Evidence-Based Nursing Innovations to Support and Promote Self-Care Ability for Patients with Head and Neck Cancer Receiving Radiation
Abstract
Patients with head and neck cancer undertaken radiation therapy often encounter critical
complications including mucositis, xerostomia, chewing and swallowing difficulties, and skin changes,
resulting in uncomfortable and painful condition, anorexia, and easy infection. These negatively affect patients’ daily life and quality of life. Thus, these patients need well-established self-care ability to reduce or prevent potential complications. This article aimed to propose the development of evidence-based nursing innovations to support and promote self-care ability for patients with head and neck cancer receiving radiation. Nursing innovations were developed by applying Soukup’s evidence-based practice model, consisting of 1) Evidence triggered phase, 2) Evidence supported phase, 3 Evidence observed phase, and 4) Evidence-based phase. The developed nursing innovations included1) Radiation Patient Care Plan, 2) Self-Care Manual for Patients, 3 Self-Care Information File, 4) Skin Change Assessment Wheel, and 5) Line@ Application for Patient and Caregiver Education.
Keywords : Nursing innovation, Evidence-base practice, Radiation
References
Wang Y, Wu L. Prospective radiotherapy for patients with oropharyngeal carcinoma. The Lancet Oncology 2017;18(8): e425.
De Felice F, Polimeni A, Valentini V, Brugnoletti O, Cassoni A, Greco A, et al. Radiotherapy controversies and prospective in head and neck cancer: a literature-based critical review. Neoplasia 2018;20(3):227-32.
De Sanctis V, Bossi P, Sanguineti G, Trippa F, Ferrari D, Bacigalupo A, et al. Mucositis in head and neck cancer patients treated with radiotherapy and systemic therapies: literature review and consensus statements. Critical reviews in oncology/hematology 2016;100:147-66.
Ashraf M, Biswas J, Dam A, Bhowmick A, Jha JK, Sing V, Et al. Results of treatment of squamous cell carcinoma of maxillary sinus: a 26-year experience. World Journal of Oncology 2010;1(1):28-34.
Van der Molen L, Van Rossum MA, Burkhead LM, Smeele LE, Rasch CRN, Hilgers FJM. A randomized preventive rehabilitation trial in advanced head and neck cancer patients treated with chemoradiotherapy: feasibility, compliance, and short-term effects. Dysphagia 2011;26(2):155-70.
Srimahasarakham College of Nursing. Report of group discussion for developing evidence-based nursing innovations for supporting and promoting necessary self-care for radiation patientsnts. mahasarakham province; 2018. (in Thai)
Meejak A, Therawiwat M, Imamee N, Seeherunwong A. Relationship between perceived self-efficacy, social support, and self-care behavior of patients with the head and neck cancer receiving radiotherapy [dissertation]. Bangkok: Mahidol University; 2015. (in Thai)
Orem DE. Nursing: concepts of practice (6th ed.). St. Louis: Mosby; 2001.
Krirkgulthorn T, Ratchawat P, Naraphong W. Utilization of evidence-based pedagogy towards graduate identity at Boromarajonani College of Nursing Saraburi. EAU Heritage Journal 2013; 7(2): 108-19.
Taiwong A, Tilakarayasrup S, Srichanchai J, Jantasin B, Relachati C, Kakarndee A, et al. Innovative development for the assessment and management of pain using the evidence based practice. Mahasarakham Hospital Journal 2018;15(1):167-75. (in Thai)
Soukup M. The center of advanced nursing practice evidence-based practice model. Nursing Clinic of North Amesica 2000;35:301-09.
Duangkaew W, Petpichedchain W, Saesia W. Effects of supportive-educative nursing intervention on xerostomia and mucositis of patients with head and neck cancer receiving radiation. Princess of Naradhiwas University Journal 2011; 3(3):1-16. (in Thai)
Ratchawong W, Chayaput P, Kimpee S. Impact of a self-management oral care program on stomatitis in head and neck cancer patients treated with radiotherapy or radio-chemotherapy. Thai Journal of Nursing Council 2017;28(1):34-48. (in Thai)
Suwanpiwat A, Petpichetchian W, Maneewat K. The effect of the self-care program combining coconut oil pulling on oral mucositis in cancer patients receiving chemotherapy. Thai Journal of Nursing Council 2017;32(1):18-31. (in Thai)
Deklee N. Effect of oral self-care promoting program and virgin coconut oil pulling on oral mucositis in head and neck cancer patients receiving concurrent chemoradiotherapy [dissertation]. Bangkok: Chulalongkorn University;2015. (in Thai)
Lorna KM. Dental management of head and neck cancer patients treated with radiotherapy and chemotherapy. Dental Update 2012;39:135-40.
Cruz MC. Randomized controlled trial comparing virgin coconut oil and salt and soda mouthwash versus salt and soda mouthwash alone in preventing grade 2 and above radiation-induced mucositis in patients with nasopharyngeal neoplasm (VCO-PRIM STUDY). International Journal of Radiation Oncology Biology Physics 2014;90(1):179-80.
Deborah BM, Janet SF, Jumin P, Carlton GB, M. Elvira PC, June E, et al. Systematic review of basic oral care for the management of oral mucositis in cancer patients. Support Care Cancer 2013;21:3165-77.
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