Investigating the effect of therapeutic touch on the intensity of acute chemotherapy-induced vomiting in breast cancer women under chemotherapy
Abstract
Background: Nausea and vomiting are the worst and the most prevalent complications experienced by 70–80% of patients. Complementary treatments including therapeutic touch are cost‑effective and low‑risk, independent nursing interventions. Present research aims at investigating the effect of therapeutic touch on the intensity of acute chemotherapy‑induced vomiting in these patients.
Materials and Methods: As a single‑blind, randomized clinical trial, the present research was carried out on women with breast cancer undergoing chemotherapy in Isfahan, Iran. The subjects were divided into three groups of control, placebo, and intervention. The intervention was applied to each patient once for 20 min on the aura (human energy field) focusing on solar chakra. Data gathering instruments included demographic questionnaire and acute vomiting intensity scale.
Results: There was a significant difference among the three groups (and also after the intervention) (P < 0.0001). Paired comparisons among the groups using Mann–Whitney test showed that there was a statistically significant difference between the control group and the intervention group and between the control group and the placebo group (P < 0.0001). However, there was no significant difference between the placebo and intervention groups (P = 0.07).
Conclusions: Therapeutic touch was effective in reducing vomiting in the intervention group. However, the patients experienced lower‑intensity vomiting which may be because of presence of a therapist and probably the reduced anxiety related to an additional intervention. So, further research is recommended considering the placebo group and employing another person in addition to the therapist, who is not skilled for this technique.
Keywords
Full Text:
PDFReferences
Smeltzer SC, Hinke JL, Cheere KH, Kluwer W. Brunner and Sudarth’s Textbook of Medical‑Surgical Nursing. 12th ed., New York: Lippincott Williams & Wilkins; 2010. p. 337, 1460‑700.
Bakhshi M. Effect of Progressive Muscle Relaxation on Acute and Delayed Emesis in Cancer Patients under Chemotherapy in Institute Cancer of Tehran at 2001. Tehran: Tarbiat Modares University; 2002. p. 10-28.
Gajizade SE, Najme ET. Investigation breast cancer risk factors by branch grapies. Iran J Nurs Vision 2010;77:61‑8.
Shahkhodabandeh S, Piri Z, Biglo MH, Asasdi M. Breast cancer in Iran: Iranian scientists approach to breast cancer researchers in Medline database. Iranian J Breast Dis 2009;2:49‑59.
Norizadeh, R, Bakhtari Aghdam F, Sahebi L. Invstigation insight health behavioure of women about cancer and screening at community health services. J Breast Dis 2010;3:43‑51.
Salimi S, Karimian N, Sheikhan Z, Alavi H. Performance of screening test and effecting factors on women in community health service in Ardebil 2010. J Ardabil Univ Med Sci 2010;10:310‑8.
Ebrahimi SM. Investigation Effect of Ginger on Nausea and Vomiting of Cancer Patients Receiving Chemotherapy. Tehran. Tarbiat Modares University; 2010. p. 12.
National Report of Cancer Records. Ministry of Health and Medical Education. Non‑contagious Deputy Cancer Organ. The Cancer Organ. Tehran: Center of Disease Control and Preventation. 2009. p. 12, 40.
Matory P. Breast cancer: Clinical Guideline for Nurses and Nursing Students. Tehran: Heidari Publication; 2014. p. 5-15.
Sontakke S, Thawani V, Naik MS. Ginger as an antiemetic in nausea and vomiting induced by chemotherapy: A randomized, cross‑over, double blind study. Indian J Pharmacol 2003;35:32‑6.
Movafaghi Z. Teherapeutic touch and its role in nursing. N J Mashad Faculty Nurs Midwifery 2005;17:66‑9.
Zolfaghari M. Compariance of Progressive Muscle Relaxation and Therapeutic Touch on Anxiety, Vital Science and Dysrhythmia under Heart Cathethrism. Tehran: Tehran Medical Scientific University; 1999. p. 43.
Hickok JT, Roscoe JA, Morrow GR, Ryan JL. A phase II/III randomized, placebo‑controlled, double‑blind clinical trial of ginger (Zingiber officinale) for nausea caused by chemotherapy for cancer: A currently accruing URCC CCOP Cancer Control Study. Support Cancer Ther 2007;4:247‑50.
