Incidence and management of chemotherapy-induced nausea and vomiting in women with breast cancer

Abstract

The objective of this study was to analyze the incidence of chemotherapy-induced nausea and vomiting in women with breast cancer and identify strategies used by them to control these signs and symptoms. Data for this cross-sectional study were collected through interviews during the last cycle of chemotherapy, between August 2011 and March 2012, in a university hospital in the State of São Paulo. The sample consisted of 22 women between the ages of 31 and 70, of whom 77.3% reported nausea and 50% vomiting during treatment. Regarding symptom management, 82% of the women reported having received some information centered on the use of prescribed medication. However, 27.3% did not know what medication they had taken. We concluded that there is a lack of systematic care and institutional protocol to guide professionals in providing standardized information to women so they can better control nausea and vomiting.

Breast Cancer Patients’ Perceptions of Their Experience With Chemotherapy-Induced Nausea and Vomiting and Its Impact on Quality of Life in Jeddah, Saudi Arabia

“…This indicates that anti-emetics are still not enough in controlling CINV symptoms. This high prevalence also appears in previous studies, which found that nearly 70-80% reported having CINV [ 10 , 19 ]. Also, the finding in this study that there is a higher incidence of CINV during the delayed period than the acute period supports previous literature [ 19 , 20 ].…”

“…Despite the latest improvements in anti-emetics drugs administration, CINV is still considered one of the worst side effects of chemotherapy, impairing the patient’s quality of life (QoL), and if left untreated, it can affect more than 90% of patients on HEC, consequently affecting their willingness to continue chemotherapy [ 9 ]. A Portuguese study showed that 77% of female breast cancer patients reported nausea and 50% reported vomiting at least once [ 10 ]. In Jordan, a research that surveyed cancer patients showed that most had nausea (71.4%) and vomiting (57.3%) [ 11 ].…”

Orientações de cuidado do enfermeiro para a mulher em tratamento para câncer de mama

“…In a survey, it was found that 94.4% of the women who had nausea and 77.7% of those who suffered from vomiting said they had been instructed to use the prescribed medication, favoring self-care. 12 As for the change in the skin, nails and mucous membranes, the complaint of vaginal dryness is important when it comes to the relationship of the patient and her partner. As in a study, 145 women were questioned about their quality of life, revealing that 50.50% of them have difficulty in their sexual relationship.…”

Tecnologias em saúde aplicadas na reabilitação de mulheres com câncer de mama: scoping review

“…1,2 Os tratamentos projetados para salvar ou prolongar a vida das mulheres podem causar impactos psicológicos, sociais e físicos que alteram a qualidade de vida de quem enfrenta a doença. [3][4][5] Apesar de diversos tratamentos disponíveis, o procedimento cirúrgico ainda compõe uma das modalidades terapêuticas mais utilizadas para o câncer de mama. Entretanto, podem ocorrer complicações pós-operatórias que afetam negativamente, a curto e a longo prazo, as atividades de vida diária, o autocuidado, o desempenho profissional e social da mulher.…”