McGuire Deborah B, Johnson Judith, Migliorati Cesar
School of Nursing, University of Maryland, 655 W. Lombard Street, Baltimore, 21201, USA.
Support Care Cancer. 2006 Jun;14(6):548-57. doi: 10.1007/s00520-006-0060-7. Epub 2006 Apr 29.
The Multinational Association for Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) Mucositis and Patient and Professional Education Study Groups are collaborating to improve the promulgation of the updated mucositis management guidelines. The initial step in the collaboration was to survey cancer care health professionals to determine their awareness of the original 2004 guidelines and their opinions on the usefulness of patient educational materials based on the guidelines.
The authors surveyed four samples (three US and one European) of cancer health care professionals attending three cancer-related professional conferences between May and July 2005 using a ten-item questionnaire in both paper-and-pencil and web-based formats. Data were compiled and analyzed using descriptive statistics.
All respondents were generally aware of the importance of mucositis as a treatment-limiting toxicity with life-threatening complications and endorsed regular oral assessment and dental care practices. Only about one third of the US respondents were aware of the 2004 guidelines in contrast to 80% of the European respondents. A majority of respondents across all four surveys (66-93%) felt strongly that educational materials based on the guidelines were needed and that they would use them, while a smaller number (7-29%) indicated they might use them if a patient had a problem with mucositis.
Awareness of the guidelines remains limited in the US, and use of the guidelines worldwide is minimal. The Mucositis and Patient and Professional Education Study Groups have developed a set of strategies to enhance dissemination, awareness, and use of the updated guidelines and to promote patient education based on the guidelines. Future work will focus on implementation and evaluation of the guidelines in clinical practice.
癌症支持治疗多国协会/国际口腔肿瘤学会（MASCC/ISOO）黏膜炎以及患者与专业人员教育研究小组正在合作，以促进更新后的黏膜炎管理指南的推广。合作的第一步是对癌症护理健康专业人员进行调查，以确定他们对2004年原始指南的了解程度以及他们对基于该指南的患者教育材料实用性的看法。
作者在2005年5月至7月期间，使用一份包含十个条目的问卷，以纸笔和网络两种形式，对参加三场癌症相关专业会议的四个样本（三个美国样本和一个欧洲样本）的癌症医疗保健专业人员进行了调查。使用描述性统计方法对数据进行整理和分析。
所有受访者普遍意识到黏膜炎作为一种具有危及生命并发症的治疗限制性毒性的重要性，并认可定期口腔评估和牙齿护理措施。与80%的欧洲受访者相比，只有约三分之一的美国受访者知晓2004年的指南。在所有四项调查中，大多数受访者（66%-93%）强烈认为需要基于该指南的教育材料，并且他们会使用这些材料，而较少一部分人（7%-29%）表示，如果患者出现黏膜炎问题，他们可能会使用这些材料。
美国对该指南的知晓度仍然有限，全球范围内对该指南的使用也很少。黏膜炎以及患者与专业人员教育研究小组已制定了一系列策略，以加强更新后指南的传播、知晓度和使用，并促进基于该指南的患者教育。未来的工作将集中于在临床实践中对该指南的实施和评估。
