Integrative review of factors related to the nursing diagnosis nausea during antineoplastic chemotherapy.
Aline Maria Bonini Moysés, Lais Corsino Durant, Ana Maria de Almeida and 1 others
PMID 27737380WHAT IT FOUND
Chemotherapy nausea in cancer patients was linked to being younger than 50, being a woman, motion sickness, anxiety, treatment cues, expecting nausea, and chemotherapy emetogenic potential.
Nurses can use these factors to guide assessment.
Key findings
01The review extracted 44 factors related to nausea: 25 were patient-related, 11 psychological and eight treatment-related.
02The most frequent factors were being younger than 50, motion sickness, being a woman, anxiety, conditioned stimuli, expecting nausea after treatment, and the emetogenic potential of chemotherapy.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The included studies were classified as 12 level 6, 14 level 4, one level 3 and three level 2. Only 17 of the 30 studies reported their design, and the reviewers assigned the remaining designs. The search had no time limit and included papers published between 1985 and 2012. It excluded patients with advanced or metastatic cancer or receiving palliative treatment, so it does not address those groups. It included only Portuguese, English and Spanish full-text primary studies. The review reports factors related to nausea, not whether any nursing action reduces nausea.
The easy way to misread this
Do not treat these factors as proof that a nursing assessment or intervention prevents nausea. This review reports factors related to nausea in included studies; it did not test whether changing care reduces nausea.