Development of Cancer Patient Guide for Nausea & Vomiting Management in Chemotherapy

항암화학요법을 받는 암 환자의 오심, 구토관리를 위한 환자용 지침 개발

  • Received : 2010.06.28
  • Accepted : 2010.10.13
  • Published : 2010.12.31

Abstract

Purpose: This study was conducted to develop a Cancer Patient Guide with patients involvement using evidenced based practice research. The purpose of this patient guide was to help patients undergoing chemotherapy to manage their nausea and vomiting based on evidence. Methods: The design of the research was a methodological study. The participants consisted of seven cancer patients who were asked about their ' need for nausea and vomiting management, and secondly, 16 expert & 15 cancer patients to evaluate the Cancer Patient Guide using the DESCERN tool. Results: 1) Sixty-four relevant research evidences based articles were reviewed. 2) Patients were interviewed as to their needs in controlling nausea and vomiting. 3) The preliminary Cancer Patient Guide utilizing the research evidenced and the cancer patients interviews was then evaluated and revised by the experts and cancer patients. Lastly, the Cancer Patient which included an overview of chemotherapy, pathophysiology of nausea & vomiting, pharmacological and non-pharmacological interventions was finalized with each intervention supported by research evidence and patients' narratives of their experience. Conclusion: The Cancer Patient Guide was developed using evidenced based research and cancer patients in-put and be used to improve patients' self-management skill of nausea and vomiting in chemotherapy. The guide t also provides evidence based patient friendly information and contributes as a baseline data for developing and evaluating evidence-based guide for patients.

Keywords

References

  1. American Cancer Society & National Cancer Comprehensive Network [ACS & NCCN] (2005). Nausea and vomitingtreatment guidelines for patients with cancer. ACS: The author.
  2. Chall, J. S., & Dale, E. (1995). Readability revisited: The new dale-chall readability formula. Massachusetts: Brookline books.
  3. Choi, Y. H. (2003). Effects of P6 acupuncture and Korean hand acupuncture on chemotherapy-induced nausea, vomiting and anorexia. Unpublished doctoral dissertation, Keimyung University, Daegu.
  4. Choi, J. E. (2006). A study on the effect of oral cryotherapy on nausea vomiting and oral intake by anti cancer chemotherapy in cancer patient. Unpublished master's thesis, Yonsei University, Seoul.
  5. Dixon-Woods, M. (2001). Writing wrongs? An analysis of published discourses about the use of patient information leaflets. Social Science and Medicine, 52, 1417-1432. https://doi.org/10.1016/S0277-9536(00)00247-1
  6. Duffy, M. E. (2005). The Joanna briggs institute: Its contribution to evidence-based practice. Clinical Nurse Specialist, 19 (4), 184-186. https://doi.org/10.1097/00002800-200507000-00007
  7. Flesch, R. (1948). A new readability yardstick. Journal of Applied Psychology, 32 (3), 221-231.
  8. Han, J. E., Moon, Y. I., & Park, H. R. (2005). Effect of hand massage on nausea, vomiting and anxiety in childhood with leukemia on chemotherapy. Journal of Korean Academy of Child Health Nursing, 11 (4), 456-464.
  9. Intercollegiate Working Party for Stroke (2000). Care after stroke: Information for patients and their carers. London: Royal College of Physicians.
  10. Jang, M. H. (2005). The analysis of readability of the english textbooks for high school first graders. Unpublished master's thesis, Yonsei University, Seoul.
  11. Jeong, K. H. (2000). The effect of muscle relaxation therapy on nausea, vomiting and anxiety of children with chemotherapy. Journal of Korean Academy of Child Health Nursing, 6 (1), 60-68.
  12. Jeong, E. S., & Lee, B. S. (2004). Effects of aroma oil inhalation on nausea.vomiting and anorexia in cancer patients receiving chemotherapy. The Journal of Korean Academy of Adult Nursing, 16 (1), 135-145.
  13. Jo, S. J. (1985). Textbook readability: What it should be. English Teaching, 30, 93-114.
  14. Kang, M. A., Shin, Y. S., & Kim, Y. K. (2005). The effect of acupressure on the spots of Zoksamli and Sagwan with Si-Acupuncture on chemotherapy related nausea and vomiting in patients with stomach cancer. Journal of Korean Clinical Nursing Research, 10 (2), 145-156.
  15. Kim, Y. H., & Jeon, H. J. (2001). A study on the effect of oral cryotherapy on nausea vomiting and oral intake by anti cancer chemotherapy in pediatric cancer patient. Journal of Korean Academy of Child Health Nursing, 7 (1), 108-117.
  16. Korea National Stastistics Office (2009). 2007 Annual report on the cause of death stastistics. Seoul: The author.
  17. Lee, E. O., Kim, J. E., Park, H. A., Kwon, I. G., & Lee, E. H. (2005). Development and Evaluation of symptom management guidelines for cancer patients. Journal of Korean Academy of Adult Nursing, 17 (2), 208-218.
  18. Lee, G. H. (2003). Effects of Nei-Guan acupressure on chemotherapy- related nausea and vomiting in patients with ovarian cancer. Unpublished master's thesis Yonsei University, Seoul.
  19. Lee, S. H. (2003). The effect of teaching methods on self-care knowledge and performance in patients with cancer. Unpublished master's thesis Yonsei University, Seoul.
  20. Lee, H. S., Sung, K. W., Son, B. K., Kim, G. S., Lee, H. G., & Lee, S. Y. (2006). Effects of hand massage through Korean hand acupuncture therapy on nausea, vomiting and anorexia induced by chemotherapy in cancer patients. Journal of Korean Clinical Nursing Research, 11 (2), 7-19.
  21. National Health and Medical Research Council [NHMRC] (1998). A guide to the development, implementation and evaluation of clinical practice guidelines. Retrieved January 30, 2007, from http://www. nhmrc.gov.au/publications/
  22. Nicky, A., & Amanda, W. (2005). Involving women with breast cancer in the development of a patient information leaflet for anticipatory nausea and vomiting. European Journal of Oncology Nursing, 9, 33-43. https://doi.org/10.1016/j.ejon.2004.07.003
  23. Park, J. H., Cho, B. L., Kim, Y. I., Shin, Y. S., & Kim, Y. (2005). Assessing the quality of internet health information using DISCERN. Journal of Korean Society of Medical Informatics, 11 (3), 235-246.
  24. Royal College of Nursing (2007). Fasting before a general anaesthetic. London: The author.
  25. Royal College of Nursing (2001). The recognition and assessment of acute pain in children. London: The author.
  26. Scottish Intercollegiate Guidelines Network [SIGN] (2004). A guideline developer's handbook. Edinburgh, U.K.: SIGN the author.
  27. Song, M. S., & Shin, G. Y. (1988). Encouraging chilled oral fluid as a nursing intervention for emesis and decreased fluid intake during cancer chemotherapy. Journal of Korean Academy Nursing, 3 (1), 1-10.
  28. Yang, J. H. (2005). The effects of foot reflexology on nausea, vomiting and fatigue of breast cancer patients undergoing chemotherapy. Journal of Korean Academy Nursing, 35 (1), 175-185.
  29. Yang, Y. H. (2002). The relationship of symptoms of side effects, fatigue and quality of life in stomach cancer patients receiving chemotherapy. Journal of Korean Academy of Adult Nursing, 14 (2), 205-212.
  30. Yu, M. D. (2003). Educational needs and perceived understanding of treatment in patients with cancer. Unpublished master's thesis Yonsei University, Seoul.