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題名：肌肉放鬆於化學治療期間噁心及嘔吐之成效
書刊名：長庚護理
作者：楊翠雲／陳美伶／王宏銘
作者(外文)：Yang, Tsui-yun／Chen, Mei-ling／Wang, Hung-ming
出版日期：2003
卷期：14:4=44
頁次：頁353-365
主題關鍵詞：肌肉放鬆；化學治療；噁心及嘔吐；放鬆程度；焦慮程度；癌症病患；Cancer patient；Chemotherapy；Muscle relaxation；Nausea；Vomiting；Anxiety states；Relaxation states
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:9
  • 點閱點閱:19
　　　　　噁心及嘔吐是接受化學治療病患最常出現的副作用，本研究目的在探討接受化學治療之癌症病患，於施行肌肉放鬆後，對噁心及嘔吐、焦慮及放鬆程度的影響。採類實驗法研究設計，針對第一次接受高劑量Cisplatin化學治療方案之癌症病患，隨機分派至實驗組（接受肌肉放鬆）及對照組。兩組人數各為20人，共40人。實驗組於化學治療前及化學治療期間，接受每日兩次每次30分鐘肌肉放鬆訓練，對照組則接受30分鐘常規護理衛教及關懷。兩組於化學治療前及治療四天期間以羅氏噁心及嘔吐量表、史氏情境-特質焦慮量表、生理指標測量及病患放鬆視覺類比評量表，瞭解化學治療期間噁心及嘔吐的變化、焦慮改變及放鬆程度。資料分析包括：百分比、平均值、標準差、卡方檢定、獨立t檢定、配對t檢定及重複測量變異數分析。結果發現：（1）對照組噁心嘔吐程度在化學治療的的第三及第四天，均較接受肌肉放鬆處置的實驗組明顯增加。（2）兩組在接受肌肉放鬆處置前後焦慮程度未呈顯著改變。（3）實驗組在接受肌肉放鬆處置後生理指標明顯下降，放鬆程度也明顯增加，研究結果支持肌肉放鬆可降低癌症病患於化學治療期間噁心及嘔吐程度。
　　　　　Nausea and vomiting are the most common side effects experienced by patients receiving chemotherapy. In this study, we examined the effects of muscle relaxation in reducing nausea, vomiting, and anxiety induced by chemotherapy in cancer patients. This study utilized an experimental design. Forty patients who received the high dose cisplatin chemotherapy the first time were randomly assigned into experimental or control group. The experimental group received a 30-minute program on muscle relaxation twice a day during pre-chemotherapy and chemotherapy periods. The control group received ward routine and caring care. The times, frequency, and uncomfortable level of nausea and vomiting were measured by Rhodes Index of Nausea and Vomiting (RINV). Spielberger's State-Trait Anxiety Inventory (STAI) was used to measure patients* state anxiety and trait anxiety. In addition, patients* physical index and patient's relaxation visual analogue scale were also measured to examine their relaxation level. Statistical analysis included descriptive statistics, Chi-square test, independent t-test, paired t-test, and two-factor (time and group) repeated measure's ANOVA. We found that: (1) Nausea and vomiting level in control group was more severe especially in the third and fourth chemotherapy days. (2) There was no significant difference in the anxiety level. (3) The use of muscle relaxation training in experimental group significantly lessened the physical index and relaxation level than control group. Our findings suggested that muscle relaxation could reduce chemotherapy-induced nausea and vomiting.
期刊論文
1.Arakawa, S.(1997)。Relaxation to reduce nausea, vomiting, and anxiety induced by chemotherapy in Japanese patients。Cancer Nursing，20(5)，342-349。  new window
2.Conanch, P. H.、Strum, S.(1987)。Progressive Muscle Relaxation as Antiemetic Therapy for Cancer Patients。Oncology Nursing Forum，14(1)，33-37。  new window
3.Grant, M.(1997)。Introduction : nausea and vomiting, quality of life, and the oncology nurse。Oncology Nursing Forum，24(7)，5-7。  new window
4.Hogan, C. M.(1990)。Advances in the management of nausea and vomiting。Nursing Clinical of North American，25，475-497。  new window
5.Lewis, C.、Linet, M. S.(1983)。Compliance with cancer therapy by patients and physicians。American Journal Medicine，74，673-678。  new window
6.Lerman, G.、Rimer, Barbara、Blumberg, B.、Cristinzio, S.、Engstrom, P. F.、MacElew, N.、O'Connor, K.、Seay, J.(1990)。Effect of coping style and relaxation on cancer chemotherapy side effects and emotional responses。Cancer Nursing，13(5)，308-315。  new window
7.Pickett, M.(1991)。Determinants of anticipatory nausea and anticipatory vomiting in adults receiving cancer chemotherapy。Cancer Nursing，14(6)，334-345。  new window
8.Rhodes, V. A.、Waston, P. M.、Johnson, M. H.(1986)。Association of chemotherapy related nausea and vomiting with pretreatment and posttreatment anxiety。Oncology Nursing Forum，13(1)，41-47。  new window
9.Scott, D. W.(1983)。The antiemetic effect of clinical relaxation : report of exploratory pilot study。Journal Psychosocial Oncology，1(1)，71-84。  new window
