Background Cancer patients receiving chemotherapy experience acute and delayed nausea and vomiting. These side effects obligate the patients to use pharmacological and nonpharmacological methods. The effect of ginger tea as an antiemetic modality on preventing chemotherapy-related nausea and vomiting has not been confirmed in previous studies. Objective The aim of this study was to assess the effect of ginger tea, when given together with the standard antiemetic regimen, on preventing nausea and vomiting in patients with gynecological cancers receiving cisplatin-based regimens. Methods This study used a quasi-experimental research design with 2 groups (control and intervention groups, 50 participants each). A sociodemographic and medical survey and the Modified Rhodes Index of Nausea, Vomiting, and Retching were used to collect the data. Descriptive analyses, t test, and χ 2 test were used to analyze the data. Results The total mean Modified Rhodes Index of Nausea, Vomiting, and Retching scores were lower in the intervention group in all measurements compared with the control group, and the differences between the total mean scores for symptom experience, development, and distress between the groups were statistically significant in the third (P < .05), fourth (P < .01), and fifth (P < .05) measurements. No ginger-related side effects were noted in this study. Conclusions Ginger tea reduced the experience, development, and distress of nausea, vomiting, and retching in the intervention group. The use of ginger tea may be recommended for chemotherapy-associated nausea and vomiting in cancer patients receiving cisplatin-based regimens. Implications for Practice Oncology nurses can lead the implementation of ginger tea intervention to prevent chemotherapy-related nausea and vomiting.
Background: Swallowing exercises can improve the swallowing function and minimize swallowing problems that may develop from head and neck cancer and its treatment Aim: The aim of this study was to assess the effect of swallowing exercises program on patients with head and neck cancer. Design: A quasi-experimental design used to achieve the aim of the current study. Subjects: Convenience sample of 30 adult patients with head and neck cancer. Setting: The study conducted at the oncology outpatient clinics affiliated to Fayoum University hospital, Cairo, Egypt. Tools: Three tools were used in the current study, I. Patients' interviewing questionnaire which composed of demographic characteristics, patients' medical data, and patients' knowledge regarding head and neck cancer and swallowing exercises, II. Sydney Swallowing Scale (SSS) self-report inventory, which measure symptomatic severity of swallowing difficulty III. Swallowing exercises assessment tool to assess the ability of head and neck cancer patients to practices swallowing exercises, Results: the mean age of the study sample was 38.76±5.09 and 60.0% were males, 43.3% of patient diagnosed with tumor in the neck (larynx). There was high significant deference between patients knowledge pre and post swallowing exercises program implementation in all items include definition, causes, factors, signs and symptoms and managing of HNC with (p value =0.001). Finally there is weak positive correlation between total patients' level of knowledge and total performance of swallowing exercises at (r =0.284). Conclusion: based on findings of the current study, it could be concluded that: majority of the study patients had satisfactory level of total knowledge post swallowing exercises program. Meanwhile, there is significant relation among the studied patients in all items of swallowing Sydney scale (alleviate swallowing problem) post swallowing exercises program implementation. In addition to, there was a positive correlation between the total level of knowledge of the patients and the total performance of swallowing exercises at (r=0.284). There is a positive correlation between total patients' level of knowledge and the total swallowing scale of Sydney at (r=0.401).There is a positive correlation between total performance of swallowing exercise and total Sydney swallowing scale at (r=0.375). Recommendations: Continues update educational program about swallowing problems and swallowing exercises that should be designed for patients with head and neck cancer to improve their knowledge and prevention of potential complications.
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