Evidence-based nursing strategies for the prevention and management of oral mucositis in hematopoietic stem cell transplantation patients

Hematopoietic stem cell transplantation (HSCT) is a cornerstone therapy for hematological malignancies, frequently complicated by treatment-related oral mucositis (OM). This complication leads to severe pain, nutritional compromise, heightened infection risk, and may result in treatment delays, prolonged hospitalization, and diminished long-term health-related quality of life. While clinical guidelines exist, a significant gap persists between evidence and practice, especially in the systematic and individualized application of preventive strategies. From an evidence-based nursing perspective, this perspective article proposes a comprehensive management framework. This framework integrates evidence synthesis, patient-specific risk assessment, dynamic monitoring, and multidisciplinary collaboration to align standardized interventions with personalized patient needs across all phases of HSCT. By synthesizing current evidence, analyzing practical challenges, and proposing a structured management pathway, this perspective article aims to guide clinical practice, inform future research, and ultimately improve care standards for OM in HSCT patients.

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Journal
Frontiers in Medicine
Published
2026-01-26
DOI
https://doi.org/10.3389/fmed.2026.1737301
Primary Topic
Oral health in cancer treatment
Type
article
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article

Evidence-based nursing strategies for the prevention and management of oral mucositis in hematopoietic stem cell transplantation patients

Min Cui
Frontiers in Medicine
Oral health in cancer treatment
article

Evidence-based nursing strategies for the prevention and management of oral mucositis in hematopoietic stem cell transplantation patients

Min Cui
article en

Abstract

Hematopoietic stem cell transplantation (HSCT) is a cornerstone therapy for hematological malignancies, frequently complicated by treatment-related oral mucositis (OM). This complication leads to severe pain, nutritional compromise, heightened infection risk, and may result in treatment delays, prolonged hospitalization, and diminished long-term health-related quality of life. While clinical guidelines exist, a significant gap persists between evidence and practice, especially in the systematic and individualized application of preventive strategies. From an evidence-based nursing perspective, this perspective article proposes a comprehensive management framework. This framework integrates evidence synthesis, patient-specific risk assessment, dynamic monitoring, and multidisciplinary collaboration to align standardized interventions with personalized patient needs across all phases of HSCT. By synthesizing current evidence, analyzing practical challenges, and proposing a structured management pathway, this perspective article aims to guide clinical practice, inform future research, and ultimately improve care standards for OM in HSCT patients.

Frontiers in MedicineVol. 13
Harbin Medical University (CN), First Affiliated Hospital of Harbin Medical University (CN)
Zero hunger
Openalex Percentile: Top 79%
Oral health in cancer treatment
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Evidence-based nursing strategies for the prevention and management of oral mucositis in hematopoietic stem cell transplantation patients — Min Cui · Frontiers in Medicine (2026) | TGRS Research Map | TGRS