10.Troesch, L. M.、Rodehaver, C. B.、Delaney, E. A.、Yanes, B.(1993)。The influence of guide imagery on chemotherapy-related nausea and vomiting。Oncology Nursing Forum，20(8)，1179-1185。  new window
11.Tonato, M.、Roila, F.、Del Favero, A.、Ballatori, E.(1994)。Antiemetics in cancer chemotherapy:historical perspective and current state of the art。Support Care Cancer，2，150-160。  new window
12.Willian, C.(1994)。Causes and management of nausea and vomiting。Nursing Time，2，38-41。  new window
13.Molassiotis, A.、Yung, H. P.、Yam, B. M. C.、Chan, F. Y. S.、Mok, T. S. K.(2002)。The effectiveness of progressive muscle relaxation training in managing chemotherapy-induced nausea and vomiting in Chinese breast cancer patients: A randomized controlled trial。Supportive Care in Cancer，10(3)，237-346。  new window
14.Van Fleet, S.(2000)。Relaxation and imagery for symptom management: Improving patient assessment and individualizing treatment。Oncology Nursing Forum，27(3)，501-510。  new window
15.Dodd, M. J.、Onishi, K.、Dibble, S. L.、Larson, R. J.(1996)。Differences in nausea, vomiting, and retching between younger and older outpatients receiving cancer chemotherapy。Cancer Nursing，19(3)，155-161。  new window
16.周家旭(19940600)。讓他(她)活得更有尊嚴--控制化療引起之嘔吐。藥學雜誌，10(1/2)=38/39，85-91。  延伸查詢new window
17.黃璉華(20010100)。遺傳諮詢對減緩接受羊膜穿刺孕婦焦慮程度之成效。公共衛生，27(4)，301-314。  延伸查詢new window
18.曾令儀、李引玉(19991000)。放鬆治療在護理上的應用。護理雜誌，46(5)，68-74。new window  延伸查詢new window
19.鄭如文(1997)。癌症化學治療引起的噁心與嘔吐。藥學雜誌，11(2)，48-55。  延伸查詢new window
20.謝豐舟、陳源基(19830100)。化學治療引發嘔吐的控制。當代醫學，10(1)，23-27。  延伸查詢new window
21.駱麗華(1998)。兩種由癌症兒童測量之噁心與嘔吐量表之效度。成功大學學報，33，167-185。  延伸查詢new window
22.Goodman, M.(1997)。Risk factors and antiemetic management of chemotherapy-induced nausea and vomiting。Oncology Nursing Forum，24(7)，20-31。  new window
23.Hogan, C. M.、Grant, M.(1997)。Physiologic mechanisms of nausea and vomiting in patients with cancer。Oncology Nursing Forum，24(7)，8-14。  new window
24.Lindsey, A. M.(1985)。Building the knowledge base for practice part I: nausea and vomiting。Oncology Nursing Forum，12(1)，49-56。  new window
25.Marrow, G. R.(1992)。Behavioural factors influencing the development and expression of chemotherapy induced side effects。Cancer，66(19)，54-61。  new window
26.Mast, D.、Meyer, J.、Urbanski, A.(1987)。Relaxation techniques a self-learning module for nurses: Unit 1。Cancer Nursing，10(3)，141-147。  new window
27.Molassiotis, A.、Yam, B. M. C.、Chan, F. Y, S.、Mok, T. S. K.(2002)。Pretreatment factors predicting the development of postchemotherapy nausea and vomiting in Chinese breast cancer patients。Supportive Care in Cancer，10，139-145。  new window
28.Rhodes, V. A.、Watson, P. M.、Johnson, M. H.(1984)。Development of reliable and valid measures of nausea and vomiting。Cancer Nursing，7(1)，33-41。  new window
29.Rhodes, V. A.、Waston, R. M.、Johnson, M. H.、Madsen, R. W.、Beck, N. C.(1987)。Patterns of nausea, vomiting, and distress in patients receiving antineoplastic drug protocols。Oncology Nursing Forum，14(4)，35-44。  new window
30.Weber, M. S.(1995)。Clinical snapshot chemotherapy induced nausea and vomiting。American Journal of Nursing，95(4)，34-35。  new window
31.Zook, D. M.、Yasko, J. M.(1983)。Psychologic factor their effect on nausea and vomiting experienced by clients receiving chemotherapy。Oncology Nursing Forum，10(3)，76-81。  new window
32.Fessele, K. S.(1996)。Managing the multiple causes of nausea and vomiting in patient with cancer。Oncology Nursing Forum，23(9)，1409-1415。  new window
33.King, C. R.(1997)。Nonpharmacologic management of chemotherapy-induced nausea and voniting。Oncology Nursing Forum，24(7)，41-48。  new window
34.Ezzone, S.、Baker, C.、Rosselet, R.、Terepka, E.(1998)。Music as an adjunct to antiemetic therapy。Oncology Nursing Forum，25(9)，1551-1556。  new window
圖書
1.行政院衛生署(2002)。中華民國九十一年癌症登記。台北：行政院衛生署。  延伸查詢new window
2.Spielberger, C. D.(1983)。State-Trait Anxiety Inventory for Adults。Palo Alto：Mind Garden。  new window
 
 
 
 
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