Effect Of Painting Therapy On Chemotherapy-induced Nausea And Vomiting And Anxiety In Patients With Breast Cancer

Objective:In this study,painting intervention therapy was performed on breast cancer patients with chemotherapy-related nausea and vomiting,to observe the effects of painting therapy on expectant,acute and delayed nausea and vomiting,anxiety and quality of life of the patients.in order to reduce the degree of nausea and vomiting,improve the anxiety state and improve the quality of life of the patients.Methods:This study was conducted using randomized controlled trials.84 breast cancer patients who met the inclusion criteria for chemotherapy in a third-class oncology hospital in Taiyuan from May 10,2021 to October 13,2021 were selected as subjects.According to the length of hospital stay,they were randomly divided into control group and experimental group.The control group was treated with routine nursing and general psychological nursing,and the experimental group was treated with painting intervention psychotherapy.The intervention lasted for 7 days,once a day,for 40 minutes,for a total of 21 days.During the period of hospitalization,the place of intervention was in the ward;during the period of staying at home,the place of intervention was in the patient’s home.Before the intervention,the baseline data such as general data questionnaire,SAS and FLIE were collected.After all the intervention was completed,the researchers re-evaluated the patients with SAS and FLIE,analyzed the data of the two groups and reached a conclusion.The researchers used the patient diary composed of ANV rating scale and MAT scale to collect data on nausea and vomiting symptoms of the two groups before intervention,7 days,14 days and 21 days after intervention.All the data were analyzed by SPSS23.0 software,and all tests were carried out by bilateral test.P < 0.05 was considered that the difference was statistically significant.Results:A total of 84 patients were included,42 each in the experimental group and control group,one withdrawal and one shedding case,one exclusion and one shedding case,so a total of 80 patients were included,and 40 each in the experimental group and control group.The statistical results show that:(1)Comparison of baseline data:Compared with the general data before intervention,there was no important difference between the two groups(P > 0.05).The reference level is the same and comparable.(2)Evaluation of the efficacy of Anticipatory nausea and vomiting:The results of repeated measurement analysis of variance showed that there were significant differences in the degree of expected nausea and vomiting between the two groups,intra-group effect and interaction effect.There was no significant difference in the grade of expected nausea and vomiting between the two groups before intervention(P >0.05).After 7 days,14 days and 21 days of intervention,the grade of expected nausea and vomiting in the test group was significantly lower than that in the control group(P < 0.05).(3)Evaluation of the efficacy of acute nausea and vomiting:The results of repeated measurement analysis of variance showed that there were significant differences in intergroup effect,intra-group effect and interaction effect of acute nausea between the two groups.There was no significant difference in the degree of acute nausea between the two groups before intervention(P > 0.05).After 7 days,14 days and 21 days of intervention,the degree of acute nausea in the experimental group was significantly lower than that in the control group(P < 0.05).There was no significant difference in the frequency of acute vomiting between the two groups(P > 0.05).There was no significant difference in the number of acute vomiting between the two groups(P > 0.05).There were no significant differences in the number of acute vomiting between the two groups(P > 0.05).(4)Evaluation of the efficacy of delayed nausea and vomiting:The results of repeated measurement analysis of variance showed that there were significant differences in intergroup effect,intra-group effect and interaction effect between the two groups.There were significant differences in the frequency of delayed vomiting between the two groups,intra-group effect and interaction effect.There was no significant difference in the degree of delayed nausea and vomiting between the two groups before intervention(P > 0.05).After 7 days,14 days and 21 days of intervention,the degree of delayed nausea and vomiting in the experimental group was significantly lower than that in the control group(P < 0.05).(5)Comparison of anxiety level:Before intervention,patients in both groups had moderate anxiety.After intervention,the extent of anxiety in the experimental group was meaningfully lower than that in the control group(P < 0.05).(6)Comparison of quality of life:After intervention,the total scores of nausea and vomiting in the experimental group were meaningfully higher than those in the control group(P < 0.05).Conclusion:1.Painting therapy can effectively reduce the severity of expected nausea and vomiting.2.Painting therapy can meaningfully relieve nausea and delayed vomiting symptoms and lessen the extent of acute nausea,but there is no significant effect on the frequency of acute vomiting.3.Painting therapy can effectively relieve the anxiety symptoms of patients undergoing chemotherapy.4.Painting therapy can advance the quality of life of patients with chemotherapy-related nausea and vomiting.