American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: https://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2020, 8(3), 331-343
DOI: 10.12691/ajnr-8-3-3
Open AccessArticle

The Effect of Applying a Progressive Muscle Relaxation Technique on Nausea and Vomiting Induced by Chemotherapy among Leukemic Children

Rana Saleh Refaat Mohamed Amer1, , Mohamed Mersal Hamad2 and Rabab El-Sayed Hassan El-Sayed3

1B.Sc. Nursing, Mansoura University, Egypt

2Professor of teaching exercises methods, Department of Curriculum and Instruction, Faculty of Physical Education, Mansoura University, Egypt

3Professor of Pediatric Nursing, Faculty of Nursing, Mansoura University, Egypt

Pub. Date: March 24, 2020

Cite this paper:
Rana Saleh Refaat Mohamed Amer, Mohamed Mersal Hamad and Rabab El-Sayed Hassan El-Sayed. The Effect of Applying a Progressive Muscle Relaxation Technique on Nausea and Vomiting Induced by Chemotherapy among Leukemic Children. American Journal of Nursing Research. 2020; 8(3):331-343. doi: 10.12691/ajnr-8-3-3

Abstract

Background: Although the using of several anti-emetic medications, chemotherapy-induced nausea and vomiting have still considered the most prevalent problems for patients receiving chemotherapy agents. Applying a progressive muscle relaxation technique as complementary and alternative medicine may reduce chemotherapy-induced nausea and vomiting. Aim: Assess the effect of applying a progressive muscle relaxation technique on nausea and vomiting induced by chemotherapy among leukemic children. Design: A clinical trial. Setting: Oncology Center affiliated to Mansoura University, Mansoura City. Subjects: a convenience sample of 66 children who attended the previously mentioned setting were equally and randomly divided into control and study groups. Tools of data collection: A questionnaire sheet, Rhodes Index of Nausea and Vomiting Form 2 and Behavioral relaxation self-rating scale. Results: Children in the study group were less experienced acute and delayed attacks of nausea and vomiting in relation to the frequency and distress, as well as showing a significant increase in the relaxation feeling compared to children in the control group who received only routine care. Conclusion: The study findings proved the positive effect of applying a progressive muscle relaxation technique in reducing nausea and vomiting induced by chemotherapy among leukemic children of the study group. Recommendation: Providing in-service training and regular educational programs or courses about progressive muscle relaxation technique as complementary and alternative medicine to internalize the natural methods for improving health and relieving nausea and vomiting associated with chemotherapy.

Keywords:
chemotherapy leukemic children nausea progressive muscle relaxation technique vomiting

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  El-Shafey, A. S., Amer, S. M., Allam, N. G., & El-Alfy, M. S. (2017). Hematological studies in Egyptian children with acute lymphoid and myeloid leukemia. Int. J. Adv. Biomed, 2(1), 27-37.‏
 
[2]  Ward, E., DeSantis, C., Robbins, A., Kohler, B., & Jemal, A. (2014). Childhood and adolescent cancer statistics, 2014. CA: a cancer journal for clinicians, 64(2), 83-103.‏
 
[3]  Cooper, S. L., & Brown, P. A. (2015). Treatment of pediatric acute lymphoblastic leukemia. Pediatric Clinics, 62(1), 61-73.‏
 
[4]  Madmoli, M. (2018). Clinical and Laboratory Finding in Children with Leukemia: a Systematic Review. International Journal of Research Studies in Science, Engineering, and Technology, 5(10), 2018.‏
 
[5]  Bhojwani, D., Yang, J. J., & Pui, C. H. (2015). Biology of childhood acute lymphoblastic leukemia. Pediatric Clinics, 62(1), 47-60.‏
 
[6]  Khan, M. I., Khan, S. A., Rahman, S. U., & Yasmeen, N. (2018). Response of induction therapy in different immmunological subtypes of acute lymphoblastic leukemia in children. Journal Of Medical Sciences, 26(1), 28-32.‏
 
[7]  Ahmed, A. Y., & Saad, A. H. (2017). Admissions and mortality in an Egyptian paediatric tertiary care hospital. Egyptian Pediatric Association Gazette, 1(65), 25-29.‏
 
[8]  UN published statistical data El-Mansoura University Oncology Center (2017).
 
[9]  Rose-Inman, H., & Kuehl, D. (2017). Acute leukemia. Hematology/Oncology Clinics, 31(6), 1011-1028.‏
 
[10]  Lights, V., Reed-Guy, L., & Boskey, E. (2017). Leukemia. Available at: https://www.healthline.com/health/leukemia.
 
[11]  Dhar, P. K., Naskar, T. K., & Majumder, D. (2018). Optimal Choice Between Chemotherapy and Immunotherapy for Leukemia Treatment Depends on Individual Patients’ Patho-physiological State. In Progress in Computing, Analytics and Networking (pp. 643-653). Springer, Singapore.‏
 
[12]  Escalante, J., McQuade, R. M., Stojanovska, V., & Nurgali, K. (2017). Impact of chemotherapy on gastrointestinal functions and the enteric nervous system. Maturitas, 105, 23-29.‏
 
[13]  Magor, N., Darwish, A., Elsayed, E., El-shanshory, M., & Elsaadany, H. (2014). Effect of progressive muscle relaxation technique versus accpressure on chemotherapy induced nausea and vomiting in leukemic children. International Journal of Current Research, 6(7), 7674-7682.
 
