applied in repeated sessions. ...
... Study protocol was specified for each group ( Figure 2). The acupressure protocol was prepared according to previous studies [14,15,19,20], guidelines and expert opinions. It is known that various points such as SP6, LI4, BL67, BL32 and GB21 are used in the management of uterine pain during menstruation, birth and postpartum period [16,21,23]. ...
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Objectives: To assess the effects of P6 and LI4 acupressure on post-caesarean pain and analgesic consumption. Design: This was a randomized, single-blinded, placebo-controlled study conducted in a university-affiliated obstetrics clinic between July 2017 and July 2018. Participants: Women (n=132) were randomly assigned to acupressure (n=44), placebo (n=44), and control (n=44) groups. Setting: All groups received routine nursing care and analgesia protocol for post-cesarean pain. Acupressure was performed in two sessions, the postpartum second and fourth hours, with the following protocol: bilaterally to P6 (point on wrist) and LI4 (point on hand) points (for three minutes on each point). In the placebo group, it was just touched without the pressure on acupressure points, but the main difference was that touching was too superficial to have a therapeutic effect. The control group received only routine nursing care and analgesia protocol for post-cesarean pain. Main outcome measures: The post-caesarean pain was evaluated four times before and after each session using Visual Analog Scale for pain. Also, the analgesia protocol for post-cesarean pain was recorded for all women. Results: The acupressure group experienced the lowest level of post-cesarean pain compared to the placebo and control groups (p = 0.000). The consumption of pethidine hydrochloride and paracetamol was statistically lower in the acupressure group compared to the placebo and control groups (respectively p = 0.002 and p = 0.040). Conclusion: Acupressure is an effective method for reducing post-cesarean pain and analgesic consumption. Clinical trial registration: ClinicalTrials.gov: NCT04337801.
... 3 Acupressure is a therapy that is carried out by applying physical pressure at various points on the surface of the body by launching energy and balance in reducing pain. 4 Acupressure increases the release of hormones from the hypothalamus in the anterior pituitary system to activate the hormone oxytocin to stimulate the uterus. This acupressure, is a noninvasive medical procedure for relieving labor pain. ...
... Terapi akupresur menggunakan jari tangan terapis sedangkan terapi akupunktur menggunakan jarum. Rang-sangan menggunakan jari tangan terapis hanya pada permukaan superficial saja sedangkan rangsangan jarum langsung menembus kulit dan dapat memberikan efek pada sistem imunologi, neurokimia dan neurbiologi secara langsung (Bell dan Preston, 2006;Nani, et al., 2015;Wong, 2010). ...
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Background: According to the World Health Organization, the most frequent health problems experienced by the elderly is musculoskeletal pain. The common treatment for musculoskeletal pain is Non-Steroidal Anti-Inflammatory Drugs (NSAID) drugs. These drugs, however, give undesireable side effects such as disorders in digestion, renal function, and increased blood pressure. Acupuncture and infrared therapies have been widely known as cheap and safe for musculoskeletal pain. However, their relative effectiveness are not yet clear. This study aimed to determine the effectiveness of acupuncture and infrared therapies for reducing musculoskeletal pain in the elderly. Subjects and Method: This was an experiment study with randomized controlled trials design. The study was conducted at the elderly integrated health post Klodran, Karanganyar, Central Java, in May, 2016. A total sample of 60 elderlies was selected for this study using random sampling technique. This sample was randomized into 4 groups, each consisting of 15 study subjects: (1) acupressure; (2) acupuncture; (3) infrared; (4) acupuncture and infrared. The dependent variable was musculoskeletal pain. The independent variable was type of pain relief therapy. The data was analyzed by Kruskall Wallis Test, and post-hoc test using Mann-Whitney. Results: Kruskall Wallis Test showed mean differences in the reduction of musculosceletal pain between the four groups, and they were statistically significant, as follows: acupressure (mean= 1.3; SD= 0.5), acupunture (mean= 2.3; SD= 0.5), infrared (mean= 1.6; SD= 0.6), and acupuncture and infrared (mean= 3.9; SD= 0.4). Mann-Whitney test showed the most effective treatment for reducing musculoskeletal pain was acupunture and infrared combination therapy (mean difference= 2.53; p
Article
Objectives: Cesarean deliveries are one of the primary conditions associated with postoperative decreased motility of the gastrointestinal system and are characterized by acute pain and distention. The aim of the present study was to investigate the application of acupressure and the administration of analgesics for women who underwent cesarean section under spinal anesthesia could be delayed and how spontaneous gastrointestinal system motility could be achieved in the postoperative period. Design: Randomized controlled trial Setting: Private Medipol Nisa Hospital, Istanbul, Turkey Intervention: This trial was conducted with 112 primipara pregnant women who delivered via cesarean section under spinal anesthesia and were randomly assigned into the acupressure (n=52) and control (n=60) groups. The participants in the acupressure group (n=52) were treated for 20 minutes. The participants in the control group (n=60) were treated per the hospital protocol (analgesics for pain, flatulation and defecation, no pharmacological or non-pharmacological application was performed). Results: The time that elapsed for the administration of analgesics was significantly later in the acupressure group than in the control group (p <.001). The first occurrence of flatulation and defecation were significantly earlier in the acupressure group (19 and 23 hours, respectively) than in the control group (34 and 27 hours, respectively) (p <.001). Conclusion: Acupressure is an easy, non-invasive method that postpones the administration of analgesics in the postoperative period and prevents flatulence and constipation caused by the decreased motility of GIS.
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Introduction The LI4 and SP6 acupressure points are the most common points to relieve post cesarean pain, but there is no consensus on the preferred point of pressure. Therefore, this study was performed with the aim of comparing the effect of acupressure at LI4 and SP6 points on severity of post-cesarean pain. Methods: This double-blind clinical trial was performed on 90 women referred to the maternity hospitals of Rafsanjan in 2017. They were randomly assigned to three groups: LI4 point, SP6 point and control group. Intervention was performed bilaterally, in 10 seconds of pressure and 2 seconds of rest for 20 minutes sequentially. In the control group, the points were touched with the same pattern without pressure. The intensity of post-cesarean pain before, immediately and one hour after intervention was determined by visual analogue scale in three groups. Data was analyzed by SPSS software (version 16) and ANOVA and repeated measurement variance analysis. P <0.05 was considered significant. Results: In this study, the mean score of pain at three times of measurement (time effect) was significantly different (p = 0.33), but the comparison of the mean of the three pain scores in each group did not significantly differ with other groups (p = 0.428). The result showed a decrease in pain score in the Li4 group during three time measurements and a decrease in pain score in the Li4 group compared to the control group 1 hour after intervention (p = 0.001). Conclusion: The acupressure function at the LI4 point in relieving post cesarean pain is better than the SP6 compression point. © 2018, Mashhad University of Medical Sciences. All rights reserved.
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