Posted 02.26.2020 | by AMRA
Chemotherapy treatment for cancer can cause a variety of unpleasant side effects including nausea and vomiting. As many as 30% of chemotherapy patients may develop what is diagnosed as anticipatory nausea and vomiting. That is, nausea and vomiting become conditioned responses, and the patients suffer these symptoms just anticipating a drug infusion.
Patients’ anticipatory symptoms commonly manifest by the third chemotherapy session. Once anticipatory nausea and vomiting is conditioned, it tends to persist throughout treatment and may prove unresponsive to anti-emetic medication. An ideal intervention would prevent anticipatory symptoms before they start and could be easily administered by existing nursing personnel.
Hunter et al. [Cancer Medicine] investigated the relative efficacy of a brief nurse-administered mindfulness intervention compared to relaxing music or standard care in preventing anticipatory nausea and vomiting in chemotherapy patients.
The researchers randomly assigned 474 chemotherapy patients (92% female; 86% Caucasian; 85% diagnosed with breast cancer) to mindful relaxation, relaxing music, and standard care conditions. For the mindful relaxation group, nurses individually taught patients a 20-minute exercise involving mindfulness, imagery, and relaxation prior to their first chemotherapy treatment. Patients were also given a recording to use for daily home practice, and at the start of each chemotherapy session.
In the relaxing music group, participants listened to relaxing music (nature sounds, vocal tracks) for 20 minutes prior to the start of their first chemotherapy treatment, and were given a recording of the music to relax with at home daily, and to listen to at the beginning of each new chemotherapy session. In the standard care group, participants met with a nurse for 20 minutes before their first chemotherapy session and were given general information about […]