Document Type : Original Article

Authors

1 Department of Nursing, Tehran University of Medical Sciences, Tehran,

2 Department of Medicine, School of Medicine, Isfahan University of Medical Sciences,

3 Department of Adult Health Nursing, School of Nursing and Midwifery, Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

4 Department of Adult Health Nursing, School of Nursing and Midwifery

5 Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran

Abstract

Introduction: Nausea is the worst and most prevalent chemotherapy‑induced complication
experienced by 70–80% of patients despite mediation therapy. Reduction of nausea is one of
the most important roles of oncologist nurses. Today, complementary therapies in addition
to classic medicine, because of their lower costs, receive much attention. Nonetheless, their
safety and effectiveness are not yet proven. The purpose of this research was to investigate the
effect of therapeutic touch plan as a complementary therapy on acute nausea in women with
breast cancer in 2012–2013 in Isfahan, Iran. Materials and Methods: A quasi‑experimental,
single‑blind, randomized control trial with three groups (control, placebo and intervention) was
performed at the Isfahan Seyedolshohada (AS) Teaching Hospital, Isfahan, in 2012–2013. The
intervention was therapeutic touch plan on women with breast cancer, with the three groups
receiving the same medicine regimen. Information was recorded by a checklist after infusion of
chemotherapy drugs. Data analysis was performed by SPSS, ANOVA and Kruskal–Wallis tests.
Results: The ANOVA test showed that the therapeutic touch plan was significantly effective in
reducing the duration of nausea compared with the control and placebo groups (P < 0.001).
The Kruskal–Wallis test showed that the frequency of occurrence of nausea was also reduced
in the intervention and placebo groups compared with the control group (P < 0.001). The
therapeutic touch plan was significantly effective in delaying the onset of nausea compared
with the control and placebo groups (P < 0.001). Conclusion: This research showed that the
therapeutic touch plan is effective in reducing acute chemotherapy‑induced nausea; thus,
education and implementation of the therapeutic touch plan is proposed for clinical nurses.

