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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.
Enblom, Anna; Steineck, Gunnar; Börjeson, Sussanne.
Afiliación
  • Enblom A; Region of Östergötland and Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Sweden. Electronic address: anna.enblom@liu.se.
  • Steineck G; Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden; Department of Oncology, Division of Clinical Cancer Epidemiology, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
  • Börjeson S; Department of Oncology and Department of Medical and Health Sciences, Division of Caring Science, Linköping University, Linköping, Sweden.
Complement Ther Med ; 34: 141-148, 2017 Oct.
Article en En | MEDLINE | ID: mdl-28917366
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 15.9days. The six of 50 patients who stayed free from nausea practiced self-care more frequent (m=25.8days) 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pelvis / Autocuidado / Terapias Complementarias / Abdomen / Náusea / Neoplasias Tipo de estudio: Etiology_studies / Observational_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Complement Ther Med Asunto de la revista: TERAPIAS COMPLEMENTARES Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pelvis / Autocuidado / Terapias Complementarias / Abdomen / Náusea / Neoplasias Tipo de estudio: Etiology_studies / Observational_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Complement Ther Med Asunto de la revista: TERAPIAS COMPLEMENTARES Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido