Educational issues in oral care

Daniel, Betty; Damato, Kathryn; Johnson, Judith

doi:10.1053/j.soncn.2003.10.008

Cited by 25 publications

(23 citation statements)

References 10 publications

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“…In addition, collaborating best practices with an institutional quality improvement process is essential, beginning with an assessment of status prior to initiation of formalized basic oral care practices, and followed by ongoing monitoring of both positive and negative outcomes [46,48,58]. Finally, an essential component of any implementation effort is education of health care professionals, patients, and families [7,16,48,58].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the importance of patient, family, and professional healthcare provider education about oral care in patients undergoing cancer treatment is consistently recognized as important [16,58]. Expanding the body of relevant research to guide development of comprehensive evidence-based practice guidelines for OM was viewed as a way to support such education efforts and to enhance clinical practice [48].…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of basic oral care for the management of oral mucositis in cancer patients

McGuire

Fulton²,

Park

et al. 2013

Support Care Cancer

216

151

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Purpose The purpose of this project was to evaluate research in basic oral care interventions to update evidence-based practice guidelines for preventing and treating oral mucositis (OM) in cancer patients undergoing radio-or chemotherapy. Methods A systematic review of available literature was conducted by the Basic Oral Care Section of the Mucositis Study Group of MASCC/ISOO. Seven interventions-oral care protocols, dental care, normal saline, sodium bicarbonate, mixed medication mouthwash, chlorhexidine, and calcