Assessment of Effectiveness of Acupressure on Chemotherapy Induced Nausea and Vomiting among Women with Reproductive Organ Cancer

K. Kavichelvi
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Abstract

Background of the study: Nausea and vomiting are among the most common and distressing symptoms that patients with cancer endure, both as a result of anti – neoplastic treatment and from the disease itself, and significantly affect patients selfcare, coping abilities, and quality of life. Effective management of these individual symptom's response must be there throughout the cancer treatment. Since the acupressure is an easily applicable method regardless of time and place, cost effective, self-controlled and noninvasive method, it can be used to treat chemotherapy induced nausea and vomiting among clients with cancer receiving chemotherapy. The purpose of this study is to assess the effectiveness of non-pharmacological method, acupressure as a treatment modality to relieve nausea and vomiting among patients receiving chemotherapy. Methodology: A quasi-experimental pretest posttest design was adopted. The study sample comprised of 80 women admitted with ovarian cancer and cancer cervix receiving second and third cycle of chemotherapy. Non probability purposive sampling technique was adopted. Self-administered modified Rhode's index scale was administered to the women with reproductive organ cancer receiving second and third cycle of chemotherapy. The level of CINV was assessed by asking the women to indicate the level of chemotherapy induced nausea and vomiting being experienced by them. Results: Findings of this study revealed that acupressure has an effect on the women with ovarian and cervix cancer who were receiving chemotherapy by decreasing the level of CINV. Conclusion: Acupressure will be an effective adjunctive in controlling chemotherapy induced nausea and vomiting (CINV) and it can be tried in any oncological setting of clinical practice.
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穴位按压治疗女性生殖器官癌化疗引起的恶心呕吐的疗效评价
研究背景:恶心和呕吐是癌症患者最常见和最痛苦的症状之一,这既是抗肿瘤治疗的结果,也是疾病本身的结果,并显著影响患者的自我护理、应对能力和生活质量。在整个癌症治疗过程中,必须对这些个体症状的反应进行有效的管理。由于穴位按压是一种不受时间和地点限制、易于使用、成本低、自我控制、无创的方法,可用于治疗癌症化疗患者化疗引起的恶心呕吐。本研究的目的是评估非药物治疗方法,穴位按压作为缓解化疗患者恶心和呕吐的治疗方式的有效性。方法:采用准实验前测后测设计。研究样本包括80名接受第二和第三周期化疗的卵巢癌和宫颈癌患者。采用非概率目的抽样技术。对接受第二和第三周期化疗的生殖器官癌妇女进行自我管理的改良罗德指数量表。CINV的水平是通过要求妇女指出她们所经历的化疗引起的恶心和呕吐的程度来评估的。结果:本研究发现穴位按压对卵巢癌和宫颈癌患者化疗时的CINV水平有降低作用。结论:穴位按压是控制化疗引起的恶心呕吐(CINV)的有效辅助手段,可在任何肿瘤临床环境中尝试。
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