Using Evidence-Based for Developing of Clinical Nursing Practice Guideline to Prevent and Relieve Oral Mucositis in Head and Neck Cancer Patients Received Chemotherapy and Radiotherapy on Admission

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Date
2010-10-08
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Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Abstract
Abstract:  Keywords:  Clinical nursing practice guideline, Oral mucositis, Head and neck cancer,Chemotherapy, RadiotherapyThe purpose of the article is to review how to prevent and soothe mucositisin head and neck cancer after being treated with chemotherapy and radiotherapy,using nine research reports for clinical nursing practice guideline as bases of theevidence. The guideline was tested with 15 clients admitted in three EENT wards byregistered and practice nurses. The results showed that eleven of fifteen clients werefree from mucositis. Two of them had mucositis with severity of level 1 after leavingthe hospital. One client had mucositis but the clinical manifestation was better. Onlyone of the fifteen clients suffered with mucositis and was admitted to the hospital.In conclusion, the clinical nursing guideline established was useful and can beprevented clients with head and neck cancer from mucositis after being treated withchemotherapy and radiotherapy.
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Ramathibodi Nursing Journal; Vol. 13 No. 1 January - April 2007