Matourypour Pegah, Zare Zahra, Mehrzad Valiolah, Musarezaie Amir, Dehghan Mojtaba, Vanaki Zohre
Department of Adult Health Nursing, School of Nursing and Midwifery, Tarbiat Modares University, Tehran, Iran.
Department of Nursing, Tehran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2015 Aug 6;4:61. doi: 10.4103/2277-9531.162380. eCollection 2015.
Nausea is the worst and most prevalent chemotherapy-induced complication experienced by 70-80% of patients despite mediation therapy. Reduction of nausea is one of the most important roles of oncologist nurses. Today, complementary therapies in addition to classic medicine, because of their lower costs, receive much attention. Nonetheless, their safety and effectiveness are not yet proven. The purpose of this research was to investigate the effect of therapeutic touch plan as a complementary therapy on acute nausea in women with breast cancer in 2012-2013 in Isfahan, Iran.
A quasi-experimental, single-blind, randomized control trial with three groups (control, placebo and intervention) was performed at the Isfahan Seyedolshohada (AS) Teaching Hospital, Isfahan, in 2012-2013. The intervention was therapeutic touch plan on women with breast cancer, with the three groups receiving the same medicine regimen. Information was recorded by a checklist after infusion of chemotherapy drugs. Data analysis was performed by SPSS, ANOVA and Kruskal-Wallis tests.
The ANOVA test showed that the therapeutic touch plan was significantly effective in reducing the duration of nausea compared with the control and placebo groups (P < 0.001). The Kruskal-Wallis test showed that the frequency of occurrence of nausea was also reduced in the intervention and placebo groups compared with the control group (P < 0.001). The therapeutic touch plan was significantly effective in delaying the onset of nausea compared with the control and placebo groups (P < 0.001).
This research showed that the therapeutic touch plan is effective in reducing acute chemotherapy-induced nausea; thus, education and implementation of the therapeutic touch plan is proposed for clinical nurses.
恶心是最严重且最常见的化疗引起的并发症,尽管进行了药物治疗,仍有70 - 80%的患者会经历。减轻恶心是肿瘤专科护士最重要的职责之一。如今,除了传统医学外,补充疗法因其成本较低而备受关注。然而,其安全性和有效性尚未得到证实。本研究的目的是调查2012 - 2013年在伊朗伊斯法罕,治疗性触摸方案作为一种补充疗法对乳腺癌女性急性恶心的影响。
2012 - 2013年在伊斯法罕的Seyedolshohada(AS)教学医院进行了一项三组(对照组、安慰剂组和干预组)的半实验性、单盲、随机对照试验。干预措施是针对乳腺癌女性的治疗性触摸方案,三组接受相同的药物治疗方案。在输注化疗药物后通过检查表记录信息。数据分析采用SPSS、方差分析和Kruskal - Wallis检验。
方差分析表明,与对照组和安慰剂组相比,治疗性触摸方案在缩短恶心持续时间方面具有显著效果(P < 0.001)。Kruskal - Wallis检验表明,与对照组相比,干预组和安慰剂组恶心发生频率也有所降低(P < 0.001)。与对照组和安慰剂组相比,治疗性触摸方案在延迟恶心发作方面具有显著效果(P < 0.001)。
本研究表明,治疗性触摸方案在减轻急性化疗引起的恶心方面是有效的;因此,建议临床护士对治疗性触摸方案进行教育和实施。