2.50
Hdl Handle:
http://hdl.handle.net/10755/165456
Category:
Abstract
Type:
Presentation
Title:
Oral Mucositis-Related Symptom Measurement: Analysis of Instruments
Author(s):
Fulton, J.
Author Details:
J. Fulton, Indiana University, School of Nursing, Indianapolis, Indiana, USA
Abstract:
Persons experiencing cancer frequently develop treatment-related oral mucositis. Oral mucositis is associated with multiple symptoms such as dry mouth, difficulty swallowing, taste alterations, and pain. Because measurement of intervention outcomes is critical, nurses need information about instruments that measure symptoms associated with oral mucositis. Purpose: Multiple instruments are available to measure oral mucositis however; instruments tend to measure the physical elements of mucositis with varying emphasis on associated symptoms. Purpose: This investigation explored the symptoms measured in oral mucositis instruments. Theoretical/Scientific Framework: The Theory of Unpleasant Symptoms (Lenz, Pugh, Milligan, Gift, Suppe, 1997) served as the conceptual framework for analysis of published instruments. Symptoms are subjective. Symptoms have characteristics (intensity, duration, distress, quality), influencing factors (physical, psychological, situational), and consequences (functional and cognitive). Methods: The literature review was guided by Cooper (1998) research synthesis guidelines. A comprehensive literature search identified published instruments for measuring oral mucositis. Decision rules were established consistent with the theoretical framework and data were abstracted to an investigator designed coding sheet. Instruments that included patient self-reports of symptoms were evaluated and the symptom(s) were coded according to dimensions of symptoms (intensity, timing, distress, and quality), influencing factors and functional consequences. Data Analysis: Data were synthesized to determine extent to which each instrument included the dimensions of patient reported symptoms. Findings and Implications: Fifteen published oral mucositis rating scales were reviewed. All scales included observable physical characteristics of mucositis, 11 (73%) scales included related symptoms. The most frequently measured symptom was pain (73%), and the most frequently measured characteristic of pain was intensity. The most frequently measured symptom consequences were swallowing (40%) and eating (40%). Nurses are responsible for interventions that relieve symptoms associated with oral mucositis. Existing instruments focus on measurement of physical characteristics of oral mucositis. Understanding the dimensions of the side effect oral mucositis being measured will inform the selection of instruments for research protocols and outcome evaluation of clinical interventions, and will identify opportunities for developing new instruments that fill gaps in measurement.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
29th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Anaheim, California, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleOral Mucositis-Related Symptom Measurement: Analysis of Instrumentsen_GB
dc.contributor.authorFulton, J.en_US
dc.author.detailsJ. Fulton, Indiana University, School of Nursing, Indianapolis, Indiana, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165456-
dc.description.abstractPersons experiencing cancer frequently develop treatment-related oral mucositis. Oral mucositis is associated with multiple symptoms such as dry mouth, difficulty swallowing, taste alterations, and pain. Because measurement of intervention outcomes is critical, nurses need information about instruments that measure symptoms associated with oral mucositis. Purpose: Multiple instruments are available to measure oral mucositis however; instruments tend to measure the physical elements of mucositis with varying emphasis on associated symptoms. Purpose: This investigation explored the symptoms measured in oral mucositis instruments. Theoretical/Scientific Framework: The Theory of Unpleasant Symptoms (Lenz, Pugh, Milligan, Gift, Suppe, 1997) served as the conceptual framework for analysis of published instruments. Symptoms are subjective. Symptoms have characteristics (intensity, duration, distress, quality), influencing factors (physical, psychological, situational), and consequences (functional and cognitive). Methods: The literature review was guided by Cooper (1998) research synthesis guidelines. A comprehensive literature search identified published instruments for measuring oral mucositis. Decision rules were established consistent with the theoretical framework and data were abstracted to an investigator designed coding sheet. Instruments that included patient self-reports of symptoms were evaluated and the symptom(s) were coded according to dimensions of symptoms (intensity, timing, distress, and quality), influencing factors and functional consequences. Data Analysis: Data were synthesized to determine extent to which each instrument included the dimensions of patient reported symptoms. Findings and Implications: Fifteen published oral mucositis rating scales were reviewed. All scales included observable physical characteristics of mucositis, 11 (73%) scales included related symptoms. The most frequently measured symptom was pain (73%), and the most frequently measured characteristic of pain was intensity. The most frequently measured symptom consequences were swallowing (40%) and eating (40%). Nurses are responsible for interventions that relieve symptoms associated with oral mucositis. Existing instruments focus on measurement of physical characteristics of oral mucositis. Understanding the dimensions of the side effect oral mucositis being measured will inform the selection of instruments for research protocols and outcome evaluation of clinical interventions, and will identify opportunities for developing new instruments that fill gaps in measurement.en_GB
dc.date.available2011-10-27T12:18:52Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:18:52Z-
dc.conference.date2004en_US
dc.conference.name29th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationAnaheim, California, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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