Telenursing for the Control of Chemotherapy-Induced Nausea and Vomiting: A Randomized Clinical Trial

Abstract

Objective: to verify the effectiveness of telenursing in the control of nausea and vomiting induced by antineoplastic chemotherapy. Method: a randomized controlled trial of 61 cancer patients undergoing outpatient chemotherapy treatment, randomized into experimental group and control group. Nausea and vomiting were evaluated by the instrument Multinational Association on Supportive Care in Cancer. The telephone intervention was performed four times after chemotherapy. To verify the effects of this on the variables, the Mann-Whitney test and Student's t-test were used. Wilcoxon signed-rank test was applied to confirm the hypothesis of differences in the pre- and post-test intragroup scores. Results: the groups were homogeneous regarding sociodemographic and clinical characteristics. The experimental group showed a statistically significant reduction in the occurrence of nausea (p=0.0089), in the degree of nausea, in two moments, between 24 hours and three days, and three days and five days (p=0.007 and p=0.009, respectively), in the occurrence of vomiting (p=0.008) and in the number of vomiting episodes (p=0.020). Conclusion: telephone intervention is a potential nursing intervention to reduce nausea and vomiting associated with antineoplastic chemotherapy. Brazilian Clinical Trial Registry: RBR-6s8qm5.

Challenges and Opportunities of Using Telenursing During COVID-19 Pandemic: An Integrative Review

“…According to the practical implementation of telenursing for cardiovascular patients [36], blood sugar control in diabetic patients [37], lung cancer patients in Turkey [38], congestive heart failure patients [10], complications in control of patients undergoing chemotherapy [39], patients discharged due to hypertension [9], and those with various other diseases, despite facing many challenges and problems, these have been found to be successful and have had several effective results. So, this can also bring effective results during the COVID 19 pandemic.…”

“…Many web-based interventions like telenursing have been employed for many years for the treatment of chronic diseases (e.g., diabetes, heart and lung diseases, and tele-nursing recovery period follow-up) in different countries. However, online searches on the telenursing during the COVID-19 pandemic revealed some challenges and capabilities in practice [9][10][11][12][13]. Therefore, to further help COVID 19 patients, the focus is currently on telenursing.…”

Systematic Review: Tele-Nursing a Universal Access to Care for Oncology Patients

“…Likewise, in the care provided, the causes of the self-care deficit of the oncology patient during chemotherapy treatment were made visible (França, Rodrigues, Aguiar, Silva, Freitas & Melo, 2019). In this sense, telenursing is a positive experience for the patient in their follow-up and control, besides being an accessible and convenient form of care, it reduces the cost of travel to the health institution and the advice is personalized (Williamson, Chalmers, Beaver, 2015).…”

“…Information and communication technology in the field of health has become a tool for a variety of resources, techniques and processes that are used to store, process and transmit relevant information required by cancer patients to respond to their health problems (Carneiro, Bezerra, Freire, Alves, Cartaxo, Alencar, 2019). Likewise, the recent and rapid advances in informatics and telecommunications are showing the production and management of information through codes, texts, images, sounds (Garcia, Navarro, López & Rodríguez, 2014).…”

The effect of telenursing on care of patients with cancer: a systematic review

“…Shohani et al [18] and Ebrahimabadi et al [19]were Moderate quality with jaded score 3. Also, three of studies were high quality [15,20,21].…”