Effects of oral care program on oral health, oral self-care agency, and surgical site infection among oral cancer patients undergoing oral surgery
Keywords:
surgical site infection, self-care agency, oral care program, patients with oral cancer, oral healthAbstract
This quasi-experimental research aimed to study the effects of the oral care program on oral health, oral self-care agency, and surgical site infections among patients with oral cancer who underwent oral surgery at a cancer hospital in the Northeastern region between February – May 2023. Fifty participants were purposely selected into the study. They were divided into the control groups or the experimental group, 25 participants for each group. The research tools included 1) The tools for data collection were the oral health assessment form, oral care agency assessment form, and surgical site infection assessment form. Content validity test by five experts obtained content validity index (CVI) of 0.94, 1.00, and 1.00, respectively. The inter-rater reliability were 0.91, 0.94, and 0.97, respectively. 2) The tools for experiment was an oral self-care program, consisting of videos and pamphlets on oral hygiene self-care. The demographic characteristics were analyzed using descriptive statistics. The oral health scores and self-care agency scores, before and after the experiment, within the experimental and control groups were analyzed using the Wilcoxon matched pairs signed ranks test . Comparisons of oral health scores and oral self-care agency scores, before and after the experiment, between the experimental and the control group were analyzed using the Mann–Whitney U test. The postoperative surgical site infections in the oral cavity between the experimental and the control group were analyzed using the fisher's exact test.
The results of the study found that: 1) After the experiment, the experimental group had lower oral health problems than the control group with a statistical significance (p<0.001). 2) After receiving the program, the experimental group had lower oral health problems than before receiving the program with a statistical significance (p<0.001). 3) After the experiment, the experimental group had higher oral self-care agency than the control group with a statistical significance (p <0.001). 4) After receiving the program, the experimental group had higher oral self-care agency than before receiving the program with a statistical significance (p<0.001). 5) After the experiment, the experimental group who received the program had lower surgical site infections than the control group with a statistical significance (p<0.05).
References
Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, et al. Global cancer observatory: cancer today. Lyon France: International Agency for Research on Cancer [Internet]. 2024 [cite 2024 Jan 30]; Available from: https://gco.iarc.who.int/today
World Health Organization. The glolbocan [Internet]. 2024 [cite 2024 Jan 15]. Available from: https://gco.iarc.who.int/today
Montero PH, Patel SG. Cancer of the oral cavity. Surg Oncol Clin N Am 2015;24(3):491–508.
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.
Sudchai S. Feasibility of post-operative recovery program in patients with mouth and oral cavity cancer. TJNMP 2019;6(2):31-47. (in Thai)
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. Chi Otolaryngol 2016;41(2):118-26.
Ellis MA, Graboyes EM, Wahlquist AE, Neskey DM, Kaczmar JM, Schopper HK, et al. Primary surgery vs radiotherapy for early-stage oral cavity cancer. Otolaryngol Head Neck Surg 2018;158(4):649–59.
Vatanasapt P. Oral Cancer Khon Kaen University. Khon Kaen: Khon Kaen University; 2021. (in Thai)
Nair D, Singhvi H, Mair M, Qayyumi B, Deshmukh A, Pantvaidya G, et al. Outcomes of surgically treated oral cancer patients at a tertiary cancer center in India. Indian Journal of Cancer 2017;54(4):616–20.
Thanamornphong C, Kimpee S, Chaiphutta P, Wongkongkham K, Kasetkul P. Correlation between cancer care needs, tongue condition, comorbidity and oral functional status in post-operative tongue cancer and mouth-floor cancer patients. JTNMC 2014;29(1):67-80. (in Thai)
Orem DE. Nursing: concepts of practice. 6th ed. St. Louis: Mosby; 2001.
Mizuno H, Mizutani S, Ekuni D, Tabata-Taniguchi A, Maruyama T, Yokoi A, et al. New oral hygiene care regimen reduces postoperative oral bacteria count and number of days with elevated fever in ICU patients with esophageal cancer. J Oral Sci 2018;60(4):536–43.
Huang BS, Wu SC, Lin CY, Fan KH, Chang JTC, Chen SC. The effectiveness of a saline mouth rinse regimen and education programme on radiation-induced oral mucositis and quality of life in oral cavity cancer patients: a randomised controlled trial. Eur J Cancer Care 2018;27(2):e12819.
Ngammuk K, Na Ayutthaya S, Phinyopasakul W. Oral care practice guideline in critical ill patients to prevent ventilator-associated pneumonia. VNJ 2016;18(2):1-11. (in Thai)
Patient register Udon Thani Cancer Hospital. Report statistics [Internet]. 2024 [cite 2020 Oct 2]; Available from:http://www.udch.go.th/thai
Sajai K, Kitsripirarn S, Bannassaan B. The effects of a self-management promotion on the oral care behavior and oral mucositis of cancer patients receiving chemotherapy. SKHJ 2018;21(2):42-56. (in Thai)
Department of Health Ministry of Public Health. Recommended tooth brushing formula 2-2-2 [internet]. 2024 [cite 2020 Oct 10]. Available from: https://wongkarnpat.com/viewpat.php?id=962
Plaibun S, Kongsuwan W, Dumkleang J. The development of clinical nursing practice guidelines for oral health care in dependent patients. Songklanagarind J Nurs 2020;40(3):37-47. (in Thai)
World Health Organization. ICD-10: international statistical classification of diseases and related health problem: tenth revision. 2nd ed. Geneva: WHO; 2004.
Shi M, Han Z, Qin L, Su M, Liu Y, Li M, et al. Risk factors for surgical site infection after major oral oncological surgery: the experience of a tertiary referral hospital in China. J Int Med Res 2020;48(8):300060520944072.
Puangkamyad A, Namjuntra R, Binhosen V. Effects of an oral care program on oral care ability and oral mucositis among cancer patients receiving chemotherapy. TRC Nurs J 2012;10(2):57-73. (in Thai)
Deklee N, Jitpanya C. The Effect of oral self-care promoting program combined with virgin coconut oil pulling on oral mucositis in head and neck cancer patients receiving radiotherapy or concurrent chemo-radiotherapy. Academic Journal of MCU 2016;20(39):81-95. (in Thai)
Nakhonchai T, Methakanjanasa N. Effects of a self-management program on oral mucositis and nutrition status in patients with head and neck cancer receiving radiotherapy. Journal of Nursing Science and Health 2020;44(1):26-37. (in Thai)
Phueanphimai N. Oral care and mucositis after the supportive-educative nursing program in patients with head and neck cancer. APHEIT SOCIAL SCIENCE 2016;5(1):88-100. (in Thai)
Sannikorn P. Management of oral cavity cancer. Bangkok: Rajavithi Hospital, Rangsit University; 2019. (in Thai)
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