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Omvårdnadsåtgärder vid illamående orsakat av cytostatikabehanding: En litteraturstudie
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nursing interventions for chemotherapy induced nausea : A literature review (English)
Abstract [sv]

Bakgrund: Illamående kan uppkomma av många olika orsaker. En av dessa är illamående som uppkommer som en biverkning till cytostatikabehandling. Illamående är en känd biverkning av cytostatikabehandling, varför patienter som ska påbörja och genomgår behandling mot cancer erhåller profylaktisk antiemetikabehandling. Illamående kan få konsekvenser som försämrad nutritionsstatus, elektrolytrubbningar och i vissa fall kan patienten vilja avbryta sin behandling på grund av att illamåendet blir för jobbigt. Trots antiemetika fortsätter illamående att vara ett stort problem vid cytostatikabehandling.

Syfte: Att beskriva olika omvårdnadsåtgärder som kan användas som ett komplement till antiemetika vid behandling av illamående orsakat av cytostatika.

Metod: En litteraturstudie med grund i analys av kvantitativ forskning genomfördes.

Resultat: Sökningar resulterade i fem omvårdnadsåtgärder: progressiv muskelavslappning, tillskott av ingefära, proteintillskott och ingefärskapslar, intag av druvjuice och musikterapi och bildspråk. Alla omvårdnadsåtgärder visade på en effekt på illamåendet i positiv riktning. Dock var resultaten motsägande inom vissa interventioner.

Slutsats: Progressiv muskelavslappning, ingefära, druvjuice och musik och bildspråk kan eventuellt, som ett komplement till antiemetika, reducera illamående orsakat av cytostatikabehandling ytterligare. Dock krävs ytterligare forskning inom alla omvårdnadsåtgärder, då befintlig forskning ger otillräckliga eller motsägande resultat.

Klinisk betydelse: Då antiemetika inte ger en fullgod effekt mot illamående kan omvårdnadsåtgärder fungera som ett komplement för att minska illamåendet ytterligare.

Abstract [en]

Background: There are many things that can cause nausea. One of these is chemotherapy. One of the most feared side-effects of chemotherapy is nausea. Untreated, nausea may give rise to consequences such as malnutrition, electrolyte imbalance and in some cases the patient might want to terminate their treatment because the nausea is unbearable. Nausea is a known side-effect to chemotherapy, and patients receive prophylactic antiemetic drugs. Even though patients receive antiemetic drugs, nausea keeps on being a problem while undergoing chemotherapy.

Aim: The aim of this study was to describe different nursing interventions which can be used as a complement to antiemetic drugs.

Method: A literature review with a basis in quantitative analyses was conducted.

Results: Searches resulted in five nursing interventions: progressive muscle relaxation, ginger, protein and ginger, grape juice and music therapy and visual imagery. All of the five nursing interventions pointed towards a positive effect on nausea. But for some interventions contradictory studies were found that wasn’t as positive of the studied intervention.

Conclusion: Progressive muscle relaxation, ginger, protein and ginger, grape juice and music therapy and visual imagery, might, as a complement to antiemetic drugs, reduce chemotherapy induced nausea even further than just antiemetic drugs. But more research in this area is needed, while existing research is insufficient.

Clinical significance: While antiemetic drugs aren’t sufficient in treating chemotherapy induced nausea, nursing interventions can serve as a complement to reduce nausea even further.

Place, publisher, year, edition, pages
2013. , 29 p.
Keyword [en]
chemotherapy, nausea, nursing interventions
Keyword [sv]
cytostatika, illamående, omvårdnadsåtgärder
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-634OAI: oai:DiVA.org:rkh-634DiVA: diva2:615220
Educational program
Sjuksköterskeprogrammet
Uppsok
Medicine
Available from: 2013-04-09 Created: 2013-04-09 Last updated: 2015-07-17Bibliographically approved

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