Children's Coping Strategies for Chemotherapy-Induced Nausea and Vomiting.

Purpose/Objectives: To identify anticipatory, acute, and delayed chemotherapy-induced nausea and vomiting (CINV) frequency and coping strategies used among pediatric patients with cancer.Design: Prospective, cohort design.Setting: A pediatric teaching hospital in the southern United States.Sample: A...

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Published in:Oncology Nursing Forum Vol. 39; no. 2; pp. 202 - 210
Main Authors: Rodgers, Cheryl, Norville, Robbie, Taylor, Olga, Poon, Connie, Hesselgrave, Joy, Gregurich, Mary Ann, Hockenberry, Marilyn
Format: research tables/charts Journal Article
Published: Oncology Nursing Society Mar2012
Online Access:View this record in EBSCOhost
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      dt: Mar2012
      vid: 39
      iid: 2
      pid: 12496
      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        10.1188/12.ONF.202-209
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        atl: Children's Coping Strategies for Chemotherapy-Induced Nausea and Vomiting.
      aug:
        au:
          Rodgers, Cheryl
          Norville, Robbie
          Taylor, Olga
          Poon, Connie
          Hesselgrave, Joy
          Gregurich, Mary Ann
          Hockenberry, Marilyn
        affil: Department of Pediatrics, Baylor College of Medicine
      sug:
        subj:
          Nausea and Vomiting Chemically Induced
          Coping In Infancy and Childhood
          Childhood Neoplasms Drug Therapy
          Chemotherapy, Cancer Adverse Effects
          Nausea and Vomiting Prevention and Control
          Human
          Prospective Studies
          Hospitals, Pediatric
          Convenience Sample
          Child
          Support, Psychosocial
          Distraction
          Conceptual Framework
          Nursing Theory
          Clinical Assessment Tools
          Surveys
          Self Report
          Questionnaires
          Data Analysis Software
          Repeated Measures
          Analysis of Variance
          Post Hoc Analysis
          Male
          Female
          Funding Source
          Child: 6-12 years
          Male
          Female
      ab: Purpose/Objectives: To identify anticipatory, acute, and delayed chemotherapy-induced nausea and vomiting (CINV) frequency and coping strategies used among pediatric patients with cancer.Design: Prospective, cohort design.Setting: A pediatric teaching hospital in the southern United States.Sample: A convenience sample of 40 children aged 7-12 years scheduled to receive either moderately emetic chemotherapy or highly emetic chemotherapy for cancer treatment.Methods: Children completed the Adapted Rhodes Index of Nausea and Vomiting for Pediatrics and the Kidcope-Younger Version.Main Research Variables: CINV and coping strategies.Findings: CINV occurred during the anticipatory, acute, and delayed times, with the highest frequency occurring during the delayed time. The most frequently used coping strategies were distraction and wishful thinking, whereas the most effective strategies were social support and distraction. No statistically significant differences were observed in the frequency or efficacy of coping strategies over time.Conclusions: CINV occurs throughout chemotherapy treatment. The most efficacious coping strategies included active and passive coping, with active coping strategies being more effective.Implications for Nursing: Nurses should recognize that CINV occurs at all points of chemotherapy treatment. Nurses can assist children in developing active coping strategies to manage their CINV.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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