Does acupressure help reduce nausea and vomiting in palliative care patients? A double blind randomised controlled trial

Perkins, Paul; Parkinson, Anne; Parker, Rebecca; Blaken, Alison; Akyea, Ralph K.

Abstract

Introduction: Nausea and vomiting are common symptoms for patients with advanced cancer. While there is evidence for acupuncture point stimulation for treatment of these symptoms for patients having anticancer treatment, there is little for when they are not related to such treatment.

Objective: To determine whether acupressure at the pericardium 6 site can help in the treatment of nausea and vomiting suffered by palliative care patients with advanced cancer.

Materials and methods: Double blind randomised controlled trial—active versus placebo acupressure wristbands. In-patients with advanced cancer in two specialist palliative care units who fitted either or both of the following criteria were approached: Nausea that was at least moderate; Vomiting daily on average for the prior 3 days.

Results: 57 patients were randomised to have either active or placebo acupressure wristbands. There was no difference in any of the outcome measures between the two groups: change from baseline number of vomits; Visual Analogue Scale for ‘did acupressure wristbands help you to feel better?’; total number of as needed doses of antiemetic medication; need for escalation of antiemetics.

Conclusions: In contrast to a previously published feasibility study, active acupressure wristbands were no better than placebo for specialist palliative care in-patients with advanced cancer and nausea and vomiting.

• Journal Article Type: Article
• Acceptance Date: Jul 28, 2020
• Online Publication Date: Oct 8, 2020
• Publication Date: Oct 8, 2020
• Deposit Date: Oct 15, 2020
• Publicly Available Date: Oct 15, 2020
• Journal: BMJ Supportive and Palliative Care
• Print ISSN: 2045-435X
• Electronic ISSN: 2045-4368
• Peer Reviewed: Peer Reviewed
• Volume: 12
• Pages: 58-63
• DOI: https://doi.org/10.1136/bmjspcare-2020-002434
• Keywords: Nausea, vomiting, acupuncture therapy, acupressure
• Public URL: https://nottingham-repository.worktribe.com/output/4965307
• Publisher URL: https://spcare.bmj.com/content/early/2020/10/07/bmjspcare-2020-002434
• Additional Information: © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.