KANSER TEDAVİSİ GÖREN ÇOCUKLARIN ORAL MUKOZİT YÖNETİMİNDE HEMŞİRELİK BAKIM UYGULAMALARI: SİSTEMATİK BİR DERLEME

Öz

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.

Anahtar Kelimeler

• Çocuk
• hemşirelik
• kanser
• oral mukozit
• yönetim

NURSING CARE PRACTICES IN THE MANAGEMENT OF ORAL MUCOSITIS OF CHILDREN WITH CANCER TREATMENT: A SYSTEMATIC REVIEW

Öz

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.

Anahtar Kelimeler

• Child
• nursing
• cancer
• oral mucositis
• managament

Kaynakça

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