Children's coping strategies for chemotherapy-induced nausea and vomiting.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Rodgers, C; Norville, R; Taylor, O; Poon, C; Hesselgrave, J; Gregurich, MA; Hockenberry, M

Published Date

  • March 2012

Published In

Volume / Issue

  • 39 / 2

Start / End Page

  • 202 - 209

PubMed ID

  • 22374494

Electronic International Standard Serial Number (EISSN)

  • 1538-0688

International Standard Serial Number (ISSN)

  • 0190-535X

Digital Object Identifier (DOI)

  • 10.1188/12.onf.202-209

Language

  • eng