NURSING CARE PRACTICES IN THE MANAGEMENT OF ORAL MUCOSITIS OF CHILDREN WITH CANCER TREATMENT: A SYSTEMATIC REVIEW
Year 2024,
Volume: 33 Issue: 2, 279 - 283, 25.07.2024
Elif Tiryaki
,
Gamze Akay
,
Türkan Kadiroğlu
,
Fatma Güdücü Tüfekci
Abstract
Oral mucositis is a significant complication of cytotoxic chemotherapy in children. Oral mucositis is known to be associated with significant morbidity in pediatric patients and is typically very painful and irritated. Mucositisis seen in many patients receiving conventional chemotherapy. It is known that oral mucositis is severe enough to require hospitalization and effective enough to cause a decrease in food intake, oral care and quality of life. Today, many methods are used in the treatment and care of oral mucositis. The purpose of this systematic review is to examine the contribution of nursing care practices used in the management of oral mucositis in children receiving cancer treatment between the ages of 0-18 to the literature in the last 3 years. Meta-analysis and randomized controlled studies examining nursing care practices used in the management of oral mucositis between 2019 and 2022 were retrospectively examined using Pub Med, Scopus, Google Scholar, Science Direct, Ovid Medline, EBSCO databases. It has been observed that nurses have very important duties and responsibilities in the methods used. Providing more evidence by conducting randomized controlled studies shows that nurses will produce alternative ways to manage oral mucositis, which is a very important problem for children.
References
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- Miranda-Silva W, Gomes-Silva W, Zadik Y, et al. MASCC/ISOO clinical practice guidelines for the management of mucositis: sub-analysis of current interventions for the management of oral mucositis in pediatric cancer patients. Support Care Cancer.2021;29(7):3539-3562. doi:10.1007/s00520-020-05803-4.
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- Zhang L, Yin Y, Simons A, Francisco N, Wen F, Patil S. Use of honey in the management of chemotherapy-associated oral mucositis in paediatric patients. Cancer Manag Res. 2022;14:2773-2783.doi:10.2147/cmar.s367472.
- Bezerra PMM, Vieira TI, Dos Santos FG, Ribeiro ILA, de Sousa SA, Valença AMG. The impact of oral health education on the incidence and severity of oral mucositis in pediatric cancer patients: a systematic review and meta-analysis. Support Care Cancer. 2022;30(11):8819-8829.doi:10.1007/s00520-022-07296-9.
- Konuk Sener D, Aydin M, Cangur S, Guven E. The Effect of Oral Care with Chlorhexidine, Vitamin E and Honey on Mucositis in Pediatric Intensive Care Patients: A Randomized Controlled Trial. J Pediatr Nurs. 2019;45:95-101.doi:10.1016/j.pedn.2019.02.001.
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- Alkhouli M, Laflouf M, Alhaddad M. Efficacy of Aloe-Vera Use for Prevention of Chemotherapy-Induced Oral Mucositis in Children with Acute Lymphoblastic Leukemia: A Randomized Controlled Clinical Trial. Compr Child Adolesc Nurs. 2021;44(1):49-62.doi:10.1080/24694193.2020.1727065.
- Widjaja NA, Pratama A, Prihaningtyas R, Irawan R, Ugrasena I. Efficacy Oral Glutamine to Prevent Oral Mucositis and Reduce Hospital Costs During Chemotherapy in Children with Acute Lymphoblastic Leukemia. Asian Pac J Cancer Prev. 2020;21(7):2117-2121.doi:10.31557/apjcp.2020.21.7.2117.
- Singh R, Sharma S, Kaur S, Medhi B, Trehan A, Bijarania SK. Effectiveness of Topical Application of Honey on Oral Mucosa of Children for the Management of Oral Mucositis Associated with Chemotherapy. Indian J Pediatr. 2019;86(3):224-228.doi:10.1007/s12098-018-2733-x.
KANSER TEDAVİSİ GÖREN ÇOCUKLARIN ORAL MUKOZİT YÖNETİMİNDE HEMŞİRELİK BAKIM UYGULAMALARI: SİSTEMATİK BİR DERLEME
Year 2024,
Volume: 33 Issue: 2, 279 - 283, 25.07.2024
Elif Tiryaki
,
Gamze Akay
,
Türkan Kadiroğlu
,
Fatma Güdücü Tüfekci
Abstract
Oral mukozit, çocuklarda sitotoksik kemoterapinin önemli bir komplikasyonudur.Oral mukozitin pediatrik hastalarda önemli morbidite ile ilişkili ve tipik olarak çok ağrılı ve rahatsız edici olduğu bilinmektedir. Mukozit, geleneksel kemoterapi alan hastaların pek çoğunda görülmektedir. Oral mukozitin hastaneye yatışı gerektirecek kadar şiddetli, besin alımının, ağız bakımının ve yaşam kalitesinin azalmasına yol açacak kadar da etkili olduğu bilinmektedir. Günümüzde oral mukozitin tedavi ve bakımında pek çok yöntem kullanılmaktadır. Yapılan bu sistematik incelemenin amacı, 0-18 yaş aralığında kanser tedavisi gören çocuklarda gelişen oral mukozit yönetiminde kullanılan hemşirelik bakım uygulamalarının son 3 yıldaki literatüre katkısını incelemektir. PubMed, Scopus, Google Scholar, Science Direct, Ovid Medline, EBSCO veri tabanları kullanılarak, 2019-2022yıllarıarasında oral mukozit yönetiminde kullanılan hemşirelik bakım uygulamalarını inceleyen Meta-analiz ve randomize kontrollü çalışmalar geriye doğru incelenmiştir. Kullanılan yöntemlerde hemşirelere çok önemli görev ve sorumlulukların düştüğü görülmüştür. Hemşirelerin randomize kontrollü çalışmalar yaparak daha fazla kanıtlar sağlaması çocuklar için çok önemli bir sorun olan oral mukozitin yönetiminde alternatif yollar üreteceğini göstermektedir.
