Experiences of xerostomia after radiotherapy in patients with head and neck cancer : A qualitative study.

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Experiences of xerostomia after radiotherapy in patients with head and neck cancer : A qualitative study.

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Publication Article, peer reviewed scientific
Title Experiences of xerostomia after radiotherapy in patients with head and neck cancer : A qualitative study.
Author Jiang, Nan ; Zhao, Yue ; Jansson, Henrik ; Chen, Xiaocen ; Mårtensson, Jan
Date 2018
English abstract
AIMS AND OBJECTIVES: To describe the experiences of radiation-induced xerostomia in patients with head and neck cancer. BACKGROUND: Xerostomia 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. DESIGN: This was a qualitative descriptive study. METHODS: Semi-structured interviews were conducted with a sample of 20 participants. Inductive content analysis was used to analyse the qualitative data. RESULTS: Analysis 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. CONCLUSIONS: Xerostomia 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 PRACTICE: Nurses 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.
DOI https://doi.org/10.1111/jocn.13879 (link to publisher's fulltext.)
Publisher Wiley
Host/Issue Journal of Clinical Nursing;1-2
Volume 27
ISSN 0962-1067
Pages e100–e108
Language eng (iso)
Subject cancer
content analysis
oncology nursing
oral care
qualitative study
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/23374 Permalink to this page
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