Auricular Point Acupressure Feasible for Nursing Practice, Improves Patient Outcomes

Addition of dexamethasone to bortezomib for the treatment of relapsed multiple myeloma as ongoing ma
Addition of dexamethasone to bortezomib for the treatment of relapsed multiple myeloma as ongoing ma
Researchers evaluated the feasibility of an 8-hour training session on auricular acupressure and integrating the practice into oncology nursing.

A nurse-led auricular point acupressure (APA) training session for oncology nurses was feasible for nurses to master APA skills and integrate APA care for patients with cancer-related pain (CRP). These findings were published in Integrative Cancer Therapies.

More than half of patients undergoing anticancer treatment report pain. Auricular point acupressure has demonstrated effects on pain, and given its noninvasive characteristics, could be delivered by oncology nurses.

This 2-phase feasibility study was conducted at Johns Hopkins University School of Nursing. Ten oncology nurses underwent 5 hours of didactic APA training followed by 3 hours of hands-on personal training. Feasibility of the training course was assessed using an APA knowledge test comprising 43 multiple choice questions and 7 open-ended questions, a participant confidence assessment using the 10-point Likert scale, and a practice log describing APA delivery to 5 friends or peers. A total of 44 participants received practice APA.

The average score on the APA knowledge test was 93% (SD, 6.87%) and the participants rated their APA confidence as 6.5 (range, 5 to 10) points. The practice APA recipients rated their pre-APA pain as 4.8 (SD, 1.67) points. Pain scores decreased by 49% immediately after APA, by 60% one day post-APA, and by 66% 2 days post-APA.

In the second phase, 33 patients with CRP underwent APA by the newly certified nurses. Patients were mean age 50.2 (SD, 15.64) years, 57.6% were men, and the most common cancer diagnoses were leukemia (27.3%) and gastrointestinal cancer (21.2%).

The patients reported a mean pre-APA pain level of 8.3 (SD, 1.57) points. After APA, pain scores decreased by 30% on day 1, 36% on day 2, and 38% on day 3 (all P <.05). Fatigue severity and sleep disturbance improved by 39% and 45%, respectively, after 3 days of APA.

Providing 8 hours of training in APA, then integrating the practice into the daily oncologic nursing care of patients with CRP is feasible, concluded the study authors.

Reference

Van de Castle B, Lukkahatai N, Billing L, et al. Nurse-administered auricular point acupressure for cancer-related pain. Integr Cancer Ther. 2023;22:15347354231198086. doi:10.1177/15347354231198086