The Development of Nutritional Self-Management Integrated With the SKT Meditation Therapy Program to Control Chemotherapy-Induced Nausea and Vomiting Among Patients With Breast Cancer

Main Article Content

Yada Homprakob
Patcharee Komjakraphan
Hathairat Sangchan

Abstract

Objective: This research aimed to develop a nutritional self-management program combined with SKT meditation therapy to help control chemotherapy-induced nausea and vomiting in breast cancer patients. Methods: Research and development utilize the concept of self-management along with mind-body connection, the IOWA development model was applied, which includes two phases: (1) a development phase, and (2) an evaluation phase to assess the feasibility of implementing the program. The sample group consisted of 10 professional nurses caring for breast cancer patients undergoing chemotherapy. The research instruments consisted of 1) a nutritional self-management program combined with SKT meditation therapy, with a Content Validity Index (CVI) of 1. Qualitative data were analyzed using content analysis. 2) a form to assess the feasibility of program implementation. Quantitative data were analyzed using descriptive statistics, including frequency distribution, percentage, mean, and standard deviation. Results: The research showed that the developed program comprised three components: (1) support for nutritional self-management in controlling nausea and vomiting symptoms, (2) SKT 1 and 7 meditation therapy practice, and (3) nutritional care. The mean score for feasibility was at the highest level (M = 4.87, SD = .15). Conclusion: The nutrition self-management program combined with SKT meditation therapy, is designed to control chemotherapy-induced nausea and vomiting in breast cancer patients achieved a content validity index (CVI) of 1. The feasibility of implementation was rated at the highest level, as the procedures and format were clear, easy to understand, and convenient to implement, making it practical and suitable for use in the context of breast cancer patients receiving chemotherapy.

Article Details

How to Cite
Homprakob, Y. ., Komjakraphan, P., & Sangchan, H. . (2025). The Development of Nutritional Self-Management Integrated With the SKT Meditation Therapy Program to Control Chemotherapy-Induced Nausea and Vomiting Among Patients With Breast Cancer. Journal of Research in Nursing-Midwifery and Health Sciences, 45(1), 65–79. retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/272264
Section
Research Articles

References

National Cancer Institute. Hospital-based cancer registry [Internet]. Bangkok: Medical Digital Division; 2024 [cited 2024

Jun 13]. Available from: http://www.nci.go.th/th/cancer_record/cancer_rec1.html

Strategy and Planning Division. Public health statistics [Internet]. Nonthaburi: Ministry of Public Health; 2022 [cited

Dec 14]. Available from: https://spd.moph.go.th/wpcontent/uploads/2023/11/Hstatistic65.pdf

Imsamran W, Chaiweerawatana A, Manorom D, et al. Breast cancer screening and diagnosis guideline. 1 st ed. Bangkok:

Khosit; 2017. Thai.

Phligbua W, Pongthavornkamol K, Knobf TM, et al. Symptom clusters and quality of life in women with breast cancer

receiving adjuvant chemotherapy. PRIJNR. 2013; 17(3): 249-67.

Laurentiis MD, Bonfadini C, Lorusso V, et al. Incidence of nausea and vomiting in breast cancer patients treated with

anthracycline plus cyclophosphamide-based chemotherapy regimens in Italy: NAVY observational study. Support Care

Cancer. 2018; 26: 4021–29. doi: 10.1007/s00520-018-4259-1.

Najafi S, Haghighat S, Raji LM, et al. Randomized study of effect of dietary counselling during adjuvant chemotherapy on

chemotherapy induced nausea and vomiting, and quality of life in patients with breast cancer. Nutr Cancer. 2019; 71(4):

-84. doi: 10.1080/01635581.2018.1527375.

Chanthawong S. Prevention of chemotherapy-induced nausea and vomiting. Srinagarind Med J. 2019; 34(1): 115-26. Thai.

Lyman GH, Greenlee H, Bohlke K, et al. Integrative therapies during and after breast cancer treatment: ASCO endorsement

of the SIO clinical practice guideline. J Clin Oncol. 2018; 36(25): 2647-55. doi: 10.1200/JCO.2018.79.2721.

