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Complementary Non-Pharmacological Therapy to Reduce Nausea
and Vomiting in Breast Cancer Therapy Undergoing Chemotherapy
Dian Th Sopacua, Laili Rahayuwati, Citra Windani Mambang Sari, Raden Nabilah Putri Fauziyyah
Faculty of Nursing, Universitas Padjadjaran
raden16006@mail.unpad.ac.id
INTRODUCTION However, another result explained by Genç et al (2013) when doing Reference
intervention of acupressure technique on his research in Turkey. The
Chemotherapy is one of the breast cancer treatments. technique on the Nei Guan spots was done alone by the patient after 1. Ganz PA, Kwan L, Stanton AL, Bower JE, Belin TR. Physical and psychosocial
Chemotherapy-Induced Nausea and Vomiting (CINV) has various being taught by the researcher, and they were given the nausea recovery in the year after primary treatment of breast cancer. J Clin Oncol.
severity and intensity in many cancer patients. Research has shown bracelet which was flagged white. This was to place the right spots for 5 2015;29(9):1101–1109.
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review aims to identify non-pharmacological treatments to help breast reduced intensity of nausea and vomiting after the intervention. with antiemetic drug therapy and control of nausea and vomiting in breast cancer
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considered proven and successful to reduce nausea and vomiting. 2993%5Cnhttp://www.amcp.org/WorkArea/DownloadAsset.aspx?id=15284
4.
METHODS Moradian’s research explained the effect of nevasic audio intervention induced nausea and vomiting in asian women with breast cancer receiving
Bourdeanu L, Frankel P, Yu W, Hendrix G, Pal S, Badr L, et al. Chemotherapy-
to reduce nausea and vomiting. This intervention was done by listening anthracycline-based adjuvant chemotherapy. J Support Oncol. 2012;10(4):149–154.
The systematic research is conducted by examining three electronic to nevasic (An audio-medical program that stabilizes the inner part of 5. Taspinar A, Sirin A. Effect of acupressure on chemotherapy-induced nausea and
vomiting in gynecologic cancer patients in Turkey. 2010;14(1):49–54.
databases, named Pubmed, CINAHL Ebsco, and Proquest. The the ear by giving help while nauseated or vomiting). The two groups 6. Limon-miro AT, Lopez-teros V, Astiazaran-garcia H. Dietary Guidelines for Breast
study was conducted in the period between 2007 and 2019 and the were also given a semi-permanent interview to identify the participant’s Cancer Patients : A Critical Review. Adv Nutr an Int Rev J. 2017;613–623.
perspective about the burden of finishing the intervention. The result of
7.
Najafi S, Haghighat S, Lahiji MR, RazmPoosh E, Chamari M, Abdollahi R, et al.
research design provided in the review was only a Randomized this research did not show nevasic effectiveness to reduce nausea and Randomized study of the effect of dietary counseling during adjuvant chemotherapy on
Controlled Trial (RCT). vomiting, but it significantly reduced the participant’s willingness to use chemotherapy induced nausea and vomiting, and quality of life in patients with breast
cancer. Nutr Cancer. 2019;71(4):575–584.
antimetics (anti-vomiting) (p=0.003). The other intervention that could 8. Suh EE. The effects of P6 acupressure and nurse-provided counseling on
RESULT reduce nausea and vomiting for breast cancer patients was Bali Yoga in chemotherapy-induced nausea and vomiting in patients with breast cancer. Oncol Nurs
Forum. 2012;39(1):E1–E9.
8 sessions for 90 minutes. However, the result of the research is Bali
Yoga therapy was not proven to give a significant result between 9. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al.
The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of
The total articles obtained were 467, and only 10 articles met the intervention group and control group (17,18). Studies That Evaluate Health Care Interventions: Explanation and Elaboration. J Clin
inclusion criteria and were then analyzed which the total sample is Epidemiol. 2009;62.
948. The interventions found in this review are acupressure, ginger, 10. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for
listening to the nevasic program and counselling dietary. Most of CONCLUSION systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;
the instruments used are the Numeric Rating Scale (NRS) and 11. Dibble S, Luce J, Cooper B, Israel J, Cohen M, Nussey B, et al. Acupressure for
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acupressure technique on Nei Guan spots and auricular spots, effect of auricular acupressure on nausea and vomiting caused by chemotherapy among
DISCUSSION consumption of ginger and consultation with nutritionist and diet breast cancer patients. Complement Ther Clin Pract. 2016;24:189–194.
13.
Genç A, Can G, Aydiner A. The efficiency of the acupressure in prevention of the
specialists. These interventions could be done independently by the
Upon reviewing 10 articles, it was obtained that the most common nurses including clinical, community, or pedagogic nurses, and there was chemotherapy-induced nausea and vomiting. Support Care Cancer. 2013;21(1):253–
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intervention was acupressure therapy to reduce nausea and no risk emerging. The researcher suggests that the upcoming research 14. Giacosa A, Morazzoni P, Bombardelli E, Riva A, Porro GB, Rondanelli M. Can
vomiting when undergoing acupressure therapy to reduce nausea add more samples to be generalized to be utilised as a valid data. nausea and vomiting be treated with ginger extract? Science. Eur Rev Med Pharmacol
Sci. 2015;19(7):1291–6.
and vomiting while undergoing chemotherapy treatment for breast Therefore, non pharmacological therapy could be applied as Evidence 15. Arslan M, Ozdemir L. Oral intake of ginger for chemotherapy-induced nausea and
cancer patients (8,11). Another research discussing the effect of Based Practice (EBP) to improve healthcare services. vomiting among women with breast cancer. Clin J Oncol Nurs. 2015;19(5):E92–E97.
acupressure (12) but the acupressure spots were different from 16. Salihah N, Mazlan N, Lua PL. The effectiveness of inhaled ginger essential oil in
improving dietary intake in breast-cancer patients experiencing chemotherapy-induced
other research such as auricular or the patient’s earlobes. The nausea and vomiting. Focus Altern Complement Ther. 2016;21(1):8–16.
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spots proved effective to reduce intensity on nausea and vomiting A. Nevasic audio program for the prevention of chemotherapy induced nausea and
level for acute and suspended phases on the experimental group vomiting: A feasibility study using a randomized controlled trial design. Eur J Oncol Nurs.
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(p=0.001). 18. Anestin AS, Dupuis G, Lanctôt D, Bali M. The effects of the bali yoga program for
breast cancer patients on chemotherapy-induced nausea and vomiting: results of a
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