NAUSEA, VOMITING AND RETCHING OF PATIENTS WITH CERVICAL CANCER UNDERGOING CHEMOTHERAPY IN BALI, INDONESIA
ABSTRACT: Nausea, vomiting and
retching (NVR) was the frequently reported and troublesome adverse effect for
patients receiving chemotherapy. Purpose: This study is a part of a larger
study which aims to describe the NVR symptom experience in cervical cancer
patients undergoing chemotherapy in Bali, Indonesia, and examine relationships
with individual's risk factors. Method: Sixty-six patients with stage II and
III cervical cancer receiving Paxus (Paclitaxel)-Cisplatin at the second or the
third cycle were enrolled. NVR was measured by the Index of Nausea, Vomiting
and Retching (INVR) at the second day of their chemotherapy. This current study
included only patients with age ranged between 32 to 65 years (M = 47.15, SD =
9.64, min-max age 35 – 65 years). Result: The result showed that the NVR score
was at a moderate level. Younger subjects (age 32-50 years old) reported
significantly higher NVR scores than that of older subjects (age 51-65 years
old) (t = 2.76, p = .007). The subjects with higher anxiety scores reported
significantly higher NVR scores than those with lower anxiety scores (t =
-2.41, p = .019). Subjects who had experience in motion sickness had
significantly higher NVR scores (M = 12.69, SD = 2.60) than those who did not
(M = 9.23, SD = 2.86) and the difference was statistically significant (t =
4.98, p <.01). Meanwhile, no significant difference was found between
subjects who reported their expectation to have nausea and those who did not (t
= 0.08, p = .94). Conclusion: The findings provide valuable information
regarding NVR and the individual risk factors among patients with cervical
cancer undergoing chemotherapy. Nurses should assess the anxiety level and a
history of motion sickness of patients planned for chemotherapy and offer
preventive interventions to prevent and control NVR occurrence and its
distress.
Author: Ni Ketut Guru Prapti,
Wongchan Petpichetchian, Wimonrat Chongchareon
Journal Code: jpkeperawatangg120018
