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Experiences of xerostomia after radiotherapy in patients with head and neck cancer: A qualitative study
Jönköping University, School of Health and Welfare, HHJ. ADULT. School of Nursing, Tianjin Medical University, Tianjin, China.
School of Nursing, Tianjin Medical University, Tianjin, China.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Periodontology, Centre for Oral Health, Malmö University, Malmö, Sweden.ORCID iD: 0000-0001-5145-8220
Departments of Radiotherapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e100-e108Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 27, no 1-2, p. e100-e108
Keyword [en]
cancer, content analysis, oncology nursing, oral care, qualitative study
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-38615DOI: 10.1111/jocn.13879ISI: 000418871000019PubMedID: 28514511Scopus ID: 2-s2.0-85021822353Local ID: HHJADULTIS, HHJARNISOAI: oai:DiVA.org:hj-38615DiVA: diva2:1176043
Available from: 2018-01-19 Created: 2018-01-19 Last updated: 2018-01-23Bibliographically approved

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Jansson, HenrikMårtensson, Jan

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