Ayaktan tedavi gören kanser hastalarının kemoterapiye bağlı gelişen bulantı-kusmanın yönetiminde nonfarmakolojik yöntemleri kullanma durumlarının incelenmesi

Year 2021, , 574 - 582, 30.06.2021

Eda Ergin , Tülay Sağkal Midilli , Eda Akdağ Ceyda Kırgöz

https://doi.org/10.17826/cumj.852985

Cited By: 2

Abstract

Amaç: Araştırmada ayaktan tedavi gören kanser hastalarının kemoterapiye bağlı gelişen bulantı-kusmanın yönetiminde nonfarmakolojik yöntemleri kullanma durumlarının incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Araştırma Manisa Celal Bayar Üniversitesi Tıp Fakültesi Hafsa Sultan Hastanesi ayaktan kemoterapi birimine başvuran, örneklem seçme kriterlerine uyan, araştırmaya katılmayı kabul eden 251 hasta oluşturmuştur. Araştırma verileri araştırmacılar tarafından hazırlanan 22 sorudan oluşan hasta tanıtım formu ve bulantı sayısal ölçeği kullanılarak toplanmıştır.
Bulgular: Hastaların %88’i kemoterapi uygulaması öncesinde bulantı kusma şikayeti yaşarken bulantı ölçeği puan ortalaması 5,24±1,84 orta düzeyde bulunmuştur. Hastaların %82,1’i bulantı kusmayı önlemede nonfarmakolojik yöntem kullandığını belirtmiştir. Bulantı kusmayı önlemede nonfarmakolojik yöntem kullanan hastaların %83,5’i sıcak/soğuk duş aldığını (n=172), %50,5’i bitkisel çayları (n=104) ve %35’i masajı (n=72) kullandığını bildirmiştir.
Sonuç: Her 10 hastadan dokuzunun kemoterapi uygulaması öncesinde bulantı kusma şikayeti yaşadığı ve hastaların bulantı şiddetinin orta düzeyde olduğu bulundu. Hastaların çoğunluğunun nonfarmakolojik yöntemler kullandığı, en sıklıkla sıcak/soğuk duş aldığı saptandı. Hemşirelerden nonfarmakolojik yöntemlerden kanıta dayalı olanların tercih edilmesi konusunda hastalara rehberlik yapmaları önerilmektedir.

Keywords

bulantı, Kusma, kemoterapi, nonfarmokolojik yömtem

Supporting Institution

Yok

Evaluation of outpatient cancer patients’ use of nonpharmacological methods in the management of chemotherapy-induced nausea and vomiting

Abstract

Purpose: The present study aimed to investigate nonpharmacological methods in managing chemotherapy-induced nausea and vomiting by outpatient cancer patients.
Materials and Methods: This descriptive study was conducted in the outpatient chemotherapy unit of Hafsa Sultan Hospital, Faculty of Medicine, Manisa Celal Bayar University, with 251 cancer patients receiving chemotherapy. The study data were collected using the Patient Information Form and the Nausea Visual Analogue Scale (VAS).
Results: Of the patients, 88% (n=221) experienced nausea and vomiting before chemotherapy. The mean score of these patients from the VAS was moderate (5.24 ± 1.84). Of the patients, 82.1% (n=206) used nonpharmacological methods to prevent nausea and vomiting. According to their statements, of the patients who used nonpharmacological methods, 83.5% (n = 172) took hot and cold showers, 50.5% (n = 104) drank herbal teas, 35% (n = 72) had massage.
Conclusion: The severity of nausea was moderate. Most of the patients used nonpharmacological methods. Of these methods, the one used most frequently was taking hot and cold showers. It is recommended that nurses should guide and encourage patients to use evidence-based nonpharmacological methods.

