Impact of nursing instructions on selected outcomes among patients with head and neck cancer

https://doi.org/10.53730/ijhs.v6nS3.5806

Authors

  • Rehab Mohamed Abd Elkader Assistant Lecturer of Medical Surgical Nursing, Faculty of Nursing, Cairo University, Egypt
  • Nagat Saaed El Morsy Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Cairo University, Egypt
  • Amel Gomaa Abd El- Naby Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Cairo University, Egypt
  • Karim Nabil Mashhour Assistant Professor of Clinical Oncology, Faculty of Medicine, Cairo University, Egypt

Keywords:

head and neck cancer, radiotherapy induced oral mucositis, nursing instructions

Abstract

Treatment of head and neck cancer with radiotherapy becoming increasingly effective but may result in several undesired complications as oral mucositis, xerostomia, dysphagia, trismus, mucosal infections, and pain. These complications can lead to marked weight loss and  nutrient deficiencies because of decreased oral intake rate. So, it is important to provide patients with nursing instructions through patient education and dietary modifications to prevent or decrease theses complications. Was to evaluate the impact of nursing instructions on selected patients’ outcomes (oral mucositis, oral pain, weight loss and the results of laboratory studies (hemoglobin and albumin) among patients with head and neck cancer receiving radiotherapy. Non-equivalent control group time series qausi-experimental design was used. The study was carried out at the oncology unit in kaser El -Aini Hospital. Cairo University. A convenient sample of 80 patients with head and neck cancer was recruited for this study from the selected oncology unit. Four tools were used to collect data: Demographic and Medical Background Information Form, National Cancer Institute Scoring for Mucositis (NCI-CTC V4), The Pain Numeric Rating Scale (NRS-11) and weight scale. Results supported the stated research hypotheses.

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References

Abdel Gawad, D. A. H., Fareed, M. E. S., El-Bary, A., Mohammed, N., & Attallah, H. R. (2020). Effect of Designed Nursing Education on Awareness of Patients Receiving Head and Neck Radiation Therapy. Menoufia Nursing Journal, 5(1), 1-18.

AbdElwadoud, A. M., Hassanein, S. M., El-Deen, D. S., & Abdou, I. (2019). Using chamomile for alleviating oral mucositis among patients with head and neck cancer receiving radiotherapy. Egyptian Nursing Journal, 16(3), 186.

Bossi, P., Giusti, R., Tarsitano, A., Airoldi, M., De Sanctis, V., Caspiani, O., ... & Siano, M. (2019). The point of pain in head and neck cancer. Critical Reviews in Oncology/Hematology, 138, 51-59.

Brown, T. E., Banks, M. D., Hughes, B. G., Lin, C. Y., Kenny, L. M., & Bauer, J. D. (2017). Randomised controlled trial of early prophylactic feeding vs standard care in patients with head and neck cancer. British journal of cancer, 117(1), 15-24.

Deneuve, S., Charbotel, B., Massardier-Pilonchéry, A., Fort, E., Milliet-Baude, C., Pérol, O., ... & Fervers, B. (2019). Systematic screening for occupations and occupational exposures in head and neck squamous cell carcinoma patients. European Archives of Oto-Rhino-Laryngology, 276(3), 857-864.

Duzova, U. S., & Can, G. (2021). The effect of navigation program on the management of symptoms related to head and neck radiotherapy. Transplant immunology, 69, 101488.

Emadzadeh, M., Shahidsales, S., Bajgiran, A. M., Salehi, M., Massoudi, T., Nikfarjam, Z., & Salehi, M. (2017). Head and neck cancers in North-east Iran: A 25 year survey. Iranian journal of otorhinolaryngology, 29(92), 137.

Ellis, Paul D. (2010). The Essential Guide to Effect Sizes: An Introduction to Statistical Power, Meta-Analysis and the Interpretation of Research Results. United Kingdom: Cambridge University Press.

Evans, D. C., Corkins, M. R., Malone, A., Miller, S., Mogensen, K. M., Guenter, P., ... & ASPEN Malnutrition Committee. (2021). The use of visceral proteins as nutrition markers: an ASPEN position paper. Nutrition in Clinical Practice, 36(1), 22-28.

Fang, C. Y., & Heckman, C. J. (2016). Informational and Support Needs of Patients with Head and Neck Cancer: Current Status and Emerging Issues. Cancers of the head & neck, 1, 15. https://doi.org/10.1186/s41199-016-0017-6.

Handley, M. A., Lyles, C. R., McCulloch, C., & Cattamanchi, A. (2018). Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research. Annual review of public health, 39, 5–25. https://doi.org/10.1146/annurev-publhealth-040617-014128

Kabzinski, J., Maczynska, M., & Majsterek, I. (2021). MicroRNA as a Novel Biomarker in the Diagnosis of Head and Neck Cancer. Biomolecules, 11(6), 844. https://doi.org/10.3390/biom11060844.

Kusiak, A., Jereczek-Fossa, B. A., Cichońska, D., & Alterio, D. (2020). Oncological-Therapy Related Oral Mucositis as an Interdisciplinary Problem-Literature Review. International journal of environmental research and public health, 17(7), 2464. https://doi.org/10.3390/ijerph17072464.

