Implementation of Evidence-Based Nursing Practice: A Combination of Guided Imagery and PC6 Acupressure to Reduce Nausea in Patients Undergoing Chemotherapy
DOI:
https://doi.org/10.37287/ijghr.v8i5.2297Keywords:
chemotherapy, CINV, guided imagery, nausea, PC6 acupressureAbstract
Chemotherapy-Induced Nausea and Vomiting (CINV) is a common side effect in cancer patients undergoing chemotherapy. This condition can reduce quality of life and therapy compliance. Non-pharmacological approaches such as guided imagery and PC6 acupressure are alternative evidence-based interventions. To describe the implementation of Evidence-Based Nursing Practice (EBNP) in the form of a combination of guided imagery and PC6 acupressure and to evaluate changes in nausea levels in patients undergoing chemotherapy. EBNP implementation was carried out on 10 cancer patients undergoing chemotherapy at Dr. Mohammad Soewandhie General Hospital, Surabaya. The interventions provided were guided imagery for 10–15 minutes and PC6 acupressure for 2–3 minutes. The level of nausea was measured before and after the intervention using the INVR ( Index of Nausea, Vomiting, and Retching ) instrument. Data analysis used the Wilcoxon test with a significance level of α = 0.05. All respondents experienced a decrease in nausea scores after the intervention. A total of 5 (50%) respondents experienced a decrease in the nausea category, while 5 (50%) respondents remained in the same category even though the nausea score decreased. The results of the Wilcoxon test showed a p value = 0.025 (p < 0.05), which means there was a significant difference between before and after the intervention. The combination of guided imagery therapy and PC6 acupressure showed effectiveness in reducing nausea levels in chemotherapy patients.
References
Aini, D., & Lestari, P. (2024). Application of audio-based guided imagery to reduce anxiety and nausea in breast cancer patients. Indonesian Nursing Journal, 15 (2), 122–130.
Amey, A., & Sri, A. (2024). Integrating complementary therapies in oncology nursing practice: A holistic care perspective. Asian Pacific Journal of Cancer Care, 9 (2), 134–142. https://doi.org/10.31557/APJCC.2024.9.2.134
Correa-Morales, J.E., Mantilla-Manosalva, N., Rodríguez-Cardona, Guided imagery for symptom management of patients with life-limiting illnesses: A systematic review of randomized controlled trials. Journal of Palliative Medicine, 27 (6), 802–812. https://doi.org/10.1089/jpm.2023.0445
Di Mattei, V. E., Perego, G., Milano, F., & Gatti, F. (2024). The effectiveness of nonpharmacological interventions in the management of chemotherapy physical side effects: A systematic review. Healthcare, 12 (18), 1880. https://doi.org/10.3390/healthcare12181880
Kim, S., & Park, J. (2023). Integrative nursing approaches for symptom relief in cancer chemotherapy: A review of clinical outcomes. Nursing Open, 10 (4), 1925–1936. https://doi.org/10.1002/nop2.1752
Li, K., Cai, Y., Xie, S., Zhou, Y., Dong, J., Zhu, Q., Zhang, J., & Qiu, X. (2022). Evidence summary for nonpharmacological management of chemotherapy-induced nausea and vomiting. BioMed Research International, 2022 , 4741193. https://doi.org/10.1155/2022/4741193
Rohmatus Sakdiyah. (2020). Effectiveness of Neiguan acupressure on reducing nausea and vomiting in chemotherapy patients at Dr. Moewardi Regional Hospital. Indonesian Nursing Journal, 23 (1), 45–53.
Samami, M., Salehi, A., Rahmani, A., & Amani, F. (2022). Effect of guided imagery on chemotherapy-induced nausea and vomiting: A randomized clinical trial. Supportive Care in Cancer, 30 (12), 10341–10348. https://doi.org/10.1007/s00520-022-07454-9
Sinha, P., Kumar, A., & Mishra, R. (2021). Complementary therapies in managing chemotherapy side effects: Evidence and applications. Indian Journal of Palliative Care, 27 (4), 536–542. https://doi.org/10.4103/IJPC.IJPC_187_21
Supartha, IGN, et al. (2018). Implementation of nursing actions based on P6 acupressure research and nurse education regarding nausea and vomiting in cancer patients undergoing chemotherapy . RSCM Jakarta.
Wahyuningsih, N., et al. (2025). Acupressure therapy to reduce acute nausea and vomiting after chemotherapy: A descriptive case study. Indonesian Journal of Oncology Nursing, 4 (1), 55–63.
Zhou, Y., & Chen, L. (2023). The efficacy of P6 acupressure in controlling nausea among oncology patients: A meta-analysis. Complementary Therapies in Clinical Practice, 52 , 101727. https://doi.org/10.1016/j.ctcp.2023.101727
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
