Effect of Magnetic Ball Pressing Combined With TEAS on Postoperative Nausea, Pain, Comfort, and Satisfaction in Patients Undergoing Gynecological Laparoscopic Surgery: A Randomized Controlled Trial.

Abstract

Purpose: The objective of this study was to evaluate the effects of magnetic ball press combined with transcutaneous electrical acupoint stimulation not only on the incidence of postoperative nausea and vomiting (PONV), but also on postoperative pain, comfort, and patient satisfaction in patients undergoing laparoscopic gynecological surgery.

Design: A randomized controlled trial comprising 120 patients undergoing elective gynecological surgery was conducted. These patients were randomly allocated into 3 groups, each consisting of 40 cases.

Methods: The magnetic-electricity-combined group received magnetic ball paste pressure combined with transcutaneous acupoint electrical stimulation, along with standard care. The acupoint pressure group received preoperative acupoint pressure, in addition to conventional care. The no-intervention group received only conventional care. The incidence of PONV, as well as postoperative pain, comfort, and satisfaction, were assessed within the initial 24 hours post surgery using the Visual Analog Scale (VAS) for PONV and pain, the Numerical Rating Scale for pain, the comfort scale, and a patient satisfaction scale.

Findings: The incidence of PONV within 24 hours post surgery was significantly lower in the magneto-electric combination group than in the acupressure and no-intervention groups (5% vs 57.5% vs 57.5%, P < .05). The postoperative pain score (VAS) was significantly lower in the magneto-electric combination group compared with the acupressure and no-intervention groups. The percentage of patients experiencing moderate pain was 12.5% in the magneto-electric group, 77.5% in the acupressure group, and 82.5% in the no-intervention group (P < .05). Furthermore, the magneto-electric combination group exhibited significantly higher comfort scores than the other 2 groups (105.15 ± 5.24 vs 94.65 ± 4.25 vs 91.40 ± 5.29, P < .05). Similarly, the magneto-electric combination group demonstrated significantly higher patient satisfaction scores than the other 2 groups (2.00 ± 0.00 vs 1.57 ± 0.50 vs 1.55 ± 0.50, P < .05).

Conclusions: The combination of magnetic ball compression with transcutaneous electrical stimulation of acupoints significantly reduces the incidence of PONV in patients undergoing gynecological laparoscopic surgery. Furthermore, it mitigates postoperative pain and improves patient comfort and satisfaction, thereby presenting a viable and efficacious approach for postoperative nursing interventions.