Experiences of xerostomia after radiotherapy in patients with head and neck cancer: A qualitative study
Experiences of xerostomia after radiotherapy in patients with head and neck cancer: A qualitative study
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DOI：
10.1111/jocn.13879
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发表时间：
2018-01-01
影响因子：
4.2
通讯作者：
Martensson, Jan
中科院分区：
文献类型：
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作者：
Jiang, Nan;Zhao, Yue;Martensson, Jan
目的和目的描述头颈部肿瘤患者放射性口干的经验。背景口干是放疗期间和之后最常见的并发症。它可以持续几个月或几年，可以有显着的影响，对患者的生活quality of life. Design这是一个定性的描述性study.MethodsSemi-structured访谈进行了一个样本的20名参与者。归纳内容分析被用来分析定性data.ResultsAnalysis的显式内容确定了五类：沟通问题，身体问题，心理问题，治疗问题和救济策略。潜在的内容被制定成一个主题：由于缺乏专业人士的信息，病人不得不找到自己的解决方案，为他们的problem.ConclusionsXerostomia不仅是一个生物物理症状，但也有深刻的影响，情感，智力和社会文化层面的生活。大多数患者继续遭受口干及其相关症状放疗后，部分原因是缺乏专业的支持，包括护士无法提供口腔healthcare.Relevance to clinical practiceNurses需要了解放疗对口腔粘膜的影响和适当的干预措施。医疗保健系统需要一个针对辐射引起的并发症的症状管理平台，以帮助患者、其家属和医疗保健专业人员获得有关自我护理、治疗和缓解策略的信息。
Aims and objectivesTo describe the experiences of radiation-induced xerostomia in patients with head and neck cancer.BackgroundXerostomia is the most commonly occurring complication during and following radiotherapy. It can persist for several months or years and can have a significant impact on patients' quality of life.DesignThis was a qualitative descriptive study.MethodsSemi-structured interviews were conducted with a sample of 20 participants. Inductive content analysis was used to analyse the qualitative data.ResultsAnalysis of the manifest content identified five categories: communication problems, physical problems, psychosocial problems, treatment problems and relief strategies. The latent content was formulated into a theme: due to lack of information from professionals, the patients had to find their own solutions for their problems.ConclusionsXerostomia is not only a biophysical symptom but also has a profound effect on the emotional, intellectual and sociocultural dimensions of life. The majority of patients continued to suffer from xerostomia and its associated symptoms after radiotherapy, in part, because of a lack of professional support, including the inability of nurses to provide oral health care.Relevance to clinical practiceNurses need to be knowledgeable about the effects of radiotherapy on oral mucosa and about appropriate interventions. The healthcare system requires a symptom management platform for radiation-induced complications, to help patients, their families and healthcare professionals obtain information about self-care, treatments and relief strategies.