Kubota, K., Kobayashi, W., Sakaki, H., Nakagawa, H., Kon, T., Mimura, M., ... & Kimura, H. (2015). Professional oral health care reduces oral mucositis pain in patients treated by superselective intra-arterial chemotherapy concurrent with radiotherapy for oral cancer. Supportive Care in Cancer, 23(11), 3323-3329.

Lee, S. C., Wang, T. J., & Chu, P. Y. (2019). Predictors of weight loss during and after radiotherapy in patients with head and neck cancer: a longitudinal study. European Journal of Oncology Nursing, 39, 98-104.

Liu, S., Zhao, Q., Zheng, Z., Liu, Z., Meng, L., Dong, L., & Jiang, X. (2021). Status of treatment and prophylaxis for radiation-induced oral mucositis in patients with head and neck cancer. Frontiers in Oncology, 11, 752.

Lopez Vaquero, D., Gutierrez Bayard, L., Rodriguez Ruiz, J. A., Saldaña Valderas, M., & Infante Cossio, P. (2017). Double blind randomized study of oral glutamine on the management of radio/chemotherapy induced mucositis and dermatitis in head and neck cancer. Molecular and Clinical Oncology, 6(6), 931-936.

Maria, O. M., Eliopoulos, N., & Muanza, T. (2017). Radiation-induced oral mucositis. Frontiers in oncology, 7, 89.

Morais, M. O., Martins, A. F. L., de Jesus, A. P. G., de Sousa Neto, S. S., da Costa, A. W. F., Pereira, C. H., ... & Mendonça, E. F. (2020). A prospective study on oral adverse effects in head and neck cancer patients submitted to a preventive oral care protocol. Supportive Care in Cancer, 28(9), 4263-4273.

Nirban, R. K., Kumar, R., Mahariya, S., Harsh, K., & Sharma, N. (2021). Prevalence of Radiotherapy Induced Oral Mucositis in Head and Neck Cancer Patients. Journal of Advanced Medical and Dental Sciences Research, 9(3), 116-119.

Pathak, S., Soni, T. P., Sharma, L. M., Patni, N., & Gupta, A. K. (2019). A randomized controlled trial to evaluate the role and efficacy of oral glutamine in the treatment of chemo-radiotherapy-induced oral mucositis and dysphagia in patients with oropharynx and larynx carcinoma. Cureus, 11(6).

Parahoo, R. S., Semple, C. J., Killough, S., & McCaughan, E. (2019). The experience among patients with multiple dental loss as a consequence of treatment for head and neck cancer: A qualitative study. Journal of dentistry, 82, 30-37.

Saeidzadeh, S., Gilbertson-White, S., Cherwin, C. H., Reisinger, H. S., Kendell, N., Pagedar, N. A., & Seaman, A. T. (2021). Post-treatment head and neck cancer survivors’ approaches to self-management: A qualitative study. European Journal of Oncology Nursing, 52, 101944.

Singh, V., & Singh, A. K. (2020). Oral mucositis. National journal of maxillofacial surgery, 11(2), 159–168. https://doi.org/10.4103/njms.NJMS_10_20

Soutome, S., Yanamoto, S., Nishii, M., Kojima, Y., Hasegawa, T., Funahara, M., ... & Umeda, M. (2021). Risk factors for severe radiation-induced oral mucositis in patients with oral cancer. Journal of Dental Sciences, 16(4), 1241-1246.

Stanford-Moore, G., Bradshaw, P. T., Weissler, M. C., Zevallos, J. P., Brennan, P., Anantharaman, D., ... & Olshan, A. F. (2018). Interaction between known risk factors for head and neck cancer and socioeconomic status: the Carolina Head and Neck Cancer Study. Cancer Causes & Control, 29(9), 863-873.

Unal, D., Orhan, O., Eroglu, C., & Kaplan, B. (2013). Prealbumin is a more sensitive marker than albumin to assess the nutritional status in patients undergoing radiotherapy for head and neck cancer. Contemporary Oncology, 17(3), 276.

Wei, J., Wu, J., Meng, L., Zhu, B., Wang, H., Xin, Y., ... & Jiang, X. (2020). Effects of early nutritional intervention on oral mucositis in patients with radiotherapy for head and neck cancer. QJM: An International Journal of Medicine, 113(1), 37-42.

Vesty, A., Gear, K., Biswas, K., Mackenzie, B. W., Taylor, M. W., & Douglas, R. G. (2020). Oral microbial influences on oral mucositis during radiotherapy treatment of head and neck cancer. Supportive Care in Cancer, 28(6), 2683-26.

Published

10-04-2022

How to Cite

Elkader, R. M. A., Morsy, N. S. E., El- Naby, A. G. A., & Mashhour, K. N. (2022). Impact of nursing instructions on selected outcomes among patients with head and neck cancer. International Journal of Health Sciences, 6(S3), 1798–1813. https://doi.org/10.53730/ijhs.v6nS3.5806

Issue

Section

Peer Review Articles