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

Year 2021, Volume: 46 Issue: 2, 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

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