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Nursing procedures for the prevention and treatment of mucositis induced by cancer therapies: Clinical practice guideline based on an interdisciplinary consensus process and a systematic literature search
- Source :
- Integrative Cancer Therapies, Vol 20 (2021), Integrative Cancer Therapies
- Publication Year :
- 2021
-
Abstract
- Background: Patients with cancer receiving tumor therapy often suffer from oral mucositis. Objectives: The aim of this project was to summarize experiences with nursing procedures by experts in integrative oncology and to establish recommendations for nursing interventions that can prevent or cure mucositis. Methods: The study design was an interdisciplinary consensus process based on a systematic literature search. Results: The panel discussed and agreed on 19 nursing procedures, which included mouthwashes, such as teas, supplements, oil applications, and different kinds of ice cubes to suck, as well as flaxseed solution, propolis, and mare milk. Twelve interventions were classified as effective, with effectiveness for OraLife, propolis, sea buckthorn pulp oil, marshmallow root tea also for xerostomia, Helago chamomile oil, mare milk, and Saliva Natura rated as highly effective in clinical experience. In the systematic literature search, a total of 12 out of 329 randomized controlled trials and meta-analyses on chamomile (n = 3), Calendula (n = 1) and sage (n = 1), propolis (n = 2), and sucking ice cubes (cryotherapy; n = 5) met all inclusion criteria. Trial evidence for effectiveness in oral mucositis was revealed for propolis and cryotherapy. Conclusions: The current evidence supports the use of some nursing procedures (f.e. propolis for 2 and 3 grade mucositis) for improving oral mucositis during cancer therapies. There is still a need to define general clinical practice guidelines for the supportive treatment of mucositis, as well as for more interdisciplinary research in this area.
- Subjects :
- integrative medicine
medicine.medical_specialty
Consensus
medicine.medical_treatment
Medizin
610 Medicine & health
Nursing Procedures
chemotherapy
lcsh:RC254-282
03 medical and health sciences
0302 clinical medicine
Neoplasms
complementary
medicine
Mucositis
Humans
030212 general & internal medicine
naturopathic
Intensive care medicine
radiotherapy
business.industry
2707 Complementary and Alternative Medicine
Cancer
Guideline
medicine.disease
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
stomatitis
Clinical Practice
Radiation therapy
10034 Institute of Complementary Medicine
side effects
mucositis
Complementary and alternative medicine
Oncology
030220 oncology & carcinogenesis
2730 Oncology
Integrative medicine
business
Systematic search
Research Article
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Integrative Cancer Therapies, Vol 20 (2021), Integrative Cancer Therapies
- Accession number :
- edsair.doi.dedup.....3eef6d4d5f1df7f3594ad6479fad4d79