Eating Experiences of Children and Adolescents With Chemotherapy-Related Nausea and Mucositis
Eating Experiences of Children and Adolescents With Chemotherapy-Related Nausea and Mucositis
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DOI：
10.1177/1043454209360779
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发表时间：
2010-07-01
影响因子：
1.7
通讯作者：
Erickson, Jeanne M.
中科院分区：
文献类型：
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作者：
Green, Rebecca;Horn, Heather;Erickson, Jeanne M.
尽管在症状管理方面取得了许多进展，但患有癌症的儿童和青少年在常规化疗治疗期间仍然难以保持足够的口服摄入量。本质性研究的目的是探讨儿童和青少年接受化疗时，他们有恶心和粘膜炎的问题时，饮食的经验。八名儿童和青少年及其照顾者进行了采访，以描述如何和什么的儿童和青少年吃时，他们被殴打和/或有口腔疼痛。研究结果显示，这些儿童和青少年都经历了恶心，并经常不喜欢在这些时期吃东西。与粘膜炎相关的进食问题也限制了该样本的口服摄入量。这些儿童和青少年及其照顾者尝试了各种食物和策略来维持摄入量，包括卫生保健提供者推荐的食物。预防和管理恶心仍然是接受化疗的儿童和青少年面临的挑战。医疗保健提供者需要在整个治疗过程中提供详细的饮食建议，以便这些患者能够保持足够的营养和体重，以实现最佳的治疗耐受性以及正常的生长和发育。需要继续进行研究，以测试在癌症治疗期间维持口服摄入的干预措施的有效性。
Despite many advances in symptom management, children and adolescents with cancer still have trouble maintaining adequate oral intake during routine chemotherapy treatment. The purpose of this qualitative study was to explore the eating experiences of children and adolescents receiving chemotherapy when they had problems with nausea and mucositis. Eight children and adolescents and their caregivers were interviewed to describe how and what the children and adolescents ate when they were nauseated and/or had a sore mouth. Findings reveal that these children and adolescents all experienced nausea and frequently preferred not to eat during these periods. Eating problems related to mucositis also limited oral intake in this sample. These children and adolescents and their caregivers tried a variety of foods and strategies to maintain intake, including those recommended by health care providers. Prevention and management of nausea remains a challenge for children and adolescents receiving chemotherapy. Health care providers need to offer detailed eating suggestions throughout therapy so that these patients can maintain adequate nutrition and weight for optimal treatment tolerance as well as normal growth and development. Continued research is needed to test the effectiveness of interventions focused on maintaining oral intake during cancer treatment.