Peppermint Inhalation Versus Swedish Massage on Chemotherapy Induced-Nausea and Vomiting in Children With Leukemia
Comparative Effect of Peppermint Inhalation and Swedish Massage on Chemotherapy Induced-Nausea and Vomiting in Children With Leukemia.
Clinical trials was used to compare the effect of peppermint inhalation and Swedish massage on chemotherapy induced-nausea and vomiting in children with leukemia. the main research hypotheses are:
- Children with leukemia who receive peppermint inhalation exhibit less chemotherapy induced- nausea and vomiting than those who don't receive.
- Children with leukemia who receive Swedish massage exhibit less chemotherapy induced-nausea and vomiting than those who don't receive.
- Children with leukemia who receive Swedish massage exhibit less chemotherapy induced- nausea and vomiting than those who receive peppermint inhalation. children divided into three groups of study ( control group, peppermint inhalation group and Swedish massage group) to identify its effect on chemotherapy induced nausea and vomiting.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Alexandria, Egypt
- Eman Arafa Badr
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Received first chemotherapy session
- Intact skin in the massage
Exclusion Criteria:
- Chronic and acute disorders such as respiratory, cardiovascular diseases...etc.
- Allergy from any essential oils.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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No Intervention: Control group
Children with leukemia received routine nursing and hospital care for management of chemotherapy induced nausea and vomiting (antiemetic medications only).
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Experimental: Peppermint Inhalation Group
Children with leukemia received the inhalation of essential oil of peppermint 2% in addition to routine nursing and hospital care for management of chemotherapy induced nausea and vomiting.
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The researcher applied two drops (0,2ml) of 2% essential oil of peppermint on a piece of cotton.
Then, each child was instructed to take three breaths of the essence that had been put on a piece of cotton before starting chemotherapy session with three minutes.
In addition, the piece of cotton with peppermint essence was kept at bed side table to use by child as needed throughout the chemotherapy session.
Inhalation of peppermint essence was applied for three consecutive chemotherapy sessions.
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Experimental: Swedish Massage Group:
Children with leukemia received the Swedish massage therapy in addition to routine nursing and hospital care for management of chemotherapy induced nausea and vomiting.
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Children were received Swedish massage therapy for twenty minutes prior to chemotherapy session in a private and special room with effleurage, petrissage, friction, and tapotement and vibration movements for three consecutive chemotherapy sessions.
The researcher applied facilitating olive oil in hands and pre warmed before applying massage.
The massage technique was applied in prone position with mild to moderate pressure with guidance by the child's feedback and tolerance by using non-scented olive oil.
Children's privacy was considered.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Experience of anticipatory nausea
Time Frame: assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Yes/No
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assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Worst of anticipatory nausea
Time Frame: assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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No/Mild/Moderate/severe/intolerable
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assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Duration of anticipatory nausea
Time Frame: assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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/Minutes
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assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Frequency of anticipatory nausea
Time Frame: assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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once/twice/ three times and more
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assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Experience of anticipatory vomiting
Time Frame: assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Yes/No
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assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Worst of anticipatory vomiting
Time Frame: assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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No/Mild/Moderate/severe/intolerable
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assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Amount of anticipatory vomiting
Time Frame: assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Small/ Moderate/ Large
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assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Frequency of anticipatory vomiting
Time Frame: assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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once/ twice/ three times and more.
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assessed immediately before chemotherapy administration for three consecutive chemotherapy sessions
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Experience of acute nausea .
Time Frame: First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Yes/no.
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First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Worst of acute nausea .
Time Frame: First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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No/Mild/Moderate/severe/intolerable
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First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Duration of acute nausea .
Time Frame: Frst 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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/hours.
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Frst 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Frequency of acute nausea .
Time Frame: First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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once/ twice/ three times and more.
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First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Experience of acute vomiting.
Time Frame: First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Yes/No.
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First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Worst of acute vomiting.
Time Frame: First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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No/Mild/Moderate/severe/intolerable
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First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Amount of acute vomiting.
Time Frame: First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Small/ Moderate/ large
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First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Frequency of acute vomiting.
Time Frame: First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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once/ twice/ three times and more.
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First 24 hours after first chemotherapy administration of study. Assessed within the first 24 hours after second chemotherapy administration of study. Assessed within the first 24 hours after third chemotherapy administration of study.
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Experience of delayed nausea.
Time Frame: On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Yes/ No.
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On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Worst of delayed nausea.
Time Frame: On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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No/Mild/Moderate/severe/intolerable
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On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Duration of delayed nausea.
Time Frame: On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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/hours.
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On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Frequency of delayed nausea.
Time Frame: On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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once/ twice/ three times and more.
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On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Experience of delayed vomiting.
Time Frame: On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Yes/ No.
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On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Worst of delayed vomiting.
Time Frame: On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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No/Mild/Moderate/severe/intolerable
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On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Amount of delayed vomiting.
Time Frame: On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Small/ Moderate/ large
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On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Frequency of delayed vomiting.
Time Frame: On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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once/ twice/ three times and more.
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On second and third days after first chemotherapy administration.On second and third days after second chemotherapy administration. On second and third days after third chemotherapy administration.
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Child's age
Time Frame: Before data collection
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years
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Before data collection
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Gender
Time Frame: Before data collection
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male/female
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Before data collection
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Residence
Time Frame: Before data collection
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rural/urban
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Before data collection
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Level of education
Time Frame: Before data collection
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kinder garden/primary
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Before data collection
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Onset of the disease
Time Frame: Before data collection
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months
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Before data collection
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Type of leukemia
Time Frame: Before data collection
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Acute Lymphoblastic Leukemia / Acute Myeloid Leukemia/ Chronic Lymphocytic Leukemia / Chronic Myeloid Leukemia
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Before data collection
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Prescribed chemotherapy medications
Time Frame: Before data collection
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Methotrexate / cytarabine
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Before data collection
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Antiemetics prescribed medications
Time Frame: Before data collection
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Ondansetron
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Before data collection
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Sowmiya Rajendran, Ruthrani Princely J, Kanchana S, Celina D., Effectiveness of Swedish Massage on the Level of Chemotherapy Induced Nausea and Vomiting (CINV) Among Children with Cancer at a Selected Hospital in North India, ICCRJNR, Jul - Dec 2016, 1(2): 20-38.
- Evans A, Malvar J, Garretson C, Pedroja Kolovos E, Baron Nelson M. The Use of Aromatherapy to Reduce Chemotherapy-Induced Nausea in Children With Cancer: A Randomized, Double-Blind, Placebo-Controlled Trial. J Pediatr Oncol Nurs. 2018 Nov/Dec;35(6):392-398. doi: 10.1177/1043454218782133. Epub 2018 Jun 27.
- El-SayedYousef, Y., Zaki, N. A., AsmaaAbd-Alasis, Abdel-RazikSayed, H., & Elsayed, F. (2018). Effect of Therapeutic Massage on nausea and vomitingamong Children with Leukemia following Chemotherapy.
- Ahmad, M. (2016). Tool Development to Assess Nausea and Vomiting Among Patients Receiving Chemotherapy. International Journal of Cancer and Oncology, 3(1), 1-5. https://doi.org/10.15436/2377-0902.16.031
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CINV
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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