Keywords

Nausea, Vomiting, Chemotherapy, Nonpharmacological method

References

• 1. Fitzmaurice C, Allen C, Barber RM, Barregard, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA oncology, 2017; 3(4): 524-548. doi:10.1001/jamaoncol.2016.5688
• 2. Sánchez-Lara K, Ugalde-Morales E, Motola-Kuba D, Green D. Gastrointestinal symptoms and weight loss in cancer patients receiving chemotherapy. Br J Nutr. 2013;109(5):894-897. doi: 10.1017/S0007114512002073
• 3. Özdelikara B, Arslan B. Chemotherapy-ınduced nausea-vomiting to manage the use of complementary and alternative therapy methods. GUSBD. 2017; 6 (4): 218 – 223.
• 4. Rashrash M, Schommer JC, Brown LM. Prevalence and predictors of herbal medicine use among adults in the UnitedStates. J Patient Exp. 2017; 4(3): 108-13. doi:10.1177/2374373517706612
• 5. Wang H, Chen Y, Gu D, et al. A complex nursing interventionof CAM increase quality of life and satisfaction in lung cancer patients. Minerva Med., 2018; 109(6):493-495. doi:10.23736/S0026-4806.18.05742-7
• 6. World Health Organization. Traditional, complementary and integrative medicine [Internet]. Geneva: World Health Organization; 2019 Available from:
• 7. Andersen MR, Sweet E, Hager S, et al. Use of Integrative oncology, involvement in decision-making, and breast cancer survivor health-related quality of life in the first 5 years postdiagnosis. Integr Cancer Ther. 2018; 17(3): 636-645. doi:10.1177/1534735418762543
• 8. Gan GG, Leong YC, Bee PC, et al. Complementary and alternative medicineuse in patients with hematological cancers in Malaysia. Support. Care Cancer. 2015; 23(8): 2399-2406. doi:10.1007/s00520-015-2614-z
• 9. Stomski NJ, Petterson A, Kristjanson L, et al. The effect of self-selected complementary therapies on cancer patients’quality of life and symptom distress: A prospective cohort study in an integrative oncology setting. Complement Ther Med. 2018; 37: 1–5. doi:10.1016/j.ctim.2018.01.006
• 10. Dogan MD, Savuci Y, Sayılan AA. The effect of complementary and integrative medicine on symptom management and quality of life in oncology patients. Adv Integr Med. 2020. doi:10.1016/j.aimed.2020.05.004
• 11. Shay LA, Lafata JE. Where is the evidence? A systematic review of shared decision making and patient outcomes. Med Decis Making. 2015;35 (1): 114-131. doi:10.1177/0272989X14551638
• 12. Uysal N, Kutlutürkani S. Reflexology for symptom control in cancer patient. Med JBakirkoy. 2016; 12 (3): 103-109.
• 13. Toygar İ, Yeşilbalkan Ö, Kürkütlü M, Temelli A. Complementary and alternative medicines used by cancer patients to cope with nausea. Health & Research Journal. 2020; 6(1): 29-35. doi:10.12681/healthresj.23003
• 14. Arslan M, Özdemir L. Complementary and alternative theraphy methods used in the management of chemotherapy induced nausea and vomiting, Turkish Journal of Oncology, 2015; 30(2):82-89 doi:10.5505/tjoncol.2015.1204
• 15. Can G, Erol O, Aydiner A, Topuz E. Non-pharmacological interventions used by cancer patients during chemotherapy in Turkey. European Journal of Oncology Nursing, 2011; 15(2): 178-184.
• 16. Irmak Z, Tanrıverdi Ö, Ödemiş H, Uysal DD. Use of complementary and alternative medicine and quality of life of cancer patients who received chemotherapy in Turkey. Complement Ther Med., 2019; 44: 143-150. doi:10.1016/j.ctim.2019.04.008
• 17. Aslan FE. Ağrı değerlendirme yöntemleri. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi, 2002; 6(1): 9-16.
• 18. Eghbali M, Yekaninejad MS, Jalalinia SF, Samimi MA, Sa'atchi K. The effect of auricular acupressure on nausea and vomiting caused by chemotherapy among breast cancer patients. Complement Ther Clin Pract., 2016; 24: 189-194. doi:10.1016/j.ctcp.2016.06.006
• 19. Horneber M, Bueschel G, Dennert G, et al. How many cancer patients use complementary and alternative medicine: a systematic review and metaanalysis. Integr Cancer Ther. 2012; 11(3): 187-203. doi:10.1177/1534735411423920
• 20. Kwon JH, Lee SC, Lee MA, et al. Behaviors and attitudes toward the use of complementary and alternative medicine among Korean cancer patients. Cancer Res Treat., 2019; 51(3): 851–860. doi:10.4143/crt.2019.137
• 21. Yeşil H, Kıran B, Alkan H, et al. Using complementary and alternative medicine in patients with breast cancer diagnosis at AFYON KOCATEPE UNIVERSITY. Kocatepe Medical Journal. 2018; 19(2): 42-47.
• 22. Farooqui M, Hassali MA, Shatar AKA, et al. Use of complementary and alternative medicines among Malaysian cancer patients: A descriptive study. J Tradit Complement Med., 2016; 6(4): 321-326. doi:10.1016/j.jtcme.2014.12.008
• 23. Tian X, Tang RY, Xu LL, et al. Progressive muscle relaxation is effective in preventing and alleviating of chemotherapy-induced nausea and vomiting among cancer patients: a systematic review of six randomized controlled trials. Support Care Cancer. 2020; 28: 4051–4058. doi:10.1007/s00520-020-05481-2
• 24. Dadkhah B, Anisi E, Mozaffari N, Amani F, Pourghasemian M. Effect of music therapy with periorbital massage on chemotherapy-induced nausea and vomiting in gastrointestinal cancer: a randomized controlled trail. J Caring Sci. 2019; 8(3):165–171. doi:10.15171/jcs.2019.024
• 25. Zorba P, Ozdemir L. The preliminary effects of massage and inhalation aromatherapy on chemotherapy-induced acute nausea and vomiting: a quasi-randomized controlled pilot trial. Cancer Nurs. 2018; 41(5): 359-366. doi:10.1097/NCC.0000000000000496
• 26. Özdelikara A, Tan M. The effect of reflexology on chemotherapy-induced nausea, vomiting, and fatigue in breast cancer patients. Asia Pac J Oncol Nurs. 2017; 4 (3): 241-9. doi:10.4103/apjon.apjon_15_17
• 27. Genç F, Tan M. The effect of acupressure application on chemotherapy-induced nausea, vomiting, and anxiety in patients with breast cancer. Palliat Support Care, 2015; 13 (02): 275-284. doi:10.1017/S1478951514000248
• 28. Dupuis LL, Roscoe JA, Olver I, Aapro M, Molassiotis A. 2016 updated MASCC/ESMO consensus recommendations: anticipatory nausea and vomiting in children and adults receiving chemotherapy. Support Care Cancer. 2017; 25: 317–321. doi:10.1007/s00520-016-3330-z.
• 29. Hughes D, Ladas E, Rooney D, Kelly K. Massage therapy as a supportive care intervention for children with cancer. Oncol Nurs Forum. 2008; 35(3): 431-442.
• 30. Myers CD, Walton T, Bratsman L, Wilson J, Small B. Massage modalities and symptoms reported by cancer patients: narrative review. J Soc Integr Oncol 2008; 6 (1): 19–28.