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:: Volume 10, Issue 4 (1-2023) ::
Iran J Health Educ Health Promot 2023, 10(4): 412-423 Back to browse issues page
Designing and compiling oral health self-care education program for oral cancer patients
Somayeh Rahmani , Mahin Bakhshi , Zahra Yoonesi , Ali Rahmani *
Abstract:   (1352 Views)
Background and Objectives: Orofacial outcome of oral cancer, and its management can effect on patients' quality of life. The aim of this study was to design and compile oral health self-care education program for oral cancer patients.

Materials and Methods: The research design was a qualitative and descriptive review study. Research articles and text books from international databases including: PubMed, Scopus, Springer, ISI web of science, and authenticated textbooks of oral medicine and maxillofacial surgery were used to find relevant topics by means of MeSH keywords such as "oral care”, "education program", “oral cancer”, “consideration”, “rehabilitation”, “self-management”, "self-care”, “complication”. Thereafter, English-language articles published from 2000 to 2021 were appraised. Self-care education program were analyzed by 30 experts in the fields of oral diseases, maxillofacial surgery, oncology, and radiotherapy. The content of the instructions in the areas of clarity and comprehensiveness, educational concept, patient awareness, implement ability and usability, and adequacy were evaluated quantitatively and from a score of 0 to 10.

Results: Self-care education program were developed in these areas: mucositis, secondary infections, decay, pain and tooth sensitivity, halitosis, dry mouth, taste disturbance, bleeding, trismus, osteoradionecrosis, and nutritional instructions. The overall agreement of the experts in all areas was more than 9 points. In the areas of comprehensiveness and clarity of sentences and adequacy of coverage of instructions, there was the highest and lowest agreement, respectively (9.9 ±0.22), (9.3 ± 1.3).

