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Complementary and alternative medicine self-care strategies for nausea in patients undergoing abdominal or pelvic irradiation for cancer: A longitudinal observational study of implementation in routine care
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.
Karolinska Institute, Sweden; Gothenburg University, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Oncology.ORCID iD: 0000-0002-9786-7326
2017 (English)In: Complementary Therapies in Medicine, ISSN 0965-2299, E-ISSN 1873-6963, Vol. 34, p. 141-148Article in journal (Refereed) Published
Abstract [en]

Objective: To longitudinally describe practice of Complementary and Alternative Medicine (CAM) self-care strategies for nausea during radiotherapy. Methods: Two hundred patients daily registered nausea and practice of CAM self-care strategies, beside conventional antiemetic medications, for nausea during abdominal/pelvic irradiation (median five weeks) for gynecological (69%) colorectal (27%) or other tumors (4%). Results: During radiotherapy, 131 (66%) experienced nausea, and 50 (25%) practiced self-care for nausea at least once, for a mean (m) of 15.9 days. The six of 50 patients who stayed free from nausea practiced self-care more frequent (m = 25.8 days) than the 44 patients experiencing nausea (m = 14.5) (p = 0.013). The CAM self-care strategies were: modifying eating (80% of all self-care practicing patients, 80% of the nauseous patients versus 83% of the patients free from nausea; ns) or drinking habits (38%, 41% vs 17%; ns), taking rests (18%, 20% vs 0%; ns), physical exercising (6%, 2% vs 33%; p = 0.035), acupressure (4%, 5% vs 0%; ns) and self-induced vomiting (2%, 2% vs 0%; ns). Conclusion: A fourth of patients undergoing emetogenic radiotherapy practiced CAM self-care for nausea, mostly by modifying eating or drinking habits. The CAM self-care practicing patients who did not become nauseous practiced self-care more frequent than the nauseous patients did. To make such self-care evidence based, we need studies evaluating its efficacy.

Place, publisher, year, edition, pages
CHURCHILL LIVINGSTONE , 2017. Vol. 34, p. 141-148
Keywords [en]
Dietary modifications; Emesis; Integrative medicine; Physical activity; Self-management; Vomiting
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-142156DOI: 10.1016/j.ctim.2017.08.003ISI: 000412611500017PubMedID: 28917366OAI: oai:DiVA.org:liu-142156DiVA, id: diva2:1151687
Note

Funding Agencies|Swedish Cancer Society; Vardal Institute; Region of Ostergotland; University of Linkoping; Cancer Rehabilitation Foundation; Vardal Foundation for Health Care Sciences and Allergy Research; Osher Centre for Integrative Research, Karolinska Institute, Sweden

Available from: 2017-10-24 Created: 2017-10-24 Last updated: 2017-10-24

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Enblom, AnnaBörjeson, Sussanne
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