护理干预对化疗儿童口腔黏膜炎的管理:系统综述

A. Heydari, Z. Manzari, Elahe Ghayebie
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引用次数: 1

摘要

背景:在40-80%接受化疗的儿童中,口腔黏膜炎是一种急性并发症,给患者带来了巨大的经济和身体负担。在本文中,系统回顾已发表的研究,探讨护理干预在减少口腔黏膜炎中的作用。材料和方法:本系统综述调查,批判性评价,并评价护理干预治疗化疗儿童口腔黏膜炎(OM)的证据。该审查是根据2018年系统审查和荟萃分析的首选报告项目(PRISMA)清单进行的。使用国际数据库(如PubMed、Scopus、Cochrane Database of Systematic Reviews和Web of Science)对文献进行检索。只考虑2007年1月至2019年12月发表的英语试验。有11项相关研究值得回顾。结果:电子检索共提取文献127篇。被排除的研究包括成人和儿童的综合研究、描述性研究、观察性研究、关于成人化疗耐受性的研究、其他癌症治疗引起的粘膜炎的研究和队列研究。最后,11项研究被认为符合纳入本综述的条件。在此基础上,蜂蜜、橄榄油、冰片和口香糖被用来预防、减少和治疗化疗引起的粘膜炎。结论:本综述对现有的护理治疗方案进行了全面的检查。护士可以根据孩子的情况使用其中一种治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing Intervention to Manage Oral Mucositis in Children Chemotherapy: A Systematic Review
Background: In 40-80% of children undergoing chemotherapy, oral mucositis is an acute complication which imposes significant financial and physical burdens on patients. In this article, a systematic review of published studies is conducted to investigate the role of nursing intervention in reducing oral mucositis. Materials and methods: This systematic review investigated, critically appraised, and rated the evidence on nursing intervention to manage oral mucositis (OM) in children undergoing chemotherapy. The review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist in 2018. A search was conducted through the literature using international databases (e.g., PubMed, Scopus, the Cochrane Database of Systematic Reviews and the Web of Science). Only English-language trials published from January 2007 to December 2019 were selected to consider. There were eleven studies relevant enough to review.  Results: A total of 127 articles were extracted in an electronic search. The excluded studies were combined research works on adults and children, descriptive studies, observational studies, and those about adults’ endurance of chemotherapy, mucositis produced by other cancer treatments, and cohorts. Finally, eleven studies were deemed eligible for inclusion in this review. Based on them, honey, olive oil, ice chips and chewing gum have been used to prevent, reduce and treat chemotherapy-induced mucositis. Conclusion: This review made a comprehensive examination of the available treatment options for nursing. Nurses can use one of the treatments depending on the child's conditions.
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