Department of Nursing, Faculty of Health Sciences, Karamanoglu Mehmetbey University, Karaman, Turkey.
Department of Child Health and Disease Nursing, School of Nursing, Koç University, Istanbul, Turkey.
Support Care Cancer. 2023 Sep 5;31(10):557. doi: 10.1007/s00520-023-08030-9.
It is important to determine the approaches for oral mucositis (OM) care in pediatric oncology clinics to reflect the profile of practices. The aim of this study was to report on current nursing care approaches for OM in Türkiye.
The descriptive, cross-sectional study was conducted with nurse managers in pediatric oncology centers in Türkiye between April and December 2022. The data were obtained online by reaching pediatric oncology nurse managers. The data was collected with the "Oral Mucositis Care Application Form" developed by the researchers based on current literature.
The study reached approximately 60% (n = 41) of pediatric oncology clinics across Türkiye. Oral assessment of children was mainly conducted by nurses (95.1%), and 53.7% of clinics used the WHO Oral Mucositis Assessment Scale. To prevent OM, oral care routines were performed twice a day (36.6%) using sodium bicarbonate (61%) and 0.9% sodium chloride (26.8%) agents. For oral mucositis management, pharmacological agents included glutamine (oral) (51.2%), chlorhexidine (43.9%), and benzydamine hydrochloride (36.6%), while non-pharmacological agents included black mulberry syrup (41.5%), honey (19.8%), and chewing gum (9.8%). Chlorhexidine and benzydamine hydrochloride were used for all mucositis grades, while glutamine was frequently used for grades 2 and above.
The study revealed that the practices related to preventing and managing oral mucositis in pediatric oncology clinics in Türkiye are heterogeneous. These findings will contribute to the existing literature on the multidisciplinary, systematic, and evidence-based approaches used in oral mucositis care in Türkiye.
确定儿科肿瘤诊所口腔黏膜炎（OM）护理方法对于反映实践情况非常重要。本研究旨在报告土耳其儿科肿瘤学领域目前的 OM 护理方法。
本描述性、横断面研究于 2022 年 4 月至 12 月在土耳其儿科肿瘤中心的护士长中进行。通过联系儿科肿瘤学护士经理，在线获取数据。数据是通过研究人员根据现有文献制定的“口腔黏膜炎护理申请表”收集的。
该研究覆盖了土耳其约 60%（n=41）的儿科肿瘤诊所。儿童口腔评估主要由护士进行（95.1%），53.7%的诊所使用世界卫生组织口腔黏膜炎评估量表。为了预防 OM，61%的诊所使用 0.9%氯化钠溶液，26.8%的诊所使用碳酸氢钠溶液，每天进行两次口腔护理常规操作。对于口腔黏膜炎的管理，使用的药物治疗包括谷氨酰胺（口服）（51.2%）、洗必泰（43.9%）和盐酸苯扎羟胺（36.6%），而非药物治疗包括黑桑椹糖浆（41.5%）、蜂蜜（19.8%）和口香糖（9.8%）。氯己定和盐酸苯扎羟胺用于所有黏膜炎等级，而谷氨酰胺常用于 2 级及以上等级。
本研究表明，土耳其儿科肿瘤诊所预防和管理口腔黏膜炎的实践存在异质性。这些发现将为土耳其口腔黏膜炎护理中使用的多学科、系统和循证方法的现有文献做出贡献。
