Manipal College of Nursing Manipal Academy of Higher Education Manipal, Karnataka State, India.
Oral Medicine and Radiology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Mangalore India.
Asian Pac J Cancer Prev. 2023 May 1;24(5):1635-1642. doi: 10.31557/APJCP.2023.24.5.1635.
Oral complications arising out of radiation therapy and chemotherapy significantly affect the oral health status of patients leading to severe distress. Poor oral health can impair nutritional intake and patient recovery. Trained nurses lack knowledge of oral care of patients receiving cancer treatment.
The study is aimed at training the nurses and conducting a documentation audit to assess the effect of the training on their clinical practice. Methods: A quantitative research approach was adopted using one group pretest-post-test design to train 72 nurses on oral care of cancer patients working in radiation oncology wards of a tertiary care setting in the southern part of India. After the training program, 80 head and neck cancer patient records were audited to monitor the implementation of oral care.
After completing the training program, the knowledge score increased to 13.54 with a mean difference of 4.15 at a p-value <0.001, which indicates that the training was effective, resulting in a gain in knowledge scores. Nurses reported usage of evidence-based intervention, and patient education materials helped them in the clinical practice and a few barriers to oral care practice were identified while implementing the oral care i.e increased frequency of oral care, increased documentation, and time issues. There was poor adherence to the implementation of oral care for cancer patients after the training program, as monitored by a documentation audit.
Capacity building of the nurses in providing effective oral care of cancer patients will help in improving the standards of cancer nursing practice. An implementation audit of the records would help check adherence to the new oral care practice. A hospital-instituted protocol can result in the effective implementation of the practice change rather than a researcher-introduced protocol.
放疗和化疗引起的口腔并发症极大地影响了患者的口腔健康状况，导致严重的不适。口腔健康状况不佳会影响营养摄入和患者康复。经过培训的护士对接受癌症治疗的患者的口腔护理知识知之甚少。
本研究旨在培训护士并进行文件审核，以评估培训对其临床实践的影响。方法：采用定量研究方法，采用单组前后测试设计，对印度南部一家三级护理环境的放射肿瘤病房的 72 名护士进行了癌症患者口腔护理培训。培训计划完成后，审核了 80 例头颈部癌症患者的病历，以监测口腔护理的实施情况。
完成培训计划后，知识得分从 9.39 增加到 13.54，平均差异为 4.15，p 值<0.001，这表明培训是有效的，导致知识得分提高。护士报告使用基于证据的干预措施，患者教育材料在临床实践中对他们有所帮助，并确定了实施口腔护理实践的一些障碍，即增加口腔护理频率、增加记录和时间问题。虽然进行了培训，但通过文件审核监测到癌症患者的口腔护理实施情况不佳。
提高护士为癌症患者提供有效口腔护理的能力将有助于提高癌症护理实践的标准。对记录进行实施审核有助于检查对新口腔护理实践的遵守情况。医院制定的方案可以有效地实施实践变革，而不是研究人员引入的方案。
