Effect of Oral Mucositis Management Program on Symptom Status of Children with Cancer Receiving Chemotherapy

Authors

  • Pacharaphorn Kwiensungnoen Instructor, Faculty of Nursing, Royal Thai Army Nursing College
  • Seepan Kantawang Assistant Professor, Faculty of Nursing, Chiang Mai University
  • Seemana Niyomka Assistant Professor, Faculty of Nursing, Chiang Mai University

Keywords:

Symptom Management, Oral Mucositis, Children with Cancer

Abstract

Oral mucositis is a common side effect among children with cancer receiving chemotherapy and can have a profound impact on the child physically and psychologically. Oral mucositis should be managed to reduce severity. Previous studies insufficiently reduced symptom severity. The purpose of this one group quasi-experimental study was to compare severity levels of oral mucositis before and after receiving an oral mucositis management program based on the symptom management model of Dodd and colleagues and related literature. The purposive sample included 14 children with cancer aged between 8-15 years admitted to two tertiary hospitals and 14 of their primary caregivers. Data were collected using the World Health Organization Mucositis Scale.       The Wilcoxon matched-pairs signed-rank test was used to analyze the data.

The findings revealed that the severity levels of oral mucositis after receiving the oral mucositis management program was significant lower than before receiving the program                    (z = -2.774, p < .01). The study provides information on strategies for collaborative oral mucositis management among nurses, primary caregivers and children.  The result of the study can be used to manage oral mucositis of children with cancer receiving chemotherapy.

References

Burns, N., & Grove, S. K. (2005). The practice of nursing research: Conduct, critique and utilization (5thed.). St. Louis, MO: Elsevier Saunders.

Cawley, M. M., & Benson, L. M. (2005). Current trends in managing oral mucositis. Clinical Journal of Oncology Nursing, 9 (5), 584-592.

Centers for Disease Control and Prevention. (2015a). United States Cancer Statistics: 1999–2012 Incidence and Mortality Web-based Report. Retrieved from https://nccd.cdc.gov/uscs/childhoodcancerdetailedbyICCC.aspx

Centers for Disease Control and Prevention. (2015b). United States Cancer Statistics: 1999–2012

Incidence and Mortality Web-based Report. Retrieved fromhttp://www.cdc.gov/injury/wisqars/pdf/leading_causes_of_death_by_age_group_2012-a.pdf

Chen, C., Wang, R., Cheng, S., & Chang, Y. (2004). Assessment of Chemotherapy-Induced Oral Complications in Children With Cancer. Journal of Pediatric Oncology Nursing, 21, 33-39. doi:10.1177/1043454203259947

Cheng, K. K. F., Goggins, W. B., Lee, V. W. S., & Thompson, D. R. (2008). Risk factors for oral mucositis in children undergoing chemotherapy: A matched case- control study. Oral Oncology, 44 (11), 1019-1025. doi:10.1016/j.oraloncology.2008.01.003

Cheng, K. K. F., Lee, V., Li, C. H., Goggins, W., Thompson, D. R., Yuen, H. L., & Epstein, J.B. (2011).Incidence and risk factors of oral mucositis in paediatric and adolescent patients undergoing chemotherapy. Oral Oncology, 47(3), 153-162. doi:10.1016/j.oraloncology.2010.11.019

Cheng, K. K. F., Lee, V., Li, C. H., Yuen, H. L., & Epstein, J. B. (2012). Oral mucositis in pediatric and adolescent patients undergoing chemotherapy: the impact of symp toms on quality of life.Supportive Care in Cancer, 20(10), 2335-42. doi:10.1007/s00520-011-1343-1

Cheng, K. K. F., Molassiotis, A., Chang, A. M., Wai, W. C., & Cheung, S. S. (2001). Evaluation of an oral care protocol intervention in the prevention of chemotherapy-induced oral mucositis in pediatric cancer patients. European Journal of Cancer, 37 (16), 2056-2063.

Daeffler, R. (1981). Oral hygiene measures for patients with can cer. Cancer Nursing, 4(1), 29-35.doi:10.1097/00002820-198102000-00003

Dodd, M., Janson, S., Facione, N., Faucett, J., Froelicher, E. S., Humphreys, J., …Taylor D. (2001). Advancing the science of symptom management. Journal of Advanced Nursing, 33 (5), 668-676.

Eilers, J., & Million, R. (2011). Clinical Update: Prevention and Management of Oral Mucositis in Patients with Cancer. Paper presented at the Seminars in oncology nursing.

English, M. W. (2010). Principles of chemotherapy. Paediatrics and Child Health, 20 (3), 123-128.

Epstein, J. B., & Schubert, M. M. (2003). Oropharyngeal mucositis in cancer therapy. Review of pathogenesis, diagnosis, and management. Oncology, 17 (12), 1767-1779.

