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Parents associated with children in measuring acute and delayed nausea and vomiting

L H Lo1, L L Hayman

  • 1School of Nursing, Medical College, National Cheng Kung University, Tainan, Taiwan. lhlo@mail.ncku.edu.tw

Nursing & Health Sciences
|July 14, 2000
PubMed

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.

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