Effects of Oral Cryotherapy on Anticipatory, and Acute Nausea and Vomiting in Patients With Breast Cancer Undergoing Adjuvant Chemotherapy: A Randomized Controlled Clinical Trial


KURT B., KAPUCU S., Çakmak Öksüzoğlu B. Ö.

Clinical Breast Cancer, cilt.24, sa.2, ss.112-121, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 2
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1016/j.clbc.2023.10.012
  • Dergi Adı: Clinical Breast Cancer
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.112-121
  • Anahtar Kelimeler: Nausea, Nursing, Oral cryotherapy, Randomized controlled clinical trial, Vomiting
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Purpose: To determine the effects of oral cryotherapy (OC) on the anticipatory, and acute nausea and vomiting of patients with breast cancer who are receiving adjuvant chemotherapy. Patients and Methods: Seventy eligible patients with breast cancer were assigned to 2 groups by stratified randomization. This parallel grouped, randomized, clinical trial used the ice application protocol. OC application for an intervention group (IG, n = 35) was performed in 3 stages: i) instructions on by the investigator at the hospital; ii) the implementation accompanied by the investigator at the hospital; iii) the individual application of at home by patients. The IG had been doing the application for 12 weeks. The patients in the control group (CG, n = 35) received standard care. Additionally, Rhodes Index of Nausea Vomiting, and Retching, and EORTC QLQ-C30 Life Quality Index were conducted on the first (T1 = cycle 1 day 0), second (T2 = cycle 2 day 21), third (T3 = cycle 3 day 42), and fourth (T4 = cycle 4 day 63) cycles of adjuvant chemotherapy. Results: The anticipatory nausea scores in the T2 and T4, IG were significantly lower than the CG (P <. 05). In the T3, all symptom sub-dimensions except symptom occurrence (t = -0,48; P =. 63) of the IG were significantly lower than those of the CG (P <. 05). In the T1, T2, T3, and T4, acute nausea, acute vomiting, acute retching, and anticipatory retching scores, were significantly lower than the CG (P <. 05). Conclusion: OC alone was effective and safe for the treatment of nausea and vomiting. The results of this study showed the clinical applicability of OC in the management of nausea and vomiting.