Yüze Uygulanan El Fanının Çocuklarda Kemoterapiye Bağlı Bulantıyı Azaltmadaki Etkisi

Abstract

Giriş: Kemoterapiye bağlı bulantı ve kusma, kanser tanısı almış çocuklarda yaşam kalitesini önemli ölçüde azaltan ciddi yan etkilerdir. Amaç: Bu araştırma ilk kez kemoterapi alan 7-18 yaş arası çocuklarda, yüze uygulanan elde taşınabilir fanın bulantıyı azaltma ve fizyolojik parametreleri iyileştirme üzerindeki etkilerini değerlendirmek amacıyla gerçekleştirilmiştir. Yöntem: İki gruplu bu randomize kontrollü çalışma, 53 çocuk (deney grubu n=29, kontrol grubu n=24) ile Aralık 2022 ile Mart 2023 tarihleri arasında pediatrik onkoloji servisinde yürütülmüştür. Veri toplama araçları arasında bilgi formu, gözlem formu ve Baxter Retching Faces (BARF) bulantı ölçeği yer almıştır. Her iki grupta da kalp hızı (HR), oksijen satürasyonu (SpO₂) ve bulantı düzeyine ilişkin ölçümler, kemoterapiden hemen önce ve tedavi sonrasında 5., 30. ve 60. dakikalarda yapılmıştır. Deney grubuna, her bir tedavi sonrası ölçümden hemen önce çocuğun yüzünden 15 cm uzaklıkta olacak şekilde 5 dakikalık üç fan uygulaması yapılmıştır. İstatistiksel analizlerde Kolmogorov-Smirnov, ki-kare, Mann-Whitney U ve Wilcoxon testleri kullanılmıştır. Bulgular: Tedavi sonrası 60. dakikada deney grubunda BARF skorları (p=0.005) ve kalp hızı (p=0.022) kontrol grubuna göre anlamlı düzeyde daha düşük bulunmuş olup, 5. ve 30. dakikalarda anlamlı fark gözlenmemiştir. Deney grubunda tedavi öncesine göre 60. dakikada kalp hızında anlamlı düşüş görülmüştür (p=0.004). SpO₂ düzeyleri gruplar arasında değişmeden kalmıştır (p>0.05). Sonuç: Bu ön bulgular, fan uygulamasının kemoterapi alan pediatrik kanser hastalarında bulantının yönetilmesinde ve yaşam kalitesinin iyileştirilmesinde destekleyici bir strateji olarak hizmet edebileceğini göstermektedir

Keywords

• kemoterapi
• çocuk
• bulantı
• destekleyici bakım
• nonfarmakolojik girişim.

The Effect of the Handheld Fan on Reducing Chemotherapy-Associated Nausea in Children

Abstract

Introduction: Chemotherapy-induced nausea and vomiting (CINV) are significant adverse effects that greatly reduce the quality of life in children diagnosed with cancer. Aim: To evaluate the effects of using a handheld fan on the face to alleviate nausea and improve physiological parameters in children aged 7-18 years receiving their first chemotherapy treatment. Methods: This two-group randomized controlled trial with 53 children (experimental group n=29, control group n=24) was conducted between December 2022 and March 2023 at a pediatric oncology department. Data collection tools included an information form, observation form, and Baxter Retching Faces (BARF) nausea scale. Measurements of heart rate (HR), oxygen saturation (SpO2), and nausea level were taken in both groups immediately before chemotherapy and at 5, 30, and 60 minutes after the end of treatment. In the experimental group, the fan was applied three times for 5 minutes each at 15 cm from the child's face, immediately before each posttreatment measurement. Statistical analyses included the Kolmogorov-Smirnov, chi-square, Mann-Whitney U, and Wilcoxon tests. Results: The experimental group demonstrated significantly lower BARF scores (p=0.005) and heart rate (p=0.022) at 60 minutes posttreatment compared to controls, with no significant differences at 5 or 30 minutes. The experimental group also showed decreased heart rate from pretreatment to 60 minutes (p=0.004). SpO₂ levels remained unchanged between groups (p>0.05). Conclusion: These preliminary findings suggest that the fan intervention may serve as a supportive strategy for managing nausea and improving the quality of life in pediatric cancer patients undergoing chemotherapy.

Keywords

• Chemotherapy;
• child;
• nausea;
• nonpharmacological intervention.
• supportive care;

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