title: [Mouthrinse in oral mucositis in the context of allogeneic stem cell transplantation: a qualitative study].
abstract: BACKGROUND
  Oral mucositis is a common side effect of allogeneic stem cell transplantation and can lead to increased morbidity, mortality and higher costs. It also has an impact on the quality of patients' lives. In the stem cell transplantation ward of a Swiss university hospital, patients are instructed according to current guidelines for mouthwash and their mouth status is evaluated daily.
  
  
  OBJECTIVE
  How do patients experience oral mucositis and what factors influence their behaviour to perform the mouth rinsing regularly?
  
  
  METHODS
  In this qualitative part of a concurrent nested mixed methods research, 14 patients were interviewed using an interview guide. Data was analysed using content analysis methods.
  
  
  RESULTS
  The results showed that, oral mucositis cannot be viewed separately from illness, isolation and care. The mucositis was only a heavy burden for patients with a severe occurrence. For patients with lower grade occurrences, other symptoms were more important. The research identified motivating and debilitating factors for a regular mouth rinsing, which is one of the most important preventive procedures.
  
  
  CONCLUSIONS
  This study highlights how important it is to view oral mucositis in the context of the transplantation and that knowledge about motivating and hindering factors can support the nurses in caring for the patients. Improvement of patient self-management is a key aspect.
authors: 1 UniversitätsSpital Zürich.|3 Department für Pflegewissenschaft, Universität Witten/Herdecke.
authors: Anja
authors: A
authors: Kröner
authors: 1 UniversitätsSpital Zürich.
authors: Erik
authors: E
authors: Aerts
authors: 1 UniversitätsSpital Zürich.
authors: Urs
authors: U
authors: Schanz
authors: 1 UniversitätsSpital Zürich.|2 Institut für Pflegewissenschaft, Medizinische Fakultät, Universität Basel.|3 Department für Pflegewissenschaft, Universität Witten/Herdecke.
authors: Rebecca
authors: R
authors: Spirig
mesh_terms: D000328:Adult; D000368:Aged; D002130:Calcium Phosphates; D015400:Clinical Nursing Research; D005260:Female; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects* / Q000451:nursing*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009067:Mouthwashes; D009910:Oral Hygiene / Q000451:nursing*; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D036301:Qualitative Research; D012464:Saliva, Artificial; D012648:Self Care; D013280:Stomatitis / Q000451:nursing*; D013557:Switzerland
chemical_list: D002130:Calcium Phosphates; D009067:Mouthwashes; D012464:Saliva, Artificial; C020243:calcium phosphate
keywords: Selbstmanagement; allogene Stammzell-Transplantation; allogeneic stem cell transplantation; oral mucositis; orale Mukositis; qualitative Forschung; qualitative research; self-management