[14]  Gibson, F., Shipway, L., Aldiss, S., Hawkins, J., King, W., Parr, M., ... & Taylor, R. M. (2013). Exploring the work of nurses who administer chemotherapy to children and young people. European Journal of Oncology Nursing, 17(1), 59-69.‏
 
[15]  Ślifirczyk, A., Piszcz, P., Michalczuk, T., Ślifirczyk, M., Urbańczuk, M., Celiński, M., ... & Nikoniuk, M. (2018). Nursing care of a child with acute lymphoblastic leukemia. Progress in Health Sciences, 8(2), 168-173.‏
 
[16]  Taha, N. M., Zatton, H. K., & Zatton, H. I. (2017). Nurses Knowledge and Practice Regarding Educational Needs for Patients with Leukemia. J Nurs Care, 6(406), 2167-1168.‏
 
[17]  Suh, E. E. (2012). The effects of P6 acupressure and nurse-provided counseling on chemotherapy-induced nausea and vomiting in patients with breast cancer. Oncology nursing forum , 39(1).
 
[18]  Frisch, N. C., & Frisch, L. E. (2011). Psychiatric mental health nursing (4th ed., pp. 307-334). Delmar, Cengage Learning Co.
 
[19]  Satija, A., & Bhatnagar, S. (2017). Complementary therapies for symptom management in cancer patients. Indian journal of palliative care, 23(4), 468.‏
 
[20]  Rhodes, V. A., & McDaniel, R. W. (1999, June). The Index of Nausea, Vomiting, and Retching: a new format of the lndex of Nausea and Vomiting. Oncology nursing forum, 26 (5), 889-894.‏
 
[21]  Norton, M., Holm, J. E., & McSherry II, W. C. (1997). Behavioral assessment of relaxation: The validity of a behavioral rating scale. Journal of behavior therapy and experimental psychiatry, 28(2), 129-137.‏
 
[22]  Selva., J. (2019). Progressive muscle relaxation (PMR): A positive psychology guide. Available at: https://positivepsychologyprogram.com/progressive-muscle-relaxation-pmr/. (Last accessed 21 August 2019).
 
[23]  Hasanbegovic, E., Begic, N., Hasanbegovic, S., & Begic, Z. (2016). Socio-demographic characteristics of patients with diagnosis of leukemia in Bosnia and Herzegovina during six-year period. Materia socio-medica, 28(6), 473.‏
 
[24]  Sousa, D. W. L. D., Ferreira, F. V. D. A., Félix, F. H. C., & Lopes, M. V. D. O. (2015). Acute lymphoblastic leukemia in children and adolescents: prognostic factors and analysis of survival. Revista brasileira de hematologia e hemoterapia, 37(4), 223-229.
 
[25]  Ezzat, S., Rashed, W. M., Salem, S., Dorak, M. T., El-Daly, M., Abdel-Hamid, M., ... & Loffredo, C. (2016). Environmental, maternal, and reproductive risk factors for childhood acute lymphoblastic leukemia in Egypt: a case-control study. BMC cancer, 16(1), 662.‏
 
[26]  Khaoula, B., Lamia, K., Zoubida, Z., Souad, B., Hafida, B., Saddek, B., & Mokhtar, H. C. (2017). Age Characteristics of Patients with Diagnosis of Leukemia in Setif-Algeria: Intelligent Modeling System. International Journal of Public Health Research, 5(2), 31.‏
 
[27]  Khalek, E. R. A., Sherif, L. M., Kamal, N. M., Gharib, A. F., & Shawky, H. M. (2015). Acute lymphoblastic leukemia: Are Egyptian children adherent to maintenance therapy?. Journal of cancer research and therapeutics, 11(1), 54.‏
 
[28]  Amitay, E. L., & Keinan-Boker, L. (2015). Breastfeeding and childhood leukemia incidence: a meta-analysis and systematic review. JAMA pediatrics, 169(6), e151025-e151025.‏
 
[29]  Rodgers, C., Norville, R., Taylor, O., Poon, C., Hesselgrave, J., Gregurich, M. A., & Hockenberry, M. (2012). Children's coping strategies for chemotherapy-induced nausea and vomiting. In Oncology Nursing Forum. 39, 2.‏
 
[30]  Molassiotis, A., Yung, H. P., Yam, B. M., Chan, F. Y., & Mok, T. (2002). The effectiveness of progressive muscle relaxation training in managing chemotherapy-induced nausea and vomiting in Chinese breast cancer patients: a randomised controlled trial. Supportive Care in Cancer, 10(3), 237-246.‏
 
[31]  Charalambous, A., Giannakopoulou, M., Bozas, E., Marcou, Y., Kitsios, P., & Paikousis, L. (2016). Guided imagery and progressive muscle relaxation as a cluster of symptoms management intervention in patients receiving chemotherapy: a randomized control trial. PloS one, 11(6), e0156911.‏
 
[32]  Mustian, K. M., Devine, K., Ryan, J. L., Janelsins, M. C., Sprod, L. K., Peppone, L. J., ... & Morrow, G. R. (2011). Treatment of nausea and vomiting during chemotherapy. US oncology & hematology, 7(2), 91.‏
 
[33]  Kapogiannis, A., Tsoli, S., & Chrousos, G. (2018). Investigating the Effects of the Progressive Muscle Relaxation-Guided Imagery Combination on Cancer Patients Receiving Chemotherapy Treatment: A Systematic Review of Randomized Controlled Trials. EXPLORE, 14(2), 137-143.
 
[34]  Tsitsi, T., Charalambous, A., Papastavrou, E., & Raftopoulos, V. (2017). Effectiveness of a relaxation intervention (progressive muscle relaxation and guided imagery techniques) to reduce anxiety and improve mood of parents of hospitalized children with malignancies: A randomized controlled trial in Republic of Cyprus and Greece. European Journal of Oncology Nursing, 26, 9-18.
 
[35]  Kim, K. J., Na, Y. K., & Hong, H. S. (2016). Effects of progressive muscle relaxation therapy in colorectal cancer patients. Western journal of nursing research, 38(8), 959-973.