Meta-Analysis of the Effect of Dietary Care on Nausea and Vomiting in Oncology Chemotherapy Patients.

Contrast media & molecular imaging. 2022;2022:3163230
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A good diet can provide cancer patients with reasonable and adequate nutrition and strengthen their own immunity, thus enhancing their ability to fight against the adverse effects of cancer treatment. Chemotherapy, as an important treatment for malignant tumours, kills cancer cells and also kills normal cells that are actively proliferating in the body. The aim of this study was to evaluate the efficacy of dietary interventions for the relief of nausea and vomiting after chemotherapy and to provide evidence to support the development of clinical care protocols by summarizing the literature of relevant randomized controlled trials at home and abroad. This study is a systematic review and meta-analysis of 5 studies. Results showed that dietary care reduced the occurrence of nausea and vomiting in chemotherapy patients in general, and the short-term effects were more pronounced. Furthermore, dietary care interventions have a positive effect on the quality-of-life improvement in chemotherapy patients. Dietary care can alleviate the symptoms of nausea and vomiting in tumour chemotherapy patients and improve the quality of life of short-term chemotherapy tumour patients. Authors conclude that effective dietary care can effectively improve the digestive symptoms of chemotherapy cancer patients and reduce and prevent all kinds of digestive reactions, which is worth promoting in cancer clinical care.

Abstract

Objective: To evaluate the effect of dietary care on chemotherapy-induced nausea and vomiting in oncology patients. Methods: A retrospective analysis of digestive symptoms was conducted in cancer patients admitted to our hospital, who received chemotherapy, and corresponding effective dietary care countermeasures were adopted. Results: After the nursing intervention, the incidence of digestive symptoms was significantly reduced, the quality of life was significantly improved (59.92 ± 6.57) vs. (37.95 ± 7.50), and the nursing satisfaction was significantly higher (91.67% vs. 69.44%), with statistically significant differences (P < 0.05). Meta-analysis showed that short-term (0 to 3 months) dietary care could alleviate nausea and vomiting symptoms in chemotherapy patients (P < 0.001) and improve the survival quality of oncology patients (P < 0.01). The effect of long-term (3-6 months) dietary care on the control of nausea and vomiting symptoms in chemotherapy patients was certain (P < 0.05), but the effect on the improvement of their quality of life (P > 0.05) was unclear. Conclusion: Dietary care can alleviate the symptoms of nausea and vomiting in tumor chemotherapy patients and improve the quality of life of short-term chemotherapy tumor patients, so it can be recommended to strengthen the dietary management for tumor patients receiving chemotherapy. Patients receiving chemotherapy should be given corresponding dietary nutritional care according to their clinical symptoms in order to alleviate their adverse reactions, enhance their own immunity, and improve the prognosis of cancer patients.

Lifestyle medicine

Patient Centred Factors : Mediators/Chemotherapy patient
Environmental Inputs : Diet ; Nutrients
Personal Lifestyle Factors : Nutrition
Functional Laboratory Testing : Not applicable

Methodological quality

Jadad score : Not applicable
Allocation concealment : Not applicable
Publication Type : Journal Article ; Meta-Analysis

Metadata

Nutrition Evidence keywords : Digestive tract ; Gastrointestinal ; Chemotherapy