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Acupoint Application Combined with Acupressure as an Adjunctive Therapy for Chemotherapy-Induced Nausea and Vomiting
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Children's coping strategies for chemotherapy-induced nausea and vomiting

Cheryl Rodgers1, Robbie Norville, Olga Taylor

  • 1Department of Pediatrics, Baylor College of Medicine and Cancer and Hematology Service at Texas Children's Hospital, Houston, USA. ccrodger@txccc.org

Oncology Nursing Forum
|March 1, 2012
PubMed

Insights

Chemotherapy-induced nausea and vomiting (CINV) occurs throughout cancer treatment in children. Active coping strategies, like social support and distraction, are most effective for managing pediatric CINV.

Area of Science:

  • Pediatric Oncology
  • Symptom Management
  • Cancer Nursing

Background:

  • Chemotherapy-induced nausea and vomiting (CINV) is a common and distressing side effect for pediatric cancer patients.
  • Understanding the timing and patient-reported experiences of CINV is crucial for effective management.

Purpose of the Study:

  • To determine the frequency of anticipatory, acute, and delayed CINV in pediatric cancer patients.
  • To identify coping strategies utilized by children experiencing CINV.
  • To evaluate the effectiveness of different coping mechanisms.

Main Methods:

  • Prospective cohort study involving 40 children aged 7-12 years undergoing chemotherapy.
  • Utilized the Adapted Rhodes Index of Nausea and Vomiting for Pediatrics and Kidcope-Younger Version.
  • Assessed CINV occurrence and coping strategy use across different time points.

Main Results:

  • CINV was observed in anticipatory, acute, and delayed phases, with the highest incidence in the delayed phase.
  • Distraction and wishful thinking were most frequently used coping strategies.
  • Social support and distraction were identified as the most effective coping strategies.

Conclusions:

  • Chemotherapy-induced nausea and vomiting (CINV) is a persistent issue throughout pediatric cancer treatment.
  • Active coping strategies, including social support and distraction, demonstrate greater efficacy in managing CINV.
  • Nurses play a vital role in educating and empowering children with active coping mechanisms for CINV.
Abstract

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