Date Approved


Graduate Degree Type


Degree Program

College of Nursing

First Advisor

Colleen A. Martin

Second Advisor

Johnine L. Callahan

Third Advisor

Phyllis E. Gendler


A Pretest-Posttest Control Group design was used to examine the effectiveness of a self-care management approach to reduce the severity of chemotoxic stomatitis. Orem's nursing model. Levin's self-care theory, and Magoon's constructivist research methodology were employed as the theoretical framework. Subjects, 24 short-stay or out-patient oncology clients, were all beginning treatment with known stomatotoxic agents. Buccal cultures were taken to determine changes in normal oral flora during stomatitis.

The experimental group received information and direction for a systematic oral hygiene protocol. Post-chemotherapy oral assessment score means of the experimental group were significantly better (p


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