Effect of Guided Imagery on Nausea, Retching, and Vomiting among Patients with Colorectal Cancer Receiving Chemotherapy
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Abstract
This two-group pretest-posttest quasi-experimental research aimed to examine the effects of guided imagery on nausea, retching, and vomiting among colorectal cancer patients receiving chemotherapy. The samples were colorectal cancer patients receiving chemotherapy who were admitted at Vajira Hospital and Maharaj Nakorn Chiang Mai Hospital. Forty-four colorectal cancer patients were selected by purposive sampling and equally assigned to experimental and control groups. The experimental group received guided imagery and routine care. The control group received routine care. Research instruments were 1) the Nausea, Vomiting, and Retching Assessment Form, with test reliability at .98; and 2) the guided imagery handbook and the guided imagery audio clip. Data were analyzed by using descriptive statistics, the Wilcoxon signed-rank test, and the Mann-Whitney U test.
The research results revealed that the severity score for nausea and retching among the experimental group was significantly lower than before receiving the treatment (p-value = .001), while the severity score for vomiting among the experimental group had no significant difference from before receiving the treatment (p-value = .18). Furthermore, the severity score for nausea and retching among the experimental group was significantly lower than the control group (p-value < .001); however, the severity score for vomiting among the experimental group had no significant difference from the control group (p-value = .409). These results showed that guided imagery can be implemented as an alternative method to decrease the severity of nausea, retching, and vomiting among colorectal cancer patients receiving chemotherapy.
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