Glenny, A. M., Gibson, F., Auld, E., Coulson, S., Clarkson, J. E., Craig, J. V. (2010). The development of evidence-based guidelines on mouth care for children, teenag ers and young adults treated for cancer. European Journal of Cancer, 46 (8), 1399-1412. doi:10.1016/j.ejca.2010.01.023.

Green, R., Horn, H., & Erickson, J. M. (2010). Eating experiences of children and adolescents with chemotherapy-related nausea and mucositis. Journal of Pediatric Oncology Nursing, 27 (4), 209-216.

Harris, D. J., Eilers, J., Harriman, A., Cashavelly, B. J., & Maxwell, C. (2008). Putting Evidence Into Practice: Evidence-based interventions for the management of or al mucositis. Clinical journal of oncology nursing, 12 (1), 141-152.

Harris, D. J., & Knobf, M. T. (2004). Assessing and Managing Chemotherapy-Induced Mucositis Pain. Clinical Journal of Oncology Nursing, 8 (6), 622-628. doi:10.1188/04.cjon.622-628

Harrow, A. (1972). A taxonomy of the psychomotor domain: a guide for developing behavioral objectives. New York: McKay.

Jiamjiraporn, A. (2009). Effects of an Oral Self Care Programme on Oral Mucositis in Cancer School Age Children Being Treated with Chemotherapy (Master’s thesis, Mahidol University).(In Thai).

Kaewkarn, S. (2001). The effect of a special oral care program on father’s abilities. Mothers and oral conditions Pain and food intake in children with cancer receiving chemotherapy(Master’s thesis, Khon Kaen University). (In Thai)

Knowles, M. S. (1980) The Modern Practice of Adult Education: From Pedagogy to Andragogy.New York: Cambridge.

Kunthana, K. (2015). Unpleasant symptoms and symptom management of childhood acutelymphoblastic Leukemic patients during treatment with chemotherapy (Master’s thesis, Khon Kaen University). (In Thai)

Lamchang, S., & Niyonkra, S. (2003). Perception of illness in school-age hospitalized children. Chiang mai: Faculty of Nursing, Chiang Mai University. (In Thai)

Pizzo, P. A., & Poplack, D. G. (2002). Principles and practice of pediatric oncology. Philadelphia: Lippincott Williams & Wilkins.

Pothamuang, W. (2006). Management of Oral Mucositis Induced by Chemotherapy in Children with Cancer (Master’s thesis, Chiang Mai University). (In Thai).

Potts, N. L., & Mandleco, B. L. (2012). Pediatric nursing: Caring for children and their families (3 rd ed.). New York: Delmar, Cengage Leaning.

Sonis, S. T. (2004). The pathobiology of mucositis. Nature Reviews Cancer, 4 (4), 277-284.

Sonis, S. T., Oster, G., Fuchs, H., Bellm, L., Bradford, W. Z., Edelsberg, J., … Horowitz, M. (2001). Oral mucositis and the clinical and economic outcomes of hematopoietic stem-cell transplantation. Journal of Clinical Oncology, 19 (8), 2201-2205.

Stone, R., Potting, C. M., Clare, S., Uhlenhopp, M., Davies, M., & Mank, A. (2007). Management of oral mucositis at European transplantation centres. European Journal of Oncology Nursing, 11, S3-S9.

Strategy and Planing Division (2016). Health statistics. Retrieved from http://bps2.moph.go.th/sites/default/ files/health_statistics 2557.pdf (In Thai)

Wiangnon, S., Veerakul, G., Nuchprayoon, I., Seksarn, P., Hongeng, S., Krutvecho, T., & Sripaiboonkij, N. (2011). Childhood Cancer Incidence and Survival 2003-2005, Thailand: Study from the Thai Pediatric Oncology Group. Asian Pacific Journal of Cancer Prevention, 12, 2215-2220.

World Health Organization. (1979). Handbook for reporting results of cancer treatment. Geneva:World Health Organization.

Zahn, K. L., Wong, G., Bedrick, E. J., Poston, D. G., Schroeder, T. M., & Bauman, J. E. (2011). Relationship of protein and calorie intake to the severity of o ral mucositis in patients with head and neck cancer receiving radiation therapy. Head Neck Head & Neck, 34 (5), 655-662. doi:10.1002/hed.21795

Downloads

Published

2020-03-25

How to Cite

Kwiensungnoen , P., Kantawang , S., & Niyomka , S. (2020). Effect of Oral Mucositis Management Program on Symptom Status of Children with Cancer Receiving Chemotherapy. Nursing Journal CMU, 47(1), 101–112. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/240730

Issue

Section

Research Article