Effects of the Nursing Care Integrating SKT 1 and 7 Program on Anxiety and Nausea and Vomiting in Patients with Lung Cancer Receiving Chemotherapy
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Abstract
Objectives: This two-group repeated measure quasi-experimental study aimed to investigate the effects of a nursing care integrating Somporn Kantharadussadee Triamchaisri (SKT) 1 and 7 meditation (NCI-SKTM) program on anxiety, nausea and vomiting in patients with lung cancer receiving chemotherapy. Methods: Simple random sampling was used to assign 14 participants to the experimental and the control groups. The experimental group received NCPI-SKTM (SKT 1 and 7) four times per day for six weeks; combined with standard care, while the control group received only standard care. Anxiety was measured at baseline, week 3, and week 6 of the intervention using the State Anxiety Measurement. Acute and delayed nausea and vomiting were measured at baseline and at week 3 of intervention (on day 4 after receiving the first cycle and the second cycle of chemotherapy) using the Index of Nausea, Vomiting, and Retching (INVR) questionnaire. The reliability of the State Anxiety Scale, and INVR questionnaire were examined using Cronbach’s alpha coefficients of .94 and .96, respectively. Data were analyzed using descriptive statistics, Friedman test, and Mann-Whitney U test. The study indicated that the mean scores for the state of anxiety at week 3 and week 6 were statistically significantly lower than baseline within the group and lower than those of the control group (p < .01). Additionally, the mean severity and distress scores for both acute and delayed nausea and vomiting in the experimental group at week 3 were significantly lower than those of the control group (p < .05). Conclusion: The NCPI-SKTM program should be implemented to relieve anxiety and nausea and vomiting in lung cancer patients receiving chemotherapy.
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