About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
7 to 18 years old,
who will receive intravenous chemotherapy,
no cognitive or neurological disease that would prevent communication,
receiving a chemotherapy protocol with a high or moderate emetogenic effect according to the MASCC/ESMO Antiemetic Guideline Classification,
Disqualifiers
Children receiving radiotherapy,
taking ginger powder or vitamins to reduce nausea,
children who did not want to participate in the study
Trial design
Parallel
Treatments tested in this trial
guided imagery
Other interventionThe 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,
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
Heart rate
Maintaining or normalizing heart rate within normal range (60 to 110 bpm)
Systolic and diastolic blood pressure
Maintaining or normalizing systolic and blood pressure within normal range (systolic: 90-120 mmHg; diastolic 60-80 mmHg)
Respiratory rate
Maintaining or normalizing respiratory rate within normal range (18-30 breath per minute)
Body temperature
Maintaining or normalizing body temperature within normal range (36-37 C° in tympanic measurement)
Sponsors and contacts
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Baskent University
Lead sponsor
Hacettepe University
Collaborator