Effects of the Symptom Management Program on Nausea and Vomiting Among Endometrium Cancer Patients Receiving Chemotherapy
Keywords:
Symptom management program, Nausea and vomiting, Endometrial cancer patients, Chemotherapy, Symptom managementAbstract
This quasi-experimental research aimed to compare nausea and vomiting among endometrial cancer patients undergoing chemotherapy between the experimental group receiving the symptom management program in combination with hospital standard care and the control group receiving hospital standard care.
Participants were endometrial cancer patients receiving treatment at a University Hospital. Purposive sampling was adopted to recruit 56 patients, with 28 assigned to the experimental group and 28 to the control group. The research instruments include: 1) nausea and vomiting symptom management program developed based on the symptom management framework; 2) a symptom management manual for patients; 3) a symptom management diary; 4) a telephone follow-up record form; and 5) Nausea, Vomiting, and Retching (INVR-2) scale. Data was analyzed using descriptive statistics, Mann-Whitney U tests, and Wilcoxon signed rank test. The findings demonstrated that the experimental group had statistically significantly lower scores for nausea, vomiting, and overall nausea and vomiting than the control group. This difference was particularly noticeable on days 5, 6, and 7 after receiving chemotherapy (p < .05). The experimental group had statistically significantly lower scores for nausea, vomiting, retching, and overall nausea and vomiting than before receiving the symptom management program (p < .05). The results of this study suggest that integrating this nursing intervention into standard care can alleviate nausea and vomiting for this group of patients.
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