University of São Paulo, Ribeirão Preto, SP, Brazil.
Federal University of Paraíba, João Pessoa, PB, Brazil.
J Cancer Educ. 2023 Jun;38(3):940-947. doi: 10.1007/s13187-022-02210-7. Epub 2022 Aug 27.
In this study, we evaluated the impact of an integrated oral care protocol for pediatric patients undergoing antineoplastic treatment from the perspective of the multidisciplinary team, oral healthcare team, and caregivers.
This was a qualitative study carried out in the pediatric sector of a reference cancer hospital in Brazil. Focus group and individual semi-structured interview techniques were used, and the data were analyzed by the Discourse of the Collective Subject (DCS) method.
A total of 44 professionals involved in providing care to children and adolescents with cancer and 38 caregivers were interviewed. All interviewees perceived an improvement in the patients' oral health condition. Health professionals reported a reduction in the occurrence and severity of oral mucositis (OM). Communicating with the medical team and understanding the importance of oral care to the patient's systemic condition were the greatest difficulties reported by the oral healthcare team.
This implementation project contributed to establishing a complete multidisciplinary team to assist pediatric patients in all their needs during antineoplastic treatment. The integrated oral care protocol further contributed to reducing the occurrence and severity of OM by increasing its surveillance and diagnostic efficiency, which, altogether, improved the patients' quality of life.
本研究从多学科团队、口腔保健团队和照护者的角度评估了针对接受抗肿瘤治疗的儿科患者的综合口腔护理方案的影响。
这是在巴西一家癌症专科医院儿科部门进行的定性研究。使用了焦点小组和个体半结构式访谈技术，并采用集体主体话语（DCS）方法对数据进行分析。
共对 44 名参与照顾癌症儿童和青少年的专业人员和 38 名照护者进行了访谈。所有受访者均认为患者的口腔健康状况得到了改善。卫生专业人员报告称，口腔黏膜炎（OM）的发生和严重程度有所降低。口腔保健团队报告的最大困难是与医疗团队沟通和理解口腔护理对患者全身状况的重要性。
该实施项目有助于建立一个完整的多学科团队，以满足抗肿瘤治疗期间儿科患者的所有需求。综合口腔护理方案通过提高 OM 的监测和诊断效率，进一步降低了 OM 的发生和严重程度，从而提高了患者的生活质量。
