Document Detail


Understanding the concept of chemotherapy-related nausea: the patient experience.
MedLine Citation:
PMID:  18637116     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to explore the experience of chemotherapy-related nausea in patients with cancer. A qualitative study was carried out with 17 patients who had experienced nausea during their chemotherapy in the UK and USA. Nausea was described as distressing and complex symptom. Patients attempted to construct an understanding of nausea using cognitive processes such as analysing their experience of nausea and related symptoms, attributing causation to nausea and comparing their experiences not only to their own expectations, but also to others' symptom experiences. A number of concurrent and associated symptoms linked with nausea were identified. Preliminary evidence emerged for nausea as part of a cluster of symptoms. Anti-emetic medication, provider-directed management strategies and self-management strategies were used by patients to minimize the effects of nausea. Self-management techniques, such as dietary strategies, were rooted in participants' understanding of nausea and their beliefs about what caused nausea, and there was little evidence of guidance from professionals beyond advice about medication management. This study reveals some of the complexities behind chemotherapy-induced nausea, including a potential symptom cluster, and contributes towards a clearer understanding of this symptom and its effects on patients' lives.
Authors:
A Molassiotis; C T Stricker; B Eaby; L Velders; P A Coventry
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-07-10
Journal Detail:
Title:  European journal of cancer care     Volume:  17     ISSN:  1365-2354     ISO Abbreviation:  Eur J Cancer Care (Engl)     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-08     Completed Date:  2008-12-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9301979     Medline TA:  Eur J Cancer Care (Engl)     Country:  England    
Other Details:
Languages:  eng     Pagination:  444-53     Citation Subset:  N    
Affiliation:
University of Manchester, School of Nursing, Midwifery & Social Work, Manchester, UK. alex.molassiotis@manchester.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adult
Aged
Antiemetics / therapeutic use*
Antineoplastic Combined Chemotherapy Protocols / adverse effects*
Female
Humans
Male
Middle Aged
Nausea / chemically induced*,  prevention & control,  psychology
Neoplasms / drug therapy*,  psychology
Quality of Life
Chemical
Reg. No./Substance:
0/Antiemetics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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