Adams J. An exploratory study of complementary and alternative medicine in hospital midwifery: Models of care and professional struggle. Complement Ther Clin Pract practice 2006;12:40‑7.
Cherry B Jr. Contemporary Nursing. 5th ed., Texas: Mosby; 2001. p. 36-52.
Ranvanipour M. Investigation Effect of Therapeutic Touch Before IV Injection on Anxiety Level of School Age in Medical Centers of Boshehr 1998‑99. Master Thesis. Tehran, Iran: Tarbiat Modares University; 1999. p. 24-54.
Freeman L. Mosbys Complementary and Alternative Medicine: A Research Base Aproach. Mosby, Elsevier; 2001. p. 456.
DiNucci EM. Energy healing: A complementary treatment for orthopaedic and other conditions. Orthop Nurs 2005;24:259‑69.
Rankin D. The Nurse Handbook of Complementary Therapies. Sussex: Bailliere Tindall; 2001. p. 267‑72.
Carpenter DS, Ambrose M, Holmes N. Professional Guide to Complementary and Alternative Therapy. Spring House; 2002. p. 475‑7.
McCabe PN Jr. Complementary Therapy in Nursing and Midwifery: From Vision to Practice. Ausmed; 2001. p. 497‑504.
Zare Z. Investigation Effect of Therapeutic Touch on Level of Anxiety before Coronary Artery Bypass Graft in Shiraz Namazi Hospital 2005‑06. Isfahan, Iran: Isfahan Medical Science University; 2006. p. 4-38.
Brown D, Edwards H. Lewis Medical Surgical Nursing Assessment and Management of Clinical Problems. 3rd ed. New Zealand: Elsevier Health Science; 2013. p. 232.
Aghebati N. Investigation Effect of Herapeutic Touch on Pain Intensity and Psychologic Symptom (Anxiety, Depression, Fear) in Cancer Patients Hospitalized. Tehran, Iran: Tarbiat Modares University; 2005. p. 25-35.
Gleeson M, Timmins F. A review of the use and clinical effectiveness of touch as a nursing intervention. Clin Eff Nurs 2005;9:69‑77.
Coakley AB, Barron AM. Energy therapies in oncology nursing. Semin Oncol Nurs 2012;28:55‑63.
Carpenito LJ. Nursing Diagnosis: Application to Clinical Practice. 12th ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p. 242.
Authers Go. Nurse’s Handbook of Alternative and Complementary Therapies. 8th ed.,: Lippincott Williams & Wilkins; 2003. p. 58.
Wanchai A, Armer JM, Stewart BR. Complementary and alternative medicine use among women with breast cancer: A systematic review. Clin J Oncol Nurs 2010;14:E45‑55.
Matory P, Vanaki Z, Zare Z, Mehrzad V, Dehghan M. Investigation of the effects of therapeutic touch on intensity of anticipatory and acute induced‑nausea in breast cancer women undergoing chemotherapy in Isfahan. J Complementary Ther 2013;3:594‑85.
Matory P, Vanaki Z, Zare Z, Mehrzad V, Dehghan M. Investigation effects of therapeutic touch plan on acute chemotherapy induced‑nausea in breast cancer women in Isfahan 2012‑13. J Res Development Nursing Midwifery 2013;3:56‑61.
Basak S, Dasht Bozorgi B, Hosseini S, Latifi S. Investigation effect of massage therapy on vomiting induced chemotherapy in breast cancer patients. J Breast Cancer Dis 2010;3:14‑8.
Molassiotis A, Russell W, Hughes J, Breckons M, Lloyd‑Williams M, Richardson J, et al. The effectiveness of acupressure for the control and management of chemotherapy‑related acute and delayed nausea: A randomized controlled trial. J Pain Symptom Manage 2014;47:12‑25.
Ghanbari A, Montazeri A, Niknami M, Atrkar Z, Sobhani A, Najafi B. Effect of using ginger beside routine treatment on nausea and vomiting of cancer patients in Razi hospital dependent to Medical scientific university of Rasht. Ardebil J 2011;10:352‑61.
Marchioro G, Azzarello G, Viviani F, Barbato F, Pavanetto M, Rosetti F, et al. Hypnosis in the treatment of anticipatory nausea and vomiting in patients receiving cancer chemotherapy. Oncology 2000;59:100‑4.
Refbacks
- There are currently no refbacks.