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ABSTRACT: The effectiveness of progressive muscle relaxation training
in managing chemotherapy-induced nausea and vomiting in Chinese
breast cancer patients: a randomised controlled trial
This study was a randomised controlled trial designed to assess
the effectiveness of progressive muscle relaxation training (PMRT)
in the clinical management of chemotherapy-related nausea and
vomiting as an adjuvant intervention to accompany pharmacological
antiemetic treatment (metoclopramide and dexamethasone i.v.).
Seventy-one chemotherapy-naive breast cancer patients of an outpatient
oncology unit of a university hospital in Hong Kong participated,
with 38 subjects randomised to the experimental group and 33
to the control group. The intervention included the use of PMRT
1h before chemotherapy was administered and daily thereafter
for another 5days (for a total of six PMRT sessions).
Each session
lasted for 25min and was followed by 5min of imagery techniques.
The instruments used for data collection included the Chinese
versions of the Profile of Mood States and the State-Trait Anxiety
Inventory (measured before chemotherapy and then at day 7 and
day 14 after chemotherapy), and the Morrow Assessment of Nausea
and Vomiting Scale, which was used daily for the first 7 post-chemotherapy
days.
The use of PMRT considerably decreased the duration of
nausea and vomiting in the experimental group compared with the
control group (P<0.05), whereas there were trends toward a
lower frequency of nausea and vomiting (P=0.07 and P=0.08 respectively).
Neither nausea nor vomiting differed in intensity between the
two groups. The significant effects were mainly evident on the
first 4 post-chemotherapy days, when differences were statistically
significant.
Although there was a significantly less severe overall
mood disturbance in the experimental group over time (P<0.05),
this did not apply in the case of anxiety.
Such findings suggest
that PMRT is a useful adjuvant technique to complement antiemetics
for chemotherapy-induced nausea and vomiting and that incorporation
of such interventions in the care plan can enhance the standards
of care of cancer patients who experience side effects of chemotherapy.
[03/19/2002; Supportive Care in Cancer]
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