Effects of a mobile oral care app on oral mucositis, pain, nutritional status, and quality of life in patients with head and neck cancer: A quasi-experimental study.
applications
head and neck cancer
nurses
nutritional status
oral mucositis
pain
quality of life
Journal
International journal of nursing practice
ISSN: 1440-172X
Titre abrégé: Int J Nurs Pract
Pays: Australia
ID NLM: 9613615
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
revised:
03
10
2021
received:
21
07
2021
accepted:
02
02
2022
pubmed:
1
3
2022
medline:
12
8
2022
entrez:
28
2
2022
Statut:
ppublish
Résumé
The aim of this work is to explore the effectiveness of a mobile app to support oral mucositis care to improve the nutritional status and reduce the occurrence of oral mucositis of patients with head and neck cancer undergoing concurrent chemoradiotherapy. Concurrent chemoradiotherapy is the optimal treatment for head and neck cancer, but oral mucositis and malnutrition are common complications. Quasi-experimental study using a pre-post design was used in this work. Participants were recruited from a major regional hospital in Taiwan from July 2018 to July 2020. There were 32 participants in each group: the mobile app group (Intervention Group) or routine care (Control Group). The primary outcome measure was Patient-Generated Subjective Global Assessment (PG-SGA). We also collected data on grade of oral mucositis, painNnumeric Rating Scale (NRS), weight loss, haemoglobin (Hb), albumin and quality of life (QoL). The PG-SGA score was significantly lower in the intervention than the control group at all three time points. Hb and albumin decreased less significantly in the intervention than the control group after 2 months. The oral mucositis grade was significantly less severe in the intervention than the control group at all three time points; for the NRS, at T2 and T3. Using the mobile app effectively improved nutritional status, alleviated the side effects, and improved the QoL of head and neck cancer patients with concurrent chemoradiotherapy.
Sections du résumé
AIM
OBJECTIVE
The aim of this work is to explore the effectiveness of a mobile app to support oral mucositis care to improve the nutritional status and reduce the occurrence of oral mucositis of patients with head and neck cancer undergoing concurrent chemoradiotherapy.
BACKGROUND
BACKGROUND
Concurrent chemoradiotherapy is the optimal treatment for head and neck cancer, but oral mucositis and malnutrition are common complications.
DESIGN
METHODS
Quasi-experimental study using a pre-post design was used in this work.
METHOD
METHODS
Participants were recruited from a major regional hospital in Taiwan from July 2018 to July 2020. There were 32 participants in each group: the mobile app group (Intervention Group) or routine care (Control Group). The primary outcome measure was Patient-Generated Subjective Global Assessment (PG-SGA). We also collected data on grade of oral mucositis, painNnumeric Rating Scale (NRS), weight loss, haemoglobin (Hb), albumin and quality of life (QoL).
RESULT
RESULTS
The PG-SGA score was significantly lower in the intervention than the control group at all three time points. Hb and albumin decreased less significantly in the intervention than the control group after 2 months. The oral mucositis grade was significantly less severe in the intervention than the control group at all three time points; for the NRS, at T2 and T3.
CONCLUSION
CONCLUSIONS
Using the mobile app effectively improved nutritional status, alleviated the side effects, and improved the QoL of head and neck cancer patients with concurrent chemoradiotherapy.
Substances chimiques
Albumins
0
Types de publication
Journal Article
Langues
eng
Pagination
e13042Informations de copyright
© 2022 John Wiley & Sons Australia, Ltd.
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