Feasibility of Post-operative Recovery Program in Patients with Mouth and Oral Cavity Cancer
Article Sidebar
Main Article Content
Abstract
Patients with mouth and oral cavity cancer receiving surgery need both physical and psychological preparation from pre-operative to post-operative phases in order to get effective recovery. This one-group quasi-experimental with pretest-posttest design aimed to study the feasibility of post-operative recovery program in patients with mouth and oral cavity cancer. A sample of 12 patients with mouth and oral cavity cancer who had operation appointment was purposively recruited from Otolaryngology clinic at a super tertiary hospital. The program consisted of 4 phases: 1) pre-operative 2) post-operative 3) pre-discharge and 4) post discharge. Research instruments were the Post-operative Recovery Program for patients with mouth and oral cavity cancer. Research instruments included patient personal data record forms, program checklist and patient satisfaction questionnaires, and nurses’ compliance and satisfaction. Data was analyzed by descriptive statistics. Results revealed that the sample had the reduction of average length of hospital stay for 2 days. It was found that 91.67% of the patients had no post-operative complications. Most of them can follow the program’s activities (ranged from 16.66% to 100%). Most of all 34 registered nurses could follow the intervention program (88.23%). The program had feasibility to be used in promoting post-operative recovery in patients with mouth and oral cavity cancer. Research should be done to further study clinical outcomes of the program.
Article Details
References
Rashid A, Warnakulasuriya S. The use of light-based (optical) detection systems as adjuncts in the detection of oral cancer and oral potentially malignant disorders: a systematic review. J Oral Pathol Med. 2015;44(5):307-28.
Golusinski P, Pazdrowski J, Szewczyk M, Pienkowski P, Majchrzak E, Schneider A, et al. Multivariate analysis as an advantageous approach for prediction of the adverse outcome in head and neck microvascular reconstructive surgery. Am J Otolaryngol. 2017;38(2):148-52.
Sangrajrang S, Lowhutanon P, Sangaryavanit A, Petryet V. Hospital-Based Cancer Registry. Bangkok: Pornsup Printing; 2018. (In Thai)
Polesel J, Furlan C, Birri S, Giacomarra V, Vaccher E, Grando G, et al. The impact of time to treatment initiation on survival from head and neck cancer in north-eastern Italy. Oral Oncol. 2017;67:175-82.
Coyle MJ, Main B, Hughes C, Craven R, Alexander R, Porter G, et al. Enhanced recovery after surgery (ERAS) for head and neck oncology patients. Clin Otolaryngol. 2016;41(2):118-26.
Ramathibodi Hospital. Ramathibodi Medical Record; 2561. (In Thai)
Divya GM, Zinia N, Balagopal PG, Bipin VT, Elizabeth IM, Nebu GA, et al. Risk Factors for Post-operative complications in primary oral cancer surgery-a prospective study. Indian journal of surgical oncology. 2018;9(1):28-34.
Opaspasu A, Trisarawat P, Kongamnoiysak U, Buranapuntalug S. The immediate effects of costal breathing exercise with sustained maximal inspiration technique and flow incentive spirometer on chest expansion in sedentary young adults. Thammasat Medical Journal. 2016;16(2):220-9. (In Thai)
Tew GA, Ayyash R, Durrand J, Danjoux GR. Clinical guideline and recommendations on pre-operative exercise training in patients awaiting major non-cardiac surgery. Anaesthesia. 2018;73(6):750-68.
Kertbunsri S, Verungkabut T, Therawit P, Kutanon T. Principle and practical points in respiratory care. . Bankok: : Beyon Enterprice; 2558. (In Thai)
Chuenjit K, Ua-kit N. The Effect of Leg Exercise Combined with Reflexology on Femoral Venous Blood Flow Velocity in Post Abdominal Surgery Patients. Kuakarun Journal of Nursing 2017;24(1):163-77. (In Thai)
Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M, et al. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ (Clinical research ed). 2008;337:a1655.
Isaacs B, Kennie AT. The Set Test as an aid to the detection of dementia in old people. BritJPsychiat. 1973;123:467-70.
Komindrg S, Tangsermwong T, Janepanish P. Simplified malnutrition tool for Thai patients. Asia Pac J Clin Nutr. 2013;22(4):516-21.
Olszewski WL. Physiological Principles of Physiotherapy. In: Byung-Boong Lee, John Bergan, Stanley G. Rockson, editors. Lymphedema. NY: Springer; 2011. p. 221-7.
Benton K, Thomson I, Isenring E, Mark Smithers B, Agarwal E. An investigation into the nutritional status of patients receiving an Enhanced Recovery After Surgery (ERAS) protocol versus standard care following Oesophagectomy. Supportive Care in Cancer. 2018.
Gorenc M, Kozjek NR, Strojan P. Malnutrition and cachexia in patients with head and neck cancer treated with (chemo)radiotherapy. Rep Pract Oncol Radiother. 2015;20(4):249-58
Levett DZ, Grocott MP. Cardiopulmonary exercise testing, prehabilitation, and Enhanced Recovery After Surgery (ERAS). Can J Anesth. 2015;62(2):131-42.
Salander P, Isaksson J, Granstrom B, Laurell G. Motives that head and neck cancer patients have for contacting a specialist nurse - an empirical study. J Clin Nurs. 2016;25(21-22):3160-6.
Bianchini C, Malago M, Crema L, Aimoni C, Matarazzo T, Bortolazzi S, et al. Post-operative pain management in head and neck cancer patients: predictive factors and efficacy of therapy. Acta Otorhinolaryngol Ital. 2016;36(2):91-6.
Chiu C, Aleshi P, Esserman LJ, Inglis-Arkell C, Yap E, Whitlock EL, et al. Improved analgesia and reduced post-operative nausea and vomiting after implementation of an enhanced recovery after surgery (ERAS) pathway for total mastectomy. BMC Anesthesiol. 2018;18(1):41.