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Parents associated with children in measuring acute and delayed nausea and vomiting
1School of Nursing, Medical College, National Cheng Kung University, Tainan, Taiwan. lhlo@mail.ncku.edu.tw
Insights
Parents accurately assess children's chemotherapy side effects. Their observations of nausea and vomiting align closely with children's self-reports, aiding symptom management.
Area of Science:
- Oncology
- Pediatrics
- Nursing
Background:
- Cancer chemotherapy often causes acute and delayed nausea and vomiting in children.
- Accurate symptom assessment is crucial for effective management and supportive care.
- Parental involvement in symptom monitoring can enhance care quality.
Purpose of the Study:
- To examine the relationship between parents' and children's reports of chemotherapy-induced nausea and vomiting (CINV).
- To determine the reliability and validity of parental assessment of pediatric CINV.
- To understand the concordance between child self-report and parent proxy-report of CINV.
Main Methods:
- Utilized the Adapted Rhodes Index of Nausea and Vomiting for both parent and child (aged 8-18 years).
- Collected data every 12 hours over three days from 20 parent-child dyads.
- Employed correlational analysis to assess the association between parent and child symptom scores.
Main Results:
- Found significant moderate to strong associations between parent and child total scores (r = 0.85-0.93, P < 0.01).
- Observed strong correlations for nausea (r = 0.67-0.93, P < 0.01) and vomiting scores (r = 0.91-0.99, P < 0.01).
- Demonstrated high concordance between child self-reports and parental observations.
Conclusions:
- Parents' observations of their children's CINV are strongly associated with the child's self-report.
- Parents can reliably assess acute and delayed nausea and vomiting in pediatric cancer patients.
- Parental monitoring is a valuable tool in managing CINV in children undergoing chemotherapy.
Abstract:
The purpose of this study was to identify the relationship between parents and children in measuring children's acute and delayed nausea and vomiting induced by cancer chemotherapy. Twenty parent-child dyads participated in the study. Both instruments: Adapted Rhodes Index of Nausea and Vomiting by parent and by child (8-18 years old) were used every 12 h. The reliability and validity of these instruments have been established. There were significantly moderate to strong associations between parents and children in measuring these symptoms from Day 1 to Day 3 (total scores: r = 0.85-0.93; nausea scores: r = 0.67-0.93; and vomiting scores: r = 0.91-0.99, all P < 0.01). Therefore, parents' observation of their children's symptoms was strongly associated with their child's self-report of symptoms. Parents were able to assess their children's acute and delayed nausea and vomiting because in this sample almost all parents accompanied their children all day long.