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Taste changes experienced by patients receiving chemotherapy.

R S Wickham¹, M Rehwaldt, C Kefer

¹Rush College of Nursing in Chicago, IL, USA.

Oncology Nursing Forum

|May 25, 1999

Summary

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Chemotherapy frequently causes taste changes, impacting quality of life (QOL). Healthcare providers rarely discuss these taste alterations or offer self-management strategies to patients.

Area of Science:

Oncology
Patient-reported outcomes
Symptom management

Background:

Taste alterations are a common yet often overlooked side effect of chemotherapy.
Understanding the impact of taste changes on patients' quality of life (QOL) is crucial for comprehensive cancer care.

Purpose of the Study:

To investigate the nature, frequency, and QOL effects of taste changes experienced by patients undergoing chemotherapy.
To identify specific chemotherapy agents associated with severe taste alterations.

Main Methods:

A cross-sectional, descriptive study involving 284 adult cancer patients across 11 oncology centers.
Patients completed questionnaires on taste changes and QOL; demographic and clinical data were collected by nurses.
Statistical analyses included descriptive statistics, correlations, and various non-parametric tests.

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Main Results:

Taste changes were frequent and often severe, frequently accompanied by dry mouth, appetite loss, nausea, and vomiting.
Cisplatin and doxorubicin were linked to the most severe taste changes and distress, negatively affecting QOL.
Healthcare providers seldom discussed taste changes with patients, who resorted to altering food seasoning.

Conclusions:

Taste alterations are a significant and frequent chemotherapy side effect negatively impacting patient QOL.
There is a gap in clinical practice regarding patient education and self-management support for chemotherapy-induced taste changes.
Future research should explore longitudinal taste change patterns and effective self-care interventions, while nurses should proactively inform patients and provide management guidance.