Actual Condition and Symptom Management of Oral Complications inPatients with Hematologic Malignancies Receiving Chemotherapy

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  • 薬物療法を受ける造血器腫瘍患者の口腔トラブルの実態とそのマネジメント

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Abstract

<p>Abstract</p><p>Actual condition and symptom management of oral complications in patients with hematologic malignancies receiving chemotherapy Purpose: The purpose of this study was to clarify the actual condition of oral complications in patients with hematologic malignancies receiving chemotherapy and how the patient manages the symptoms. Method: The subjects were patients recelivaiving chemotherapy for hematologic malignancies. Semi-structured interviews were conducted with a symptom management model as a conceptual framework, and data was collected on symptomatic experiences and the management of oral complications. We also evaluated oral health condition, quality of life, self-efficacy, and self-care ability. Changes from the 1st week to the 4th week of one course of chemotherapy were analyzed. Results: All 14 subjects experienced some oral complications, with 11 of them experiencing dry mouth and saliva reduction, while 5 had oral mucositis. Many subjects temporarily experienced worsening conditions of their oral cavity, and 2 out of 14 subjects experienced no improvement. Deterioration of OAG scores were observed in subjects with prolonged blood cell depletion, signs of deterioration of physical condition and low self-care ability, and with a high need for medical intervention by medical personnel. The subjectsʼ method of coping with oral complications was strongly influenced by strategies acquired from past experiences of oral problems and their oral care practices, and patients practiced appropriate measures in response to changes in blood cells and the body, such as increasing the amount of mouth rinse when they felt a sense of abnormality in the oral cavity. However, QOL was low overall, as some subjects showed a decline in self-efficacy, and it was found that patients did not feel successful in improving their condition of their oral cavity.</p>

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