Abstract

AbstractBackground and aimVomiting as a side effect of chemotherapy causes to refuse or delay in treatment by most cases. Nowadays,for controlling these side effects researchers attempt to use noninvasive-, safe- and low cost methods, insteadof expensive drugs with various side effects. This study aimed to assess effect of reflexotherapy on vomitingreduction among patients under chemotherapy, in oncology-hematology ward of Zahedan's Ali Ebn AbitalebHospital in 2010.Materials and MethodsThis study was a before and after clinical trial (pre-test and post-test) with a group of 37 patients. Theparticipants were selected using purposeful sampling method and based on the results of a pilot study. Theywere also considered once in the control group (receiving anti-vomiting drug Granisetron) and after 15 to 20days in the interventional group (receiving reflexotherapy in a period of 10 minutes for each leg). TheSummary of Morrow Questionnaire and CTCv2.0 Y/WX FindingsThe mean age of samples was 44.73 ±13.38 (years). Majority of participants were married and women.Patients were in their second to 15th cycle of chemotherapy; receiving Cisplatin–Gemzar or Adriamycincyclophosphamideand were from breast cancer cases. Assessment of severity of vomiting during first 24hours showed more sever vomiting in the first 4 hours among control group than interventional group(p . [3 Dec 2009].-Hodgson H (2000) Does reflexology impact on cancer patient's quality of life? Nursing Standard. 14 (31) 33-38-Helms R Quan JD (2006). Textbook of Therapeutics: Drugs and Disease Management. 8thedition.Baltimore, LippincottWilliams and Wilkins.-Kohara H et al (2004). Combined modality treatment of aromatherapy, footsoak and reflexology relieves fatigue inpatients with cancer. Journal of Palliative Medicine. 7 (6) 791-796.-Kris MG (2003). Why do we need another antiemetic? 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[Efficacy of transcutaneous electrical nerve stimulation in the control of nausea and vomiting inpatients undergoing chemotherapy]. Journal of Medical Research of Shiraz University of Medical Sciences. 3 (2) 47-55.(Persian).-Ross CS et al (2002). A pilot study to evaluate the effect of reflexology on mood and symptom rating of advancedcancer patients. Palliative Medicine. 16 (6) 544-545.-Sajadian A et al (2005). [The use of complementary medicine in cancer patients]. Payesh, Journal of the IranianInstitute for Health Sciences Research. 4 (3) 197-205. (Persian).-Smeltzer SC Brunner L Suddarth D (2008). Textbook of Medical-Surgical Nursing (cancer).R1st edition. Translated by:Hosseinzadeh.M . Tehran, Boshra Publishing. (Persian).-Sok SR Erlen JA Kim KB (2004). Complementary and alternative therapies in nursing curricula : A new directionfor nurse educators. Journal of Nursing Education. 43 (9) 401-405.-Weiss R (2006). [Massage Therapy]. 1stedition. Translated by: Golchin.M. Tehran, Shahrab and Ayandehsazanpublishing. (Persian).-Wesa K Gubili J Cassileth B (2008). Integrative oncology: complementary therapies for cancer survivors.Hematology/Oncology Clinics of North America. 22 (2) 343-353.-Won JS Jeong IS Kim JS (2002). Effect of foot reflexology on vital signs, fatigue and mood in cancer patientsreceiving chemotherapy. Journal of Korean Academy of Fundamentals of Nursing. 9 (1) 16-26.-World Health Organization (2009). [On line] http: // www. Who.int/features/qa/15/en/index.htm [5 Feb 2009].-Xavier R (2007) Facts on refexology (Foot Massage). Nursing Journal of India. 98 (1) 11-12.-Yahyavi SH Nazari L (2006). [Role of haloperidol in managing gynecologic-related postoperative nausea andvomiting]. Medical Science Journal of Islamic Azad University Tehran medical branch. 15 (1) 9-13. (Persian).-Yang JH (2009). The effects of foot reflexology on nausea, vomiting and fatigue of breast cancer patients undergoingchemotherapy". [Abstract]. Available at : http : // www.ncbi.nlm.nih.gov/pubmed/15778569.htm. Accessed: 7 Feb.-Zeighami Mohammadi Sh et al (2008). [Quality of life in cancer patients undergoing chemotherapy]. Scientific Journalof Hamadan Nursing and Midwifery Faculty. 16 (1) 5-10. (Persian).) was confirmed beforehand. Data was analyzed using central and dispersion indexes as well as Wilcoxon and Mann-Whitney tests and Marginalmodeling (generalized estimating equations GEE).(Common Toxicity Criteria Version 2) of National Cancer Institute of America were used for making a questionnaire to data collection. Face and content validity ofquestionnaire and its reliability (Chronbach alpha Coefficient =

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