The effect of honey in oral care intervention against chemotherapy-induced mucositis in pediatric cancer patients: a pilot study

Abstract Objective Mucositis is one of the common side effects of chemotherapy. This study aimed to identify the effects of honey on oral care interventions to reduce mucositis scores among children undergoing chemotherapy. Methods This pilot study was quasi-experimental with pre-post intervention w...

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Main Authors: Ikeu Nurhidayah, Yeni Rustina, Sutanto Priyo Hastono, Henny Suzana Mediani
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Complementary Medicine and Therapies
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Online Access:https://doi.org/10.1186/s12906-024-04710-z
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author Ikeu Nurhidayah
Yeni Rustina
Sutanto Priyo Hastono
Henny Suzana Mediani
author_facet Ikeu Nurhidayah
Yeni Rustina
Sutanto Priyo Hastono
Henny Suzana Mediani
author_sort Ikeu Nurhidayah
collection DOAJ
description Abstract Objective Mucositis is one of the common side effects of chemotherapy. This study aimed to identify the effects of honey on oral care interventions to reduce mucositis scores among children undergoing chemotherapy. Methods This pilot study was quasi-experimental with pre-post intervention with the control group. The study employed consecutive sampling, with 24 patients in the control and 24 in the intervention group. The intervention group received an oral care protocol using honey, whereas the control group received regular oral care. The data were collected using demographic information form and the Oral Assessment Guide (OAG) to assess mucositis. The intervention group received oral care intervention using honey (35 ml of honey applied topically in the oral cavity and 15 ml of honey used as a mouthwash and for lip care), which was given thrice daily for five days. The data were analyzed using percentage distributions, means, chi-square tests, dependent and independent t-tests, and multivariate analysis using analysis of covariance (ANCOVA). Results The findings of this study showed that the intervention group experienced a significant reduction (-0.51 ± 0.66) in the average mucositis score after the intervention, whereas the control group experienced an increase in the mucositis score (3.84 ± 1.28) after controlling for confounding variables (p = 0.000). Conclusion This study revealed that oral care with honey effectively reduced chemotherapy-induced mucositis in children with cancer. These findings suggest that oral care with honey should be used as a nursing intervention for chemotherapy patients. Trial registration This clinical trial was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) with registration number ACTRN12624001313527 (29/10/2024).
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spelling doaj-art-ff7122a34b7e42b89cb6e442e148f8362025-08-20T01:59:40ZengBMCBMC Complementary Medicine and Therapies2662-76712024-12-0124111310.1186/s12906-024-04710-zThe effect of honey in oral care intervention against chemotherapy-induced mucositis in pediatric cancer patients: a pilot studyIkeu Nurhidayah0Yeni Rustina1Sutanto Priyo Hastono2Henny Suzana Mediani3Department of Pediatric Nursing, Faculty of Nursing, Universitas PadjadjaranDepartment of Pediatric Nursing, Faculty of Nursing, Universitas IndonesiaDepartment of Biostatistics and Population Studies, Faculty of Public Health, Universitas IndonesiaDepartment of Pediatric Nursing, Faculty of Nursing, Universitas PadjadjaranAbstract Objective Mucositis is one of the common side effects of chemotherapy. This study aimed to identify the effects of honey on oral care interventions to reduce mucositis scores among children undergoing chemotherapy. Methods This pilot study was quasi-experimental with pre-post intervention with the control group. The study employed consecutive sampling, with 24 patients in the control and 24 in the intervention group. The intervention group received an oral care protocol using honey, whereas the control group received regular oral care. The data were collected using demographic information form and the Oral Assessment Guide (OAG) to assess mucositis. The intervention group received oral care intervention using honey (35 ml of honey applied topically in the oral cavity and 15 ml of honey used as a mouthwash and for lip care), which was given thrice daily for five days. The data were analyzed using percentage distributions, means, chi-square tests, dependent and independent t-tests, and multivariate analysis using analysis of covariance (ANCOVA). Results The findings of this study showed that the intervention group experienced a significant reduction (-0.51 ± 0.66) in the average mucositis score after the intervention, whereas the control group experienced an increase in the mucositis score (3.84 ± 1.28) after controlling for confounding variables (p = 0.000). Conclusion This study revealed that oral care with honey effectively reduced chemotherapy-induced mucositis in children with cancer. These findings suggest that oral care with honey should be used as a nursing intervention for chemotherapy patients. Trial registration This clinical trial was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) with registration number ACTRN12624001313527 (29/10/2024).https://doi.org/10.1186/s12906-024-04710-zChemotherapy-induced mucositisChildrenHoneyOral care
spellingShingle Ikeu Nurhidayah
Yeni Rustina
Sutanto Priyo Hastono
Henny Suzana Mediani
The effect of honey in oral care intervention against chemotherapy-induced mucositis in pediatric cancer patients: a pilot study
BMC Complementary Medicine and Therapies
Chemotherapy-induced mucositis
Children
Honey
Oral care
title The effect of honey in oral care intervention against chemotherapy-induced mucositis in pediatric cancer patients: a pilot study
title_full The effect of honey in oral care intervention against chemotherapy-induced mucositis in pediatric cancer patients: a pilot study
title_fullStr The effect of honey in oral care intervention against chemotherapy-induced mucositis in pediatric cancer patients: a pilot study
title_full_unstemmed The effect of honey in oral care intervention against chemotherapy-induced mucositis in pediatric cancer patients: a pilot study
title_short The effect of honey in oral care intervention against chemotherapy-induced mucositis in pediatric cancer patients: a pilot study
title_sort effect of honey in oral care intervention against chemotherapy induced mucositis in pediatric cancer patients a pilot study
topic Chemotherapy-induced mucositis
Children
Honey
Oral care
url https://doi.org/10.1186/s12906-024-04710-z
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