Comparison of Supine position vs. Semi fowlers position on Chemotherapy-induced nausea and vomiting among patients undergoing chemotherapy for Breast Cancer

Authors

Indira V. R Mrs., Sree Chitra Thirunal Institute of Medical Sciences and Technology, ThiruvananthapuramFollow
SINDHU L Dr, Government College of Nursing, Thiruvananthapuram, Kerala, IndiaFollow

Designation

Indira VR, Staff Nurse, Sree Chitra Thirunal Institute of Medical Sciences and Technology, Thiruvananthapuram, Kerala, 695011

Sindhu L (Corresponding Author)- Associate Professor, Govt. College of Nursing, Thiruvananthapuram, Kerala, 695011

Abstract

Sindhu L¹* Indira V R²

^1* Associate Professor, Government College of Nursing, Thiruvananthapuram, Kerala, India.

² Staff Nurse, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

*Corresponding author: Sindhu L, Associate Professor, Government College of Nursing, Thiruvananthapuram, Kerala, India.

Email: sindhulalithambika@gmail.com

Short Title: Sindhu, L., et al., Comparison of Supine position versus Semi-Fowler’s position on Chemotherapy-induced Nausea and Vomiting

How to cite this article: Sindhu, L., Indira, V. R. (2023). Comparison of Supine position versus Semi-Fowler’s position on Chemotherapy-induced nausea and vomiting among patients undergoing chemotherapy for Breast Cancer. Manipal Journal of Nursing and Health Sciences, 9(1),

Manuscript received: 20 April 2023

Revision accepted: 03 July 2023

Abstract

Introduction: Cancer is a disease that affects people all over the world, and chemotherapy is the gold standard treatment for cancer. The most irritating and unpleasant side effect of chemotherapy is Chemotherapy-induced nausea and vomiting (CINV). Objective: The objective of the present study was to evaluate the effectiveness of the Supine position versus Semi-Fowler’s position on Chemotherapy-induced nausea and vomiting among patients undergoing chemotherapy for Breast cancer in the Oncology wards of Medical College Hospital, Thiruvananthapuram. Methodology: A quantitative approach was adopted for this study and the research design was a quasi-experimental post-test-only control group design. The sample size was 60, and the samples were recruited consecutively. The study included adult individuals aged above 18 years undergoing chemotherapy and receiving the drug regimen – a combination of Injection Doxorubicin 50 mg/m² IV and Injection Cyclophosphamide 500 mg/m² IV for breast cancer. The participants in the control group were positioned in the supine position while receiving chemotherapy, and those in the experimental group were positioned in a semi-Fowler’s position, that is, with the head and trunk raised to a 30-degree angle using a backrest while the patient was lying on his back, until the completion of the chemotherapy medication infusion. The effect of position on nausea and vomiting is assessed using the “Modified Rhodes Index of Nausea and Vomiting” for both control and experimental groups 24- and 48 hours after chemotherapy. Result: It was found that the total Chemotherapy-induced nausea and vomiting score among the control group was 36.37±17.2, and that of the experimental group was 18.47±15.02 after the intervention, and the observed difference is statistically significant (pConclusion:The result showed that the semi-fowler’s position is more effective in reducing Chemotherapy-induced nausea and vomiting among patients undergoing chemotherapy for breast cancer, and the nurses who work in the oncology department can incorporate this as a nursing intervention as it is cost-effective and require no additional cost.

Recommended Citation

R, Indira V. Mrs. and L, SINDHU Dr (2023) "Comparison of Supine position vs. Semi fowlers position on Chemotherapy-induced nausea and vomiting among patients undergoing chemotherapy for Breast Cancer," Manipal Journal of Nursing and Health Sciences: Vol. 9: Iss. 1, .
DOI:
Available at: https://impressions.manipal.edu/mjnhs/vol9/iss1/8