Thesis Type: Postgraduate
Institution Of The Thesis: Bursa Uludağ University, Sağlık Bilimleri Fakültesi, Hemşirelik, Turkey
Approval Date: 2019
Thesis Language: Turkish
Student: ARİFE ALBAYRAK
Supervisor: Nurcan ÖzyazıcıoğluAbstract:
This study was conducted with the aim of determining the effect of black mulberry syrup and chewing gum on the prevention of oral mucositis in children undergoing chemotherapy. Data collection for this experimental study was performed by the researcher using a Patient Description Form, the WHO Oral Mucositis Assessment Scale, and the International Child Mucositis Evaluation Scale (ChIMES). In the analysis of the data, the Shapiro Wilks, Mann Whitney U, Wilcoxon, chi-square and Fisher-Freeman-Halton tests were used. The patients included in the study were divided into three groups by the random sampling method. Patients in Group 1 were given black mulberry syrup in addition to routine oral care, those in Group 2 were given chewing gum in addition to routine oral care, and those in Group 3 received only the routine oral care provided in the clinic. In all three groups in the study, the proportion of oral mucositis and the total scores on the Oral Mucositis Assessment Scale and the ChIMES showed an increase on day 14 compared to day 5. Comparing groups, it was found that the black mulberry syrup group had a lower median score value on the Oral Mucositis Assessment Scale and the ChIMES than the chewing gum and routine protocol groups (p<0.001). Also, in all other subgroups of ChIMES – swallowing, pain inside the mouth, eating, drinking, taking painkillers, the presence of ulcers – the black mulberry syrup group had lower grade values than the other two groups. In addition, when comparisons were made within the groups, no oral mucositis was observed in 33.3% of cases in the black mulberry syrup group on days 5 and 14. In conclusion, the use of black mulberry syrup is recommended to prevent, treat and shorten recovery time in oral mucositis in pediatric patients undergoing chemotherapy.