Abstract
The objective of this study was to investigate the effect on nausea and vomiting of structured education given to male lung cancer patients receiving chemotherapy. This quasi-experimental research study had pre- and post-tests control groups. The estimated sample size was at least 20 subjects per group. Data were collected in the chest diseases clinic and outpatient chemotherapy unit of a university hospital in Turkey. An education booklet and structured education were given 30 mins for each patient before chemotherapy. In post-test 1, nausea severity was significantly lower in the experimental group than in the control group (mean difference − 2.50, 95% CI − 1.46 to − 0.17, d = 0.82, p = 0.05). This was also the case in post-test 2 (mean difference − 2.10, 95% CI − 1.50 to − 0.21, d = 0.85, p = 0.01). According to this, the sizes of Cohen’s d effect were large (0.82 and 0.85 for post-test 1 and post-test 2 respectively). However, vomiting frequency did not differ significantly between the experimental group and the control group in either post-test 1 or post-test 2 (p > 0.05). Structured education given by nurses had a positive effect on the severity of nausea. Nurses may be able to raise nausea management in cancer patients to a better level by education intervention.
Similar content being viewed by others
References
World Health Organization Global Cancer Rates Could Increase by 50% to 15 Million by 2020. www.who.int/mediacentre/news/releases/2003/pr27/en/. Accessed 7 Jan 2018
Republic of Turkey Ministry of Health, Public Health Agency of Turkey (2017) Turkey Cancer Statistics. https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/2014-RAPOR._uzuuun.pdf. Accessed 07-15 2018
Van Cleave JH, Egleston BL, Ercolano E, McCorkle R (2012) Symptom distress in older adults following cancer surgery. Cancer Nurs 36(4):292–300
Cleeland CS, Zhao F, Chang VT, Sloan JA, O'Mara AM, Gilman PB, Weiss M, Mendoza TR, Lee JW, Fisch MJ (2013) The symptom burden of cancer: evidence for a core set of cancer-related and treatment-related symptoms from the Eastern Cooperative Oncology Group Symptom Outcomes and practice patterns study. Cancer 15:4333–4340
Potting CM, Mank A, Blijlevens NM, Donnelly JP, van Achterberg T (2008) Providing oral care in haematological oncology patients: nurses’ knowledge and skills. Eur J Oncol Nurs 12(4):291–298
Foubert J, Vaessen G (2005) Nausea: the neglected symptom? Eur J Oncol Nurs 9(1):21–32
Şıra FS (2007) Evaluate of symptoms in oncology patients receiving chemotherapy, Master thesis, Marmara University, İstanbul, Turkey. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp. Accessed 07-15 2018
Human aspects of cancer. http://www.gata.edu.tr/dahilibilimler/onkoloji/kiy.pdf. Accessed 07–08 2011
Alboughobeish SZ, Asadizaker M, Rokhafrooz D, Cheraghian B (2017) The effect of mobile-based patiente ducation on nausea and vomiting of patients undergoing chemotherapy. Biomed Res 28(19):8172–8178
Iranmanesh S, Axelsson K, Sävenstedt S, Häggström T (2009) A caring relationship with people who have cancer. J Adv Nurs 65(6):1300–1308
Molassiotis A, Yung HP, Yam BM, Chan FY, Mok TS (2002) The effectiveness of progressive muscle relaxation education in managing chemotherapy-induced nausea and vomiting in Chinese breast cancer patients: randomised controlled trial. Support Care Cancer 10(3):237–246
Rhodes VA, McDaniel R (2001) Nausea, vomiting and retching: complex problems in palliative care. CA Cancer J Clin 51(4):232–248
Şahin ZA, Ergüney S (2016) Effect on symptom management education receiving patients of chemotherapy. J Cancer Educ 31(1):101–107
Klein J, Griffiths P (2004) Acupressure for nausea and vomiting in cancer patients receiving chemotherapy. Br J Community Nurs 9(9):383–386
