Development and application of a preventive care program for radiotherapy-induced oral mucositis in patients with nasopharyngeal carcinoma based on the theory of"Timing It Right"
Objective To develop a preventive care program for Radiotherapy-induced Oral Mucositis(RIOM)in patients with naso-pharyngeal carcinoma,and to evaluate its application effect.Methods A preventive care program for RIOM in patients with naso-pharyngeal carcinoma was formulated through literature review,group discussion and the Delphi technique based on the theory of"Timing It Right".Nasopharyngeal carcinoma patients undergoing radiotherapy were divided into a control group and an intervention group chronologically,with 44 patients in each group.The control group received routine nursing,while the intervention group was cared using the preventive care program for RIOM.Results Experts'response rates were 100％in the 2 rounds of expert consulta-tion,experts'authority coefficient were 0.839 and 0.868 and the Kendall coefficient of concordance were 0.380 and 0.409 respec-tively(both P＜0.05).After the intervention,the oral mucosal condition,Body Mass Index and quality of life of the intervention group were significantly better than those of the control group(all P＜0.05).Conclusion Implementation of the preventive care program for RIOM in patients with nasopharyngeal carcinoma is conducive to improving their oral mucosal condition,nutritional status and quality of life.
nasopharyngeal carcinomaradiotherapyradiotherapy-induced oral mucositispreventionsymptom nursing"Timing It Right"theorynutritional statusquality of life
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