ABSTRACT
Purpose
To examine the risks of postoperative nausea and vomiting (PONV) in breast cancer
patients.
Design
Descriptive, cross-sectional study.
Methods
The study was conducted in the surgical oncology department of a tertiary hospital
between June 2020 and December 2020. A total of 83 female patients who were scheduled
for surgical treatment for breast cancer were included in the study. The patients
were evaluated using the Patient Evaluation Form created by the researcher by scanning
the literature, the VAS Pain Rating Scale, and the Apfel Risk Scoring System.
Findings
A significant relationship was found between age and PONV at the 2nd, 4th, 8th, 24th
and 48th hours after surgery (respectively: P = .00, P = .00, P = .00, P = .00, P = .00). There was a significant correlation between the duration of surgery and PONV
at 0 hour, PONV at first oral intake and PONV at 4 hours (respectively; P ˂ .01, P ˂ .01). The highest rate of PONV of all time (50.6%) at the 0th hour when the VAS
scores of the patients was the highest. The PONV rate at the 48th hour was the lowest
of all time periods (1.2%) (respectively; P ˂ .01, P ˂ .01).
Conclusions
While women with breast cancer who have undergone mastectomy have the highest risk
of postoperative and nausea vomiting in terms of age and pain severity, the duration
of the operation and the first oral intake time also pose a risk. Nurses play a key
role in the quality of care, patient safety, and patient satisfaction. It is recommended
that institutions create evidence-based strategies and take necessary precautions
in the preoperative evaluation of patients in terms of postoperative nausea and vomiting.
Keywords
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Article info
Publication history
Published online: December 16, 2022
Footnotes
Conflict of Interest: None to report.
Funding: None to report.
Identification
Copyright
© 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
