ผลของโปรแกรมการส่งเสริมการดูแลช่องปากด้วยตนเองกับการอมกลั้วปากด้วยน้ำมันมะพร้าวบริสุทธิ์ต่ออาการเยื่อบุช่องปากอักเสบในผู้ป่วยมะเร็งศีรษะและคอที่ได้รับการฉายรังสีร่วมกับยาเคมีบำบัด / นงนภัส เด็กหลี = The effect of oral self care promoting program and virgin coconut oil pulling on oral mucositis in head and neck cancer patients receiving concurrent chemoradiotherapy / Nongnapad Deklee
The purpose of this quasi-experimental research was to examine the effects of oral self care promoting program and virgin coconut oil pulling on oral mucositis in head and neck cancer patients receiving concurrent chemoradiotherapy. The study was conducted at the Radiotherapy and Oncology Outpatient Unit of a tertiary hospital in Surattani province. A sample of 45 patients was assigned into three groups. Each group consisted of 15 patients. Participants in the experimental group 1 received the oral coconut oil pulling program . The experimental group 2 received oral self care program combining coconut oil pulling, and the control group received usual care. Research instruments was the oral self care promoting program and virgin coconut oil pulling. This program had four dimensions : (a) interactive nursing care, (b) didactic information, (c) self-care exercises (skills), and (d) supportive care combining coconut oil pulling. Oral mucositis was evaluated by using an assessment tool developed by Sonis et al. (1999). The instrument was validated by a panel of experts. The interrater reliability was .952. The data were analyzed and presented using percentage, mean, standard deviation and repeated measures ANOVA. 1. The oral mucositis mean score of head and neck cancer patients receiving the oral coconut oil pulling program, the experimental 2, and the control group were statistical different at the level of 0.5. 2. The oral mucositis mean scores of the patients receiving oral self care promoting program combining coconut oil pulling was lower than that of the patients receiving coconut oil pulling program. Also, the mean scores of the patients receiving coconut oil pulling program was lower than that of the group receiving usual care at statistical different level of 0.5