Gan Hui, Chen Kailan, Tao Li, Hu Qian, Yang Cheng, Xu Xi
Department of Oncology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.
Asia Pac J Oncol Nurs. 2025 May 15;12:100724. doi: 10.1016/j.apjon.2025.100724. eCollection 2025 Dec.
To explored the knowledge, attitudes, and practices (KAP) of family members of children receiving chemoradiotherapy concerning oral mucositis.
A cross-sectional study was conducted from August 15, 2023, to May 31, 2024, in the oncology ward of Wuhan Children's Hospital of Tongji Medical College, Huazhong University of Science and Technology, using a custom-designed KAP questionnaire.
Of the 364 valid responses, 63.19% were from female family members. Most children (45.33%) received treatment for over six months, and 38.74% were diagnosed with oral mucositis. The participant's median (P25-P75) for knowledge, attitude, and practice scores were 6 (5, 7) (possible range: 0-7), 27 (24, 30) (possible range: 6-30), and 17 (14, 21) (possible range: 5-30), respectively. A significant 36.26% were unsure about the link between radiotherapy and oral mucositis. Only 14.56% were neutral or disagreed on the importance of special oral care. On the practical side, 69.78% of children never used dental floss and 31.59% had never visited the hospital for oral check-ups, though most participants preferred receiving information from medical professionals. Further correlation analysis revealed positive correlations between knowledge scores and attitude scores ( = 0.270, 0.001), as well as between knowledge scores and practice scores ( = 0.164, = 0.002). Additionally, attitude scores were positively correlated with practice scores ( = 0.280, 0.001).
Family members of children undergoing chemoradiotherapy have adequate knowledge and positive attitudes about oral mucositis, but this does not always lead to proactive practices. Educational interventions should enhance knowledge and encourage its application in daily caregiving to manage oral mucositis effectively.
探讨接受放化疗儿童的家庭成员关于口腔黏膜炎的知识、态度和行为（KAP）。
于2023年8月15日至2024年5月31日，在华中科技大学同济医学院附属武汉儿童医院肿瘤科病房开展一项横断面研究，采用自行设计的KAP问卷。
在364份有效回复中，63.19%来自女性家庭成员。大多数儿童（45.33%）接受治疗超过6个月，38.74%被诊断为口腔黏膜炎。参与者的知识、态度和行为得分中位数（P25 - P75）分别为6（5，7）（可能范围：0 - 7）、27（24，30）（可能范围：6 - 30）和17（14，21）（可能范围：5 - 30）。高达36.26%的人不确定放疗与口腔黏膜炎之间的联系。只有14.56%的人对特殊口腔护理的重要性持中立或反对态度。在实际行为方面，69.78%的儿童从未使用牙线，31.59%从未到医院进行口腔检查，尽管大多数参与者更喜欢从医疗专业人员那里获取信息。进一步的相关性分析显示，知识得分与态度得分之间呈正相关（r = 0.270，P < 0.001），知识得分与行为得分之间也呈正相关（r = 0.164，P = 0.002）。此外，态度得分与行为得分呈正相关（r = 0.280，P < 0.001）。
接受放化疗儿童的家庭成员对口腔黏膜炎有足够的知识和积极的态度，但这并不总是转化为积极的行为。教育干预应增强知识并鼓励其在日常护理中的应用，以有效管理口腔黏膜炎。
