Surveying the effect of a self-care education program on severity of nausea and emesis in colorectal cancer patients under chemotherapy

Karimi, S. and Makhsosi, B. R. and Seyedi-Andi, S. J. and Behzadi, M. and Moghofeh, Y. and Mohammadinasrabadi, K. and Abdi, A. and Ahmadi, P. (2017) Surveying the effect of a self-care education program on severity of nausea and emesis in colorectal cancer patients under chemotherapy. Journal of Multidisciplinary Healthcare, 10. pp. 301-307.

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Abstract

Background and objective: Colorectal cancer is one of the main causes of mortality in both developed and developing countries, including Iran. One of the treatments available for colorectal cancer is chemotherapy, of which nausea and emesis are the side effects. Owing to problems in controlling the side effects, a combination of medicine and non-medicine interventions is usually used. Self-care is one of the non-medicine interventions in this regard. The present study was aimed at surveying the effect of a self-care education program on severity of nausea and emesis in colorectal cancer patients under chemotherapy. Methods: A semi-experimental study was carried out in Imam Reza Hospital of Kermanshah, Iran. The sample group comprised 52 patients with colorectal cancer under chemotherapy. Data gathering tools included a demographics questionnaire and Morrow Assessment of Nausea and Emesis. To control intensity of nausea and emesis, a package of self-care measures including muscular progressive relaxation, music, and education on nutrition was used. Afterward, the collected data were analyzed using statistical tests such as Shapiro-Wilk test (to check normal distribution of the data), Mann-Whitney U test, Wilcoxon test, and chi-square test with the help of SPSS 20. Results: The results showed a considerable decrease in intensity and frequency of nausea and emesis after the intervention. The p-value of Mann-Whitney U test results with regard to intensity of nausea in the experiment and control groups after the intervention was 0.029; this figure for intensity of emesis was 0.009, which indicated effectiveness of the self-care program. Conclusion: As the results showed, using self-care program could be effective in attenuating intensity of emesis and nausea in colorectal cancer patients under chemotherapy. So, it can be concluded that the use of this program can increase the patient’s self-care ability to control vomiting and nausea, which can be considered as a complementary approach to the antiemetic medications. © 2017 Karimi et al.

Item Type: Article
Additional Information: Cited By :5 Export Date: 16 February 2020 Correspondence Address: Makhsosi, B.R.; Imam Reza Hospital, Kermanshah University of Medical SciencesIran; email: makhsosi56behnamreza@yahoo.com
Uncontrolled Keywords: Chemotherapy Colorectal cancer Nausea and emesis Self-care cisplatin etoposide fluorouracil folinic acid oxaliplatin adult aged Article cancer chemotherapy cancer patient clinical effectiveness controlled study diet disease severity education program experimental study family counseling female friendship high calorie diet human Iran leisure major clinical study male muscle relaxation music therapy nausea nutrition education patient autonomy protein diet proteinuria quality of life self care semi experimental study vomiting
Subjects: WI Digestive System
QZ pathology-neoplasms-Genetics
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib3 lib3
Date Deposited: 27 Apr 2020 07:39
Last Modified: 27 Apr 2020 07:39
URI: http://eprints.mums.ac.ir/id/eprint/16886

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