Molassiotis A, Stricker CT, Eaby B, Velders L, Coventry PA (2008) Understanding the concept of chemotherapy-related nausea: the patient experience. Eur J Cancer Care 17(5):444–453
Thange A, Evers G, Paridaens R (1998) Nurses’ assessments of symptom occurrence and symptom distress in chemotherapy patients. Eur J Oncol Nurs 2(1):14–26
Krishnasamy M, Kwok-Wei So W, Yates P, de Calvo LE, Annab R, Wisniewski T, Aranda S (2014) The nurse’s role in managing chemotherapy-induced nausea and vomiting an international survey. Cancer Nurs 37(4):27–35
So WK, Chan DN, Chan HY, Krishnasamy M, Chan T, Ling WM, Lo JC, Aranda S (2013) Knowledge and practice among Hong Kong oncology nurses in the management of chemotherapy-induced nausea and vomiting. Eur J Oncol Nurs 17(3):370–374
Ünlü H, Karadağ A, Taşkın L, Terzioğlu F (2010) Roles and functions of carried out by the oncology nurses. HEMAR-G 1:13–28
Coolbrandt A, Wildiers H, Aertgeerts B, Van der Elst E, Laenen A, Dierckx de Casterlé B, van Achterberg T, Milisen K (2014) Characteristics and effectiveness of complex nursing interventions aimed at reducing symptom burden in adult patients treated with chemotherapy: a systematic review of randomized controlled trials. Int J Nurs Stud 51(3):495–510
Hawkins R, Grunberg S (2009) Chemotherapy-induced nausea and vomiting: challenges and opportunities for improved patient outcomes. Clin J Oncol Nurs 13(1):54–64
Kwekkeboom KL (2016) Cancer symptom cluster management. Semin Oncol Nurs 32(4):373–382
Gravetter FJ, Wallnau LB (2005) Essentials of statistics for the behavioral sciences. Thomson Learning, Belmont
Gu L, Li J (2016) The assessment and management of chemotherapy induced nausea and vomiting among cancer patients in a chemotherapy ward: a best practice implementation project. JBI Database System Rev Implement Rep 14(3):233–246
Aslan Ö, Vural H, Kömürcü S, Özet A (2006) The effects of nursing education role on cancer patients undergoing chemotherapy. C.Ü. J Sch Nurs 10:15–28
Aranda S, Jefford M, Yates P, Gough K, Seymour J, Francis P, Baravelli C, Breen S, Schofield P (2012) Impact of a novel nurse-led prechemotherapy education intervention (ChemoEd) on patient distress, symptom burden, and treatment-related information and support needs: results from a randomised, controlled trial. Ann Oncol 23(1):222–231
Meyer TJ, Mark MM (1995) Effects of psychosocial interventions with adult cancer patients: a meta-analysis of randomized experiments. Health Psychol 14(2):101–108
Grunberg SM, Deuson RR, Mavros P, Geling O, Hansen M, Cruciani G, Daniele B, De Pouvourville G, Rubenstein EB, Daugaard G (2004) Incidence of chemotherapy-induced nausea and emesis after modern antiemetics. Cancer 100(10):2261–2268
Ihbe-Heffinger A, Ehlken B, Bernard R, Berger K, Peschel C, Eichler HG, Deuson R, Thödtmann J, Lordick F (2004) The impact of delayed chemotherapy induced nausea and vomiting on patients, health resource utilization and costs in German cancer centers. Ann Oncol 15(3):526–536
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical approval was obtained from the university ethical committee (No: 2012/258). Oral and written informed consent was obtained from all the participants before education. The authors confirm that all patient/personal identifiers have been removed or disguised so the patient/person(s) described are not identifiable and cannot be identified through the details of the story.
Conflict of Interest
The authors declare that they have no conflict of interest.
Informed Consent
Oral and written informed consent was obtained from all the participants before education.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ince, Y., Yildirim Usta, Y. The Effect on Nausea and Vomiting of Structured Education Given to Male Lung Cancer Patients Receiving Chemotherapy. J Canc Educ 35, 788–795 (2020). https://doi.org/10.1007/s13187-019-01531-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-019-01531-4