The Development of a Self-Care Competency Promotion Program for the Prevention and Management of Mucositis in Cancer Patients Receiving Chemotherapy at the Chemotherapy Unit of Hua Hin Hospital, Prachuap Khiri Khan Province
Keywords:
Self-care, Patients with hypertension, Breast Cancer Patients, ChemotherapyAbstract
The purposes of this research and development were to 1) develop a self-care competency promoting program for the prevention and management of oral mucositis in cancer patients receiving chemotherapy, and 2) study the effectiveness of self-care competency promoting program. The sample consisted of 60 cancer patients receiving chemotherapy was divided into 2 groups, including 30 people per group. The research instruments were self-care competency promoting programs and oral care behavior questionnaire. The data were analyzed using descriptive statistics and t-tests. The results revealed as follows:
1. The situation analysis found that cancer patients who receiving chemotherapy had the different ways to manage oral mucositis. It should be managed jointly between the nurse, primary caregiver and patients by assessing symptoms of oral mucositis including; mouth care, reducing ulcer pain, and eating and drinking water which can reduce the severity of oral mucositis
2. The results of program found that: 1) the cancer patients in the experimental group after receiving the program with virgin coconut oil mouth wash. There was decrease in oral mucositis and, 2) the mucositis in cancer patients experimental group after receiving the improved program were less than before the improved program and less than the control group.
Therefore, caring for cancer patients who were receiving chemotherapy should promote their ability to self-care for reducing oral mucositis Including allowing caregivers to participate in health care to reinforce the patient's treatment.
References
Ana, G. S., Normando, A. G. C., de Toledo, I. P., Dos Reis, P. E. D., & Guerra, E. N. S. (2020). Topical treatment of oral mucositis in cancer patients: A systematic review of randomized clinical trials. Asian Pacific Journal of Cancer Prevention: APJCP, 21(7), 1851 – 1866.
Chaitanya, C. R. A., Kaplanyan, A. S., Schied, C., Salvi, M., Lefohn, A., Nowrouzezahrai, D., & Aila, T. (2017). Interactive reconstruction of Monte Carlo image sequences using a recurrent denoising autoencoder. ACM Transactions on Graphics (TOG), 36(4), 1-12.
Chan, C. W., Law, B. M., Wong, M. M., Chan, D. N., Ng, M. S., So, W. K., Wang, C. L., & Chow, K. M. (2021). Oral mucositis among Chinese cancer patients receiving chemotherapy: Effects and management strategies. Asia-Pacific Journal Of Clinical Oncology, 17(2), e10-e17.
Dans, M., Kutner, J. S., Agarwal, R., Baker, J. N., Bauman, J. R., Beck, A. C., Campbell, T. C., Carey, E. C., Case, A. A., Dalal, S., Doberman, D. J., Epstein, A. S., Fecher, L., Jones, J., Kapo, J., Lee, R. T., Loggers, E. T., McCammon, S. & Campbell, M. (2021). NCCN Guidelines® Insights: Palliative care, version 2.2021: Featured updates to the NCCN Guidelines. Journal of the National Comprehensive Cancer Network, 19(7), 780-788.
Famurewa, A. C., Folawiyo, A. M., Enohnyaket, E. B., Azubuike-Osu, S. O., Abi, I., Obaje, S. G., & Famurewa, O. A. (2018). Beneficial role of virgin coconut oil supplementation against acute methotrexate chemotherapy-induced oxidative toxicity and inflammation in rats. Integrative medicine research, 7(3), 257-263.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.
Kannan, N., Asokan, S., Gopal, K. R., Poddar, S., & Bhaumik, A. (2021). Randomized controlled trial for comparative assessment of effect of artificial saliva versus virgin coconut oil on salivary proteolytic activity & radiation mucositis in patients undergoing radiotherapy for head and neck cancers. Malaysian Journal of Medicine & Health Sciences, 17(SUPP4), 52-56.
Kapol, N., & Nootim, P. (2023). patients with cancer and use of Thai traditional herb. Ancient and Traditional Foods, Plants, Herbs and Spices used in Cancer, 19-34.
Kawashita, Y., Koyama, Y., Kurita, H., Otsuru, M., Ota, Y., Okura, M., Horie, A., Sekiya, H., & Umeda, M. (2019). Effectiveness of a comprehensive oral management protocol for the prevention of severe oral mucositis in patients receiving radiotherapy with or without chemotherapy for oral cancer: A multicentre, phase II, randomized controlled trial. International Journal of Oral and Maxillofacial Surgery, 48(7), 857-864.
Kunsara, P., Panwadee, P., & Junda, T. (2013). The effects of the oral self-care program on chemotherapy related oral mucositis in patients with cancer.Rama. Nurs J, 19(1), 73-86. (in Thai)
Larson, P. J., Miaskowski, C., MacPhail, L., Dodd, M. J., Greenspan, D., Dibble, S. L., Suzanne L., Paul, S. M., & Ignoffo, R. (1998). The PRO-SELF© Mouth Aware program: An effective approach for reducing chemotherapy-induced mucositis. Cancer Nursing, 21(4), 263-268.
Manjunathan, C., & Singh, V. (2022). An impact of coconut oil pulling on oral mucositis among malignancy patients. Journal of Natural Remedies, 43-50.
Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Polit, D. F. B & Beck, CT (2014). Essentials of nursing research: Appraising evidence for nursing practice. London, Lippincott.
Saito, H., Watanabe, Y., Sato, K., Ikawa, H., Yoshida, Y., Katakura, A., Takayama, S., & Sato, M. (2014). Effects of professional oral health care on reducing the risk of chemotherapy-induced oral mucositis. Supportive Care in Cancer, 22, 2935-2940.
World Health Organization. (1979). Handbook for reporting result of cancer treatment. Geneva: World Health Organization.
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