Rungruang C. and Siritientong T. Phligbua W, et al. Effects of Chemotherapy on Nutrition in Cancer Patients. PRIJN2019;

(2): 57-66. Thai.

Suwittawat C. Nutritional Status Assessment of Cancer Patients. Srinagarind Med J. 2020; 35(5): 632-38. Thai.

Techonimit J, Areepium N, Siritientong T, et al. Nutritional Status in Breast Cancer and Colorectal Cancer Patients before

Undergoing Chemotherapy. Thai Cancer J. 2018; 38: 1-10.

Triamchaisri SK, Meditation for health remedies. 15 th ed. Bangkok: V. Indy design; 2018. Thai.

Praiin S. The effect of nursing care program integrating SKT 1 and 7 meditation on anxiety, nausea and vomiting in lung

cancer patients receiving chemotherapy [master’s thesis]. Songkhla: Prince of Songkla University; 2023. 235 p.

Aybar DO, Kılıc, SP, Çınkır HY. The effect of breathing exercise on nausea, vomiting and functional status in breast cancer

patients undergoing chemotherapy. Complement Ther Clin Pract. 2020; 40: 1-9. doi: 10.1016/j.ctcp.2020.101213.

Nelwati N, Noviyani D. The effect of diaphragmatic breathing on nausea, vomiting and functional status among breast cancer

patients undergoing chemotherapy. Eur J Oncol Nurs. 2024; 70: 1-6. doi: 10.1016/j.ejon.2024.102548.

Gruman J, VonKorff M. Self-management services: Their role in disease management. In: Levine M, editor. Patient-centered

healthcare. New York: Adis International; 2000.

Creer TL. Self-management of chronic illness. In: Bockaert M, Pintrich OR, Zeidner M, editors. Handbook of self-regulation.

San Diego; CA: Academic Press; 2000.

Pongsubkaroon D, Tongpeth J. The Development of a self-management program for fatigue in breast cancer patients

receiving chemotherapy at the chemotherapy unit of Hua-Hin Hospital, Prachuap Khiri Khan Province. Journal of Research

for Health Improvement and Quality of Life. 2023; 3(2): 48-59. Thai.

Reis D, Throne T, Keller J, et al. Cancer-related fatigue:A pilot study evaluating the effect of frankincense essential

oil in patients with cancer receiving chemotherapy. Cancer Nurs. 2022; 43(3): 207-16. doi:10.1097/NCC.0000000000000986.

The Joanna Briggs Institute. JBI level of evidence [Internet]. 2014 [cited 2024 Feb 10]. Available from: https://jbi.global/

sites/default/files/2019-05/JBI-Levels-of-evidence_2014_0. pdf

Hemtanon P, Matchim Y, Waeowannachit A. Experience of eating problems in breast cancer patients receiving chemotherapy.

Songklanagarind J Nurs. 2017; 37(1): 53-62. Thai.

Suriyunt S, Deoisres W, Chaimongkol N. Factors influencing quality of life of breast cancer patients receiving chemotherapy:

A causal model. JNH. 2015; 33(4): 131-40. Thai.

Thasaneesuwan S. Principles of nursing for cancer patients. In: Nilmanat K, Vachprasit R, editors. Nursing care for adult and

elderly patients 1. 1 st ed. Songkhla: Faculty of Nursing, Prince of Songkla University; 2016. Thai.

Honchai T, Soivong P, Lukkahatai N. Effects of self-management support on self-management behaviors and symptom distress

among breast cancer patients receiving chemotherapy. Nursing Journal CMU. 2013; 40: 14-22. Thai.

Kuakarn J, Isaramalai S, Baltip Q. Impacts of a self-management programme for nutritional enhancement on the

fatigue conditions of cancer patients undergoing radiotherapy. JTNMC. 2015; 30(2): 21-32. Thai.

Soivong P, Sawasdisingha P, Tanvattanagul C, et al. Efficacy of a self-management programme in breast cancer patients.

JTNMC. 2017; 32(4): 5-18. Thai.

Samami E, Shahhosseini Z, Hamzehgardeshi Z, et al. Psychological interventions in chemotherapy-induced nausea

and vomiting in breast cancer. Iran J Med Sci. 2022; 47(2): 95-106. doi: 10.30476/ijms.2020.86657.1660.