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Evid Based Nurs 6:62 doi:10.1136/ebn.6.2.62
  • Qualitative

5 themes described the experiences of patients with chemotherapy induced oral mucositis


 
 QUESTION: In patients who are receiving intensive cytotoxic treatment associated with autologous haematopoietic stem cell transplantation, what are their experiences with mucositis?

Design

Interpretive descriptive, phenomenological study.

Setting

A metropolitan teaching hospital in South Australia.

Patients

6 patients (4 women and 2 men, age range 38–63 y) who were receiving autologous stem cell transplantation for treatment of various haematological disorders. Exclusion criteria included inability to speak or read English and expected survival of <3 months.

Methods

Patients participated in weekly indepth interviews of approximately 45 minutes to 1 hour for 4 weeks and thereafter at week 8 and week 12 or until their symptoms of oral mucositis had resolved. 19 interviews were done, audiotaped, and transcribed verbatim. The research team identified and discussed themes emerging from the data.

Main findings

Patients lived toward a future with uncertain horizons, and the passage of mucositis was marked along a linear time trajectory with 3 phases (preparatory, peak, and persisting). Patients placed themselves in relation to these phases and used them for orientation in relation to their …

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