International Journal of Advances in Nursing Management

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Effectiveness of Cryotherapy on Radiation Induced Oral Mucositis among patients who receive Radiation Therapy at KMCH, Coimbatore


Affiliations
1 Nursing Officer, AIIMS, Mangalagiri., India
2 Senior Nursing Officer, AIIMS, Mangalagiri., India
3 Professor, Shri Anand Institute of Nursing, Rajkot., India
     

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The aim of the present study was to evaluate the Effectiveness of Cryotherapy on Radiation Induced Oral Mucositis among patients who receive Radiation Therapy. The Methodology: Research design adopted for this study was quasi-experimental pre-test and post-test control group design. The subjects were randomized to two groups by preparing 30 lots. The lots were labelled as E which was assigned to Experimental group and C which was allocated to Conventional care group. The subjects were asked to pick a lot and based on that lot, thesubjects were assigned to Experimental group and Conventional care group. The study was conducted in the Department of Radiation Oncology, Comprehensive Cancer Center at KMCH, Coimbatore. The sample size was 30 subjects. 15 subjects were assigned to each group. Non – Probability Purposive Sampling technique was adopted. Conceptual Framework was based on Modified Swanson’s Structure of Caring (1993). Cryotherapy was done by providing Ice cubes to the patient’s and instruct them to suck and rinse slowly and swish it around the mouth for 5 minutes and then spit it out. This was done 15 minutes before and after Radiation Therapy. Oral mucositis was assessed in both Experimental group and Conventional care group at the end of1 st , 2 nd , 3 rd , 4 th , 5 th and 6 th week after Radiation Therapy using WHO Oral Mucositis Grading Scale and Patient – Reported Oral Mucositis Symptoms [PROMS] scale. Results: The Results of the study were by comparing the Oral Mucositis using WHO Oral Mucositis Scale at the end of each week between the Experimental group and Conventional care group, the ‘p’ value at the end of 2nd , 3 rd, 4th and 5 th week are 0.001, 0.05, <0.001 and 0.028respectively and the p value for PROMS Scaleis 0.022 which shows that there is a significant difference in Oral Mucositis Severity. Conclusion: In nutshell, the study recommends the use of cost effective Cryotherapy along with Soda – Bicarb mouth wash in Clinical Practice for patients who are receiving Head and Neck Radiation Therapy.

Keywords

Effectiveness, Cryotherapy, Radiation induced oral mucositis and Radiation therapy.
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  • Muanza TM, Cotrim AP, McAuliffe M, Sowers AL, Baum BJ, Cook JA, et al. Evaluation of radiation-induced oral mucositis by optical coherence tomography. Clin Cancer Res (2005) 11(14):5121–7. doi: 10.1158/1078- 0432.CCR-05-0403

  • Köstler WJ, Hejna M, Wenzel C, Zielinski CC. Oral mucositis complicating chemotherapy and/or radiotherapy: options for prevention and treatment. CA Cancer J Clin (2001) 51(5):290–315.

  • doi:10.3322/canjclin.51.5.290 Al-Ansari S, Zecha JAEM, Barasch A, de Lange J, Rozema FR, RaberDurlacher JE. Oral mucositis induced by anticancer therapies. Curr Oral Health Rep (2015) 2:202–11. doi:10.1007/s40496-015-0069-4

  • Elting LS, Cooksley CD, Chambers MS, Garden AS. Risk, outcomes, and costs of radiation-induced oral mucositis among patients with head-andneck malignancies. Int J Radiat Oncol Biol Phys (2007) 68(4):1110–20. doi:10.1016/j.ijrobp.2007.01.053.

  • Luo DH, Hong MH, Guo L, Cao KJ, Deng MQ, Mo HY. [Analysis of oral mucositis risk factors during radiotherapy for nasopharyngeal carcinoma patients and establishment of a discriminant model]. Ai Zheng (2005) 24(7):850–4.

  • Elting LS, Cooksley CD, Chambers MS, Garden AS. Risk, outcomes, and costs of radiation-induced oral mucositis among patients with head-and neck malignancies. Int J Radiat Oncol Biol Phys (2007) 68(4):1110–20.

  • doi:10.1016/j.ijrobp.2007.01.053 Sonis ST. Mucositis: the impact, biology and therapeutic opportunities of oral mucositis. Oral Oncol (2009) 45(12):1015–20. doi:10.1016/j.oraloncology.2009.08.006.

  • Goldberg SL, Chiang L, Selina N, Hamarman S. Patient perceptions about chemotherapy-induced oral mucositis: Implications for primary/secondary prophylaxis strategies. Support Care Cancer 2004;12(7):526-30. 3.

  • Kakoei S, Ghassemi A, Nakhaee N. Effect of cryotherapy on oral mucositis in patients with head and neck cancers receiving radiotherapy. International Journal of Radiation Research. 2013 Apr 10;11(2):117–20.


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  • Effectiveness of Cryotherapy on Radiation Induced Oral Mucositis among patients who receive Radiation Therapy at KMCH, Coimbatore

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Authors

Vetrichelvi S.
Nursing Officer, AIIMS, Mangalagiri., India
Dhanasekar V. M
Senior Nursing Officer, AIIMS, Mangalagiri., India
Anu C. Vijay
Nursing Officer, AIIMS, Mangalagiri., India
Sathish Rajamani
Professor, Shri Anand Institute of Nursing, Rajkot., India

Abstract


The aim of the present study was to evaluate the Effectiveness of Cryotherapy on Radiation Induced Oral Mucositis among patients who receive Radiation Therapy. The Methodology: Research design adopted for this study was quasi-experimental pre-test and post-test control group design. The subjects were randomized to two groups by preparing 30 lots. The lots were labelled as E which was assigned to Experimental group and C which was allocated to Conventional care group. The subjects were asked to pick a lot and based on that lot, thesubjects were assigned to Experimental group and Conventional care group. The study was conducted in the Department of Radiation Oncology, Comprehensive Cancer Center at KMCH, Coimbatore. The sample size was 30 subjects. 15 subjects were assigned to each group. Non – Probability Purposive Sampling technique was adopted. Conceptual Framework was based on Modified Swanson’s Structure of Caring (1993). Cryotherapy was done by providing Ice cubes to the patient’s and instruct them to suck and rinse slowly and swish it around the mouth for 5 minutes and then spit it out. This was done 15 minutes before and after Radiation Therapy. Oral mucositis was assessed in both Experimental group and Conventional care group at the end of1 st , 2 nd , 3 rd , 4 th , 5 th and 6 th week after Radiation Therapy using WHO Oral Mucositis Grading Scale and Patient – Reported Oral Mucositis Symptoms [PROMS] scale. Results: The Results of the study were by comparing the Oral Mucositis using WHO Oral Mucositis Scale at the end of each week between the Experimental group and Conventional care group, the ‘p’ value at the end of 2nd , 3 rd, 4th and 5 th week are 0.001, 0.05, <0.001 and 0.028respectively and the p value for PROMS Scaleis 0.022 which shows that there is a significant difference in Oral Mucositis Severity. Conclusion: In nutshell, the study recommends the use of cost effective Cryotherapy along with Soda – Bicarb mouth wash in Clinical Practice for patients who are receiving Head and Neck Radiation Therapy.

Keywords


Effectiveness, Cryotherapy, Radiation induced oral mucositis and Radiation therapy.

References