Ethical Statement
Araştırma bir sistematik derlemedir. Bu yüzden etik kurul onayı gerektirmemiştir.
Supporting Institution
Yok
References
- Hurrell L, Burgoyne L, Logan R, Revesz T, Gue S. The Management of Pediatric Oncology Inpatients With Oral Mucositis. J Pediatr Hematol Oncol. 2019;41(8):510-516.doi:10.1097/MPH.0000000000001546.
- Fidan Ö, Arslan S. Development and Validation of the Oral Mucositis Risk Assessment Scale in Hematology Patients. SeminOncol Nurs. 2021;37(3):151-159. doi:10.1016/j.soncn.2021.151159.
- Ferrández-Pujante A, Pérez-Silva A, Serna-Muñoz C, et al. Prevention and Treatment of Oral Complications in Hematologic Childhood Cancer Patients: An Update. Children (Basel). 2022;9(4):566-583. doi:10.3390/children9040566.
- Alqahtanı S, Sıraj Khan D. Management of oral mucositis in children. Eur Rev Med Pharmacol Sci. 2022;26(5):1648-1657. doi:10.26355/eurrev_202203_28233.
- Miranda-Silva W, Gomes-Silva W, Zadik Y, et al. MASCC/ISOO clinical practice guidelines for the management of mucositis: sub-analysis of current interventions for the management of oral mucositis in pediatric cancer patients. Support Care Cancer.2021;29(7):3539-3562. doi:10.1007/s00520-020-05803-4.
- Soares ADS, Wanzeler AMV, Cavalcante GHS, Barros E, Carneiro RCM, Tuji FM. Therapeutic effects of andiroba (Carapa guianensis Aubl) oil, compared to low power laser, on oral mucositis in children underwent chemotherapy: A clinical study. J Ethnopharmacol. 2021;264:113365.doi:10.1016/j.jep.2020.113365.
- Hassan H, Kinsey S, Phillips B. Mucositis reduction with probiotics in children with cancer: a randomised-controlled feasibility study. Arch Dis Child. 2022;107(3):259-264. doi:10.1136/archdischild-2020-319968.
- Semerci R, Kocaaslan EN. Effect of chewing gum on the management of chemotherapy-induced oral mucositis in children: Systematic review of experimental studies. Eur J Cancer Care (Engl). 2022;31(6):1-10.doi:10.1111/ecc.13727.
- Hao S, Ji L, Wang Y. Effect of Honey on Pediatric Radio/Chemotherapy-Induced Oral Mucositis (R/CIOM): A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2022;6906439:1-9.doi:10.1155/2022/6906439.
- Zhang L, Yin Y, Simons A, Francisco N, Wen F, Patil S. Use of honey in the management of chemotherapy-associated oral mucositis in paediatric patients. Cancer Manag Res. 2022;14:2773-2783.doi:10.2147/cmar.s367472.
- Bezerra PMM, Vieira TI, Dos Santos FG, Ribeiro ILA, de Sousa SA, Valença AMG. The impact of oral health education on the incidence and severity of oral mucositis in pediatric cancer patients: a systematic review and meta-analysis. Support Care Cancer. 2022;30(11):8819-8829.doi:10.1007/s00520-022-07296-9.
- Konuk Sener D, Aydin M, Cangur S, Guven E. The Effect of Oral Care with Chlorhexidine, Vitamin E and Honey on Mucositis in Pediatric Intensive Care Patients: A Randomized Controlled Trial. J Pediatr Nurs. 2019;45:95-101.doi:10.1016/j.pedn.2019.02.001.
- Mubaraki S, Pani SC, Alseraihy A, Abed H, Alkhayal Z. The efficacy of two different oral hygiene regimens on the incidence and severity of oral mucositis in pediatric patients receiving hematopoietic stem cell transplantation: A prospective interventional study. Spec Care Dentist. 2020;40(6):566-573.doi:10.1111/scd.12525.
- Alkhouli M, Laflouf M, Alhaddad M. Efficacy of Aloe-Vera Use for Prevention of Chemotherapy-Induced Oral Mucositis in Children with Acute Lymphoblastic Leukemia: A Randomized Controlled Clinical Trial. Compr Child Adolesc Nurs. 2021;44(1):49-62.doi:10.1080/24694193.2020.1727065.
- Widjaja NA, Pratama A, Prihaningtyas R, Irawan R, Ugrasena I. Efficacy Oral Glutamine to Prevent Oral Mucositis and Reduce Hospital Costs During Chemotherapy in Children with Acute Lymphoblastic Leukemia. Asian Pac J Cancer Prev. 2020;21(7):2117-2121.doi:10.31557/apjcp.2020.21.7.2117.
- Singh R, Sharma S, Kaur S, Medhi B, Trehan A, Bijarania SK. Effectiveness of Topical Application of Honey on Oral Mucosa of Children for the Management of Oral Mucositis Associated with Chemotherapy. Indian J Pediatr. 2019;86(3):224-228.doi:10.1007/s12098-018-2733-x.