Keywords

1. Khodabakhshi R, Gohari MR, Fard ZM, Foadzi H, Vahabi N. Survival
without disease in breast cancer patients and investigation of
factors. Razi Med Sci J 2012;18:28‑33.
2. Gajizade SE, Najme ET. Investigation breast cancer risk factors by
branch grapies. Iranian journal of nursing vision 2011;77:61‑8.
3. National report of cancer records, Ministery of Health and
Medical Education, Center of Disease control and Preventation,
Non‑contagious Deputy, Cancer organ, The cancer organ. 1thed.
Tehran: Ministery of Health and Medical Education; 2007.
4. Seied ME. Investigation effect of ginger on nausea and vomiting of
cancer patients receiving chemotherapy. Ms thesis. Tehran, Iran:
Medical science Tehran University; 2011.
5. Bakhshi M. Effect of progressive muscle relaxation on acute and
delayed emesis in cancer patients under chemotherapy in Institute
cancer of Tehran at 2001. Ms thesis. Tehran, Iran: Tarbiat Modares
University; 2002.
6. Sontakke S, Thawani V, Naik M. Ginger as an antiemetic in nausea
and vomiting induced by chemotherapy: A randomized, cross‑over,
double blind study. Indian J Pharm 2003;35:32‑6.
7. Cohen L, De Moor CA, Eisenberg P, Ming EE, Hu H.
Chemotherapy‑induced nausea and vomiting‑incidence and impact
on patient quality of life at community oncology settings. Support
Care Cancer 2007;15:497‑503.
8. Hickok JT, Roscoe JA, Morrow GR, Ryan JL. A phase II/III
randomized, placebo‑controlled, double‑blind clinical trial of
ginger (Zingiber officinale) for nausea caused by chemotherapy for
cancer: A currently accruing URCC CCOP Cancer Control Study.
Support Cancer Ther 2007;4:247‑50.
9. Ghanbari A, Montazeri A, Niknami M, Atrkar Z, Sobhani A, Najafi B.
Effect of using ginger beside routine treatment on nausea and
vomiting of cancer patients in Razi hospital dependent to Medical
scientific university of Rasht. Ardebil J 2011;10:352‑61.
10. Molassiotis A, Russell W, Hughes J, Breckons M, Lloyd‑Williams M,
Richardson J, et al. The Effectiveness of Acupressure for the Control
and Management of Chemotherapy‑Related Acute and Delayed
Nausea: A Randomized Controlled Trial. J Pain Symptom Manage
2014;47:12‑25.
11. Ravanipour M. Effect of therapeutic touch before venipuncture on
anxiety of school age children in medical centers of Bushehr city,
1998‑99. Ms thsis. Tehran, Iran: Tarbiat Modares university. Tehran;
1999.
12. Freeman L. Complementary and alternative medicine: A research
base approach. Mosby Elsevier publication; 2001. p. 456.
13. Zare Z. Investigation effect of therapeutic touch on level of anxiety
before coronary artery bypass graft in Shiraz Namazi hospital
2005‑2006. Ms thesis. Isfahan, Iran: Isfahan University; 2007.
14. Rankin D. The nurse handbook of complementary therapies.
London: Bailliere Tindall; 2001. p. 267‑72.
15. Carpenter DS, Ambrose M, Holmes N. Professional guide to
complementary and alternative therapy. United States: Spring
house; 2002. p. 475‑7.
16. McCabe P. Complementary therapy in nursing and midwifery, from
vision to practice. North Melbourne, Australia: Ausmed Education;
2001. p. 497‑504.
17. Movafaghi Z. Teherapeutic touch and its role in nursing. Mashhad
Nurs Midwifery Fac J 2006;18:66‑9.
18. Zolfaghari M. Compariance of progressive muscle relaxation and
therapeutic touch on anxiety, vital science and dysrhythmia under
heart cathethrism. Ms thesis. Tehran, Iran: Medical Scientific
University of Tehran. 1999.
19. Coakley AB, Barron AM. Energy Therapies in Oncology Nursing.
Semin Oncol Nurs 2012;28:55‑63.
20. Authers GO. Nurse’s Handbook of alternative and complementary
therapies. 8th ed. Philadelphia: Lippincott Williams and Wilkins; 2003.
21. Kuhn MA. Complementry for health care providers: Philadelphia:
Lippincott and Williams; 1999. p. 341‑51.
22. DiNucci EM. Energy healing: A complementary treatment for
orthopaedic and other conditions. Orthop Nurs 2005;24:259‑69.
23. Bernand A. Translated by Jalaliani, Mahyar. Halo therapy by
remedial hands. Ketab: Donyaye Ketab Publication; 1377. p. 20‑45.
24. Smeltzer SC Bb, Hinke JL, Cheere KH, Kluwer W. Brunner and
Sudarth’s textbook of medical‑surgical nursing. 12th ed. Philadelphia:
Lippincot Williams and Wilkins; 2010. p. 337, 1460‑1700.
25. Billhult A, Bergbom I, Stener‑Victorin E. Massage relieves nausea
in women with breast cancer who are undergoing chemotherapy.
J Altern Complement Med 2007;13:53‑7.
26. Najafi Ghazlaje, Rahimiha F, Investigation effect of foot massage on
intensity of nausea at cancer patients. Breasr Dis J 2004:3:14‑8.
27. Post‑White J, Kinney ME, Savik K, Gau JB, Wilcox C, Lerner I.
Therapeutic Massage and Healing Touch Improve Symptoms in
Cancer. Integr Cancer Ther 2003;2:332‑44.
28. Roscoe JA, O’Neill M, Jean‑Pierre P, Heckler CE, Kaptchuk TJ,
Bushunow P, et al. An exploratory study on the effects of an
expectancy manipulation on chemotherapy‑related nausea. J Pain
Symptom Manage 2010;40:379‑90.
29. Dibble SL, Luce J, Cooper BA, Israel J, Cohen M, Nussey B, et al.
Acupressure For Chemotherapy‑Induced Nausea And Vomiting:
A Randomized Clinical Trial, Oncol Nurs Soc 2007;34:1‑8.
30. Shen J, Glaspy J. Acupuncture: Evidence and implications for
cancer supportive care. Cancer Pract 2002;9:147‑50.
31. Matory P. Investigation effects of therapeutic touch plane on
induced‑nausea in breast cancer women in 1391‑92 in Isfahan Ms
thesis. Iran: Tarbiat Modares University; 2012.
32. Lewis H, Dirksen, O’Brien, Bucher, Medical surgical Nursing. 7,
editor: Mosby Elsevier; 2007.
33. Moafaghi Z. Therapeutic touch and nursing, Mashhad Nurs
Midwifery Fac J 2003;5:66‑9.