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| Name | Class |
|---|---|
| Hacettepe University | OTHER |
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The goal of this randomized controlled study is to assess the effect of guided imagery on chemotherapy-related nausea and vomiting in pediatric oncology patients.
Participants will receive either guided imagery+routine care or routine care. The researchers will compare nausea and vomiting and vital signs between groups.
Despite significant advances in anti-emetic treatment, chemotherapy induced nausea and vomiting (CINV) is considered a major side-effect that significantly reduces the quality of life of children diagnosed with cancer. Guided imagery is one of the methods of distraction that allows the individual to go to an environment or scene that will make the individual comfortable, peaceful, happy, and focused. In this study, the participants will be randomized in a single blind manner (participant) to either intervention or control groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Guided imagery group | Experimental | Participants will receive guided imagery intervention. |
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| Control | No Intervention | Participants will receive routine care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| guided imagery | Other | The children in the experimental group will listen to the first part of the 'Guided Imagery CD' prepared by the Turkish Psychological Association for relaxation 30 minutes before the chemotherapy infusion starts. The suggestions given in the first part of the CD will help the patients relax and focus their attention on their breathing. Patients will be positioned in a supine or semi-fowler position and will listen to the CD with headphones from a laptop. Once the chemotherapy infusion starts, relaxing light background music with the sound of a river or sea will be played based on the patients' preference, and imagery will be applied to the patients. Patients will be encouraged to think of various images, such as imagining that the treatment is over, visualizing themselves as much healthier and recovering quickly, returning to their old life, and doing whatever they want to do first after recovery. If there is an object, person, event, situation, or food that will make them feel good, |
| Measure | Description | Time Frame |
|---|---|---|
| Nausea and vomiting | Nausea and Vomiting Thermometer Scale in Children with Cancer is a 5-likert type scale. An increase in the score indicates an increase in the degree of nausea and vomiting experienced by children with cancer. | 30 minutes before the procedure, halfway through the chemotherapy infusion, immediately after the procedure, and for the first 24 hours after the end of chemotherapy |
| Measure | Description | Time Frame |
|---|---|---|
| Heart rate | Maintaining or normalizing heart rate within normal range (60 to 110 bpm) | 30 minutes before the procedure, halfway through the chemotherapy infusion, and immediately after the procedure, |
| Systolic and diastolic blood pressure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ayşe Ay, RN, PhD | Contact | +905073560214 | ayse0526@gmail.com | |
| Yağmur Sezer Efe, RN, PhD | Contact | +905064378562 | ysezerefe@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ayşe Ay, RN, PhD | Baskent University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University İhsan Doğramacı Hospital | Recruiting | Ankara | Ankara | 06100 | Turkey (Türkiye) |
the data wil be shared upon a reasonable request.
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| ID | Term |
|---|---|
| D014839 | Vomiting |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D019018 | Imagery, Psychotherapy |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D011613 | Psychotherapy |
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The children in the experimental group will listen to the "Guided Imagery CD" prepared by the Turkish Psychological Association for relaxation 30 minutes before the chemotherapy infusion started and during the chemotherapy infusion. In the meantime, patients will be encouraged to think of various images, such as imagining that the treatment is over, returning to their old life quickly, etc.
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Participant will be randomly assigned to groups. An independent statistician will analyze the data.
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Maintaining or normalizing systolic and blood pressure within normal range (systolic: 90-120 mmHg; diastolic 60-80 mmHg)
| 30 minutes before the procedure, halfway through the chemotherapy infusion, and immediately after the procedure |
| Respiratory rate | Maintaining or normalizing respiratory rate within normal range (18-30 breath per minute) | 30 minutes before the procedure, halfway through the chemotherapy infusion, and immediately after the procedure |
| Body temperature | Maintaining or normalizing body temperature within normal range (36-37 C° in tympanic measurement) | 30 minutes before the procedure, halfway through the chemotherapy infusion, and immediately after the procedure |
| Oxygen saturation | Maintaining or normalizing oxygen saturation within normal range (between 95%-100% by pulse oximetry) | change from baseline 60 minutes of chemotherapy infusion |
| D004191 |
| Behavioral Disciplines and Activities |