Necmettin Erbakan University, Faculty of Nursing, Konya, Turkey.
Izmir Bakircay University, Faculty of Health Sciences, Nursing Department, Izmir, Turkey.
Eur J Oncol Nurs. 2020 Oct;48:101827. doi: 10.1016/j.ejon.2020.101827. Epub 2020 Sep 9.
Chemotherapy-induced peripheral neuropathy (CIPN) may frequently occur in patients receiving oxaliplatin-based treatment. The aim of the present parallel-group, randomized, controlled pilot trial was to investigate the effect of henna on CIPN in women receiving oxaliplatin-based treatment.
Sixty female patients receiving oxaliplatin-based treatment were randomly divided into two groups, i.e., one intervention group (n = 30) where henna was applied topically and one control group (n = 30) that received routine treatment and care. Women in the intervention group were provided a pack of henna prepared by the investigators following each treatment course (2nd, 3rd, and 4th courses) and were instructed to apply the henna on their palms, fingers, and soles. The chemotherapy-induced peripheral neuropathy assessment tool (CIPNAT) was completed by women subsequent to the 2nd (baseline), 3rd, and 4th courses of treatment.
The intragroup assessment performed for the intervention group revealed that the total CIPNAT score significantly declined in the intervention group (p < 0.05). The score changes by time in the intervention and control groups were in favour of the intervention group, and the effect size for group × time interaction was η = 0.169. Similarly, regarding the symptoms intervention section of the tool, a positive change by time in the intervention group was observed, and the effect size concerning this change was large, i.e., η = 0.284.
The present study results showed that henna application on hands and feet has a beneficial effect on peripheral neuropathy. Applying henna is a promising approach in CIPN management.
奥沙利铂治疗可能会导致化疗引起的周围神经病变(CIPN),本平行组、随机、对照试验旨在研究指甲花对接受奥沙利铂治疗的女性 CIPN 的影响。
将 60 名接受奥沙利铂治疗的女性患者随机分为两组,即干预组(n=30)和对照组(n=30)。干预组在每次治疗后(第 2、3、4 个疗程)接受研究者准备的指甲花包,并将指甲花涂抹于手掌、手指和脚底。在第 2 个(基线)、第 3 个和第 4 个疗程后,女性患者完成化疗引起的周围神经病变评估工具(CIPNAT)。
对干预组进行的组内评估显示,干预组的总 CIPNAT 评分显著下降(p<0.05)。干预组和对照组的评分变化随时间推移有利于干预组,组间时间交互效应的效应量为 η=0.169。同样,在工具的症状干预部分,干预组的评分随时间呈正变化,且该变化的效应量较大,即 η=0.284。
本研究结果表明,将指甲花涂抹于手和脚对周围神经病变有有益的影响。指甲花的应用在 CIPN 管理中具有很大的潜力。