Conclusion: According to the findings, this education program is recommended as a practical self-care guide for oral cancer patients. 
Article number: 8
Keywords: Self-care, Oral health, Oral cancer, Education Program
Full-Text [PDF 852 kb]   (797 Downloads)    
Type of Study: Research | Subject: Health Education & Health Promotion
Received: 2022/02/24 | Accepted: 2022/08/3
1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. Ca Cancer J Clin. 2016 Jan;66(1):7-30. [DOI:10.3322/caac.21332] [PMID]
2. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca Cancer J Clin. 2018 Nov;68(6):394-424. [DOI:10.3322/caac.21492] [PMID]
3. Conway DI, Purkayastha M, Chestnutt IG. The changing epidemiology of oral cancer: definitions, trends, and risk factors. BDJ. 2018 Nov;225(9):867-73. [DOI:10.1038/sj.bdj.2018.922] [PMID]
4. Sarode G, Maniyar N, Sarode SC, Jafer M, Patil S, Awan KH. Epidemiologic aspects of oral cancer. Dis Mon. 2020 Dec 1;66(12):100988. [DOI:10.1016/j.disamonth.2020.100988] [PMID]
5. Mohebbi E, Nahvijou A, Hadji M, Rashidian H, Seyyedsalehi MS, Nemati S, et al. Iran Cancer Statistics in 2012 and projection of cancer incidence by 2035. BCCR. 2018;9(3)
6. Sarode G, Maniyar N, Sarode SC, Jafer M, Patil S, Awan KH. Epidemiologic aspects of oral cancer. Dis Mon. 2020 Dec 1;66(12):100988. [DOI:10.1016/j.disamonth.2020.100988] [PMID]
7. Mousavi SM, Gouya MM, Ramazani R, Davanlou M, Hajsadeghi N. Cancer incidence and mortality in Iran. Annals of oncology. 2009 Mar 1;20(3):556-63. [DOI:10.1093/annonc/mdn642] [PMID]
8. Gupta B, Johnson NW, Kumar N. Global epidemiology of head and neck cancers: a continuing challenge. Oncology. 2016;91(1):13-3. [DOI:10.1159/000446117] [PMID]
9. Licitra L, Felip E, ESMO Guidelines Working Group. Squamous cell carcinoma of the head and neck: ESMO clinical recommendations for diagnosis, treatment and follow-up. Annals of Oncology. 2009 May 1;20(suppl_4): iv121-2. [DOI:10.1093/annonc/mdp149] [PMID]
10. McMillan AS, Pow EH, Leung WK, Wong MC, Kwong DL. Oral health-related quality of life in southern Chinese following radiotherapy for nasopharyngeal carcinoma. J Oral Rehabil. 2004 Jun;31(6):600-8. [DOI:10.1111/j.1365-2842.2004.01383.x] [PMID]
11. Gorges J, Wehler B, Krüger M, Singer S. Oral health-related quality of life in cancer patients. Laryngorhinootologie. 2018 May;97(5):327-33. [DOI:10.1055/a-0573-9741] [PMID]
12. Scully C, Porter S. ABC of oral health: Oral cancer. BMJ. 2000 Jul 8;321(7253):97. [DOI:10.1136/bmj.321.7253.97] [PMID] [PMCID]
13. Scully C, Epstein JB. Oral health care for the cancer patient. Eur J Cancer B Oral Oncol. 1996 Sep 1;32(5):281-92. [DOI:10.1016/0964-1955(96)00037-1] [PMID]
14. Pai RR, Ongole R, Banerjee S. Oral care in cancer nursing: Practice and barriers. Indian J Dent Res. 2019 Mar 1;30(2): 226. [DOI:10.4103/ijdr.IJDR_343_17] [PMID]
15. Bakhshi M, Mortazavi MS, Tofangchiha M, Afraz ES, Gholami S, Bakhtiari S. Review of Oral and Dental Consideration in the Patients with Head and Neck Radiotherapy and Chemotherapy. Journal of Dental School, Shahid Beheshti University of Medical Sciences. 2018 Jan 1;36(3):108-14.
16. Pai RR, Ongole R, Banerjee S, Prasad K, George LS, George A, Nayak BS. Oral Care Protocol for Chemotherapy-and Radiation Therapy-Induced Oral Complications in Cancer Patients: Study Protocol. Asia Pac J Oncol Nurs. 2019 Oct;6(4):417. [DOI:10.4103/apjon.apjon_30_19] [PMID] [PMCID]
17. Nagaraja S, Kadam SA, Selvaraj K, Ahmed I, Javarappa R. Trismus in head and neck cancer patients treated by telecobalt and effect of early rehabilitation measures. J Cancer Res Ther. 2016 Apr 1;12(2):685. [DOI:10.4103/0973-1482.176181] [PMID]
18. Walsh LJ. Clinical assessment and management of the oral environment in the oncology patient. Aust Dent J. 2010 Jun;55:66-77. [DOI:10.1111/j.1834-7819.2010.01201.x] [PMID]
19. Broadbent JM, Zeng J, Foster Page LA, Baker SR, Ramrakha S, Thomson WM. Oral health-related beliefs, behaviors, and outcomes through the life course. J D R. 2016 Jul;95(7):808-13. [DOI:10.1177/0022034516634663] [PMID] [PMCID]
20. Rostami H, Montazam SH, Ghahremanian A. Survey of education barriers from nurses and patient's viewpoint. Avicenna J Nurs Midwifery Care. 2010 Jul 15;18(1):50-60.
21. Nasiri S , Heydari N , Rafiee S, Paran M. Effect of Family-Centered Education on Patient's Self-Care. Sadra Med Sci J .2020; 8(3): 311-20.
22. Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018 Jul;52(4):1893-907. [DOI:10.1007/s11135-017-0574-8] [PMID] [PMCID]
23. Little JW, Miller CS, Rhodus NL. Cancer and oral care of patients with cancer. Little and Falace's Dental Management of the Medically Compromised Patient. 9th ed. St Louis, MO: Elsevier. 2018. p. 506,508,511,512
24. Olver I. The MASCC textbook of cancer supportive care and survivorship. 2nd ed. Springer International Publishing. 2018. DOI: 10.1007/978-3-319-90990-5 [DOI:10.1007/978-3-319-90990-5]
25. Glick M. Burket's Oral Medicine. 12th ed. People's Medical Publishing House; Shelton, CT, USA: 2015. P. 206
26. Dental Provider's Oncology Pocket Guide. National Institute of Dental and Craniofacial Research, www.nidcr.nih.gov, Reprinted September 2009.
27. Bogusławska-Kapała A, Hałaburda K, Rusyan E, Gołąbek H, Strużycka I. Oral health of adult patients undergoing hematopoietic cell transplantation. Pre-transplant assessment and care. Ann Hematol. 2017 Jul 1;96(7):1135-45. [DOI:10.1007/s00277-017-2932-y] [PMID] [PMCID]
28. Pompa G, Papi P, Jamshir S, Guarino G, Brauner E. Oral hygiene protocol for maxillofacial cancer patients treated with or without adjuvant radiotherapy. International journal of stomatology & occlusion medicine. 2015 Mar 1;8(1):8-11. [DOI:10.1007/s12548-014-0117-z]
29. Meurman JH, Grönroos L. Oral and dental health care of oral cancer patients: hyposalivation, caries and infections. Oral oncol. 2010 Jun 1;46(6):464-7. [DOI:10.1016/j.oraloncology.2010.02.025] [PMID]
30. Glick M. Burket's oral medicine. 13th ed. Elsevier.2021 [DOI:10.1002/9781119597797]
31. Jawad H, Hodson NA, Nixon PJ. A review of dental treatment of head and neck cancer patients, before, during and after radiotherapy: part 1. BDJ. 2015 Jan;218(2):65-8. [DOI:10.1038/sj.bdj.2015.28] [PMID]
32. Jawad H, Hodson NA, Nixon PJ. A review of dental treatment of head and neck cancer patients, before, during and after radiotherapy: part 2. BDJ. 2015 Jan;218(2):69-74. [DOI:10.1038/sj.bdj.2015.29] [PMID]
33. Kisokanth G, Prathapan S, Indrakumar J, Ilankoon IM. Validation of educational material for diabetes self-management education: Judgemental and criterion validity. Biomedical Research (0970-938X). 2018 Jul 1;29(11):76-9. [DOI:10.4066/biomedicalresearch.41-17-3601]
34. Ribeiro ZM, Spadella MA. Content validation of educational material on healthy eating for children under two years of age. Rev Paul Pediatr. 2018 Apr;36(2):155. [DOI:10.1590/1984-0462/;2018;36;2;00007] [PMID] [PMCID]
35. Kandwal A, Saini S, Ahmad M, Nautiyal V, Pattanayak M, Raj D, Takao U. Validation of a Novel 'Supportive Oral Care Protocol'(SOCP), a Model for Care in Head and Neck Cancer Patients at Tertiary Cancer Centre in India. Indian J Surg Oncol. 2020 Dec;11(4):769-77. [DOI:10.1007/s13193-020-01256-7] [PMID] [PMCID]
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Rahmani S, Bakhshi M, Yoonesi Z, Rahmani A. Designing and compiling oral health self-care education program for oral cancer patients. Iran J Health Educ Health Promot 2023; 10 (4) : 8
URL: http://journal.ihepsa.ir/article-1-2092-en.html

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Volume 10, Issue 4 (1-2023) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
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