NUR İZGÜ, Mukozit Yönetiminde Kanıt TEMELLİ

Kanser Tedavisine Bağlı Gelişen Oral Mukozit Yönetiminde Kanıt TemelliTamamlayıcı Tedaviler

Kanser tedavisine bağlı gelişen oral mukozit; ağrı, beslenmede yetersizlik, kilo kaybı ve tedavinin ertelenmesi gibi birçok soruna yol açan ve hastaların yaşam kalitesini olumsuz yönde etkileyen önemli bir sorundur. Mevcut ağız bakımı yaklaşımlarına rağmen bu sorun güncelliğini korumakta ve yeni yöntemlerin etkinliği araştırılmaktadır. Etkinliği araştırılan uygulamalar arasında tamamlayıcı tedaviler, sağlık profesyonellerinin oral mukozit yönetimine ilişkin kanıt oluşturmak amacıyla sıklıkla araştırma yaptığı alanlardan biri haline gelmiştir. Kriyoterapi, düşük yoğunluklu lazer tedavisi, bitkisel yaklaşımlar ve besin destekleri, apiterapi, esansiyel yağlar ve bilişsel davranışçı yaklaşımlar oral mukozit yönetiminde etkinliği araştırılan tamamlayıcı tedavi yaklaşımları arasında yer almaktadır. Bu derlemede kanser tedavisine bağlı gelişen oral mukozit yönetiminde etkinliği araştırılmış tamamlayıcı tedavi yaklaşımlarına ilişkin araştırma örnekleri sunulmuş ve bu yöntemlerle ilgili kanıta dayalı uygulama rehberlerinde yer alan önerilere yer verilmiştir.

Complementary Therapies in the Management of Induced Oral Mucositis during Cancer Treatment

Oral mucositis is an important problem that may cause pain, weight loss, and the delay of treatment, which can lead to a low quality of life in patients undergoing cancer treatment. Despite available mouth care approaches, the problem remains unsolved. The effects of new methods have been investigated and among these, complementary therapies have become one of the areas where health professionals conduct research to generate evidence for the management of oral mucositis. Cryotherapy, low level laser treatment, herbal methods and nutritional supplements, apitherapy, essential oils, and cognitive behavioral techniques are among these complementary therapies. This review presents examples of research studies investigating the effects of complementary therapies on oral mucositis management and includes recommendations with evidence-based practice guidelines for these methods.

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