Determining the factors affecting chemotherapy-induced nausea and vomiting in children with cancer

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Tarih

2023

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Yayıncı

ELSEVIER SCIENCE INC

Erişim Hakkı

info:eu-repo/semantics/embargoedAccess

Özet

Purpose: We evaluated the factors affecting chemotherapy-induced nausea and vomiting (CINV) in children with cancer.Design and methods: This cross-sectional study was conducted with 62 children aged 9 to 18 years old with a solid tumor who received chemotherapy for the first time, and their parents. Data were collected using a data collection form, the State-Trait Anxiety Inventory for Children, the Beck Anxiety Inventory, the Spielberger StateTrait Anxiety Inventory, and the Baxter Retching Faces Scale. Data were analyzed using Spearman's correlation and logistic regression analyses.Results: Risk factors related to the child, treatment, and parent were examined. Child-related factors were determined as diagnosis (odds ratio [OR] = 5.5), time since diagnosis (OR = 1.9, OR = 4.7), pretreatment anxiety of the child (r = 0.439, r = 0.422), and past experience of nausea and vomiting before treatment (OR = 1.2). Treatment-related factors involved anti-emetic prophylaxis (OR = 4.9, OR = 9.2). Parent-related factors included pretreatment anxiety of the parent (r = 0.271, r = 0.287), accommodation (OR = 5.5), not eating (OR = 1.2, OR = 1.3), and bad smell (OR = 1.2), which were described amongst parents' as factors that trigger CINV.Conclusions: The occurrence of CINV is significantly affected by child-, treatment-, and parent-related risk factors. Practice implications: Pediatric nurses should create an environment for children and their parents to reduce their anxiety and provide basic knowledge and skills about the management of CINV.

Açıklama

Anahtar Kelimeler

Affecting factors, Chemotherapy, Children, Nausea and vomiting, Pediatric oncology nursing

Kaynak

JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES

WoS Q Değeri

Q1

Scopus Q Değeri

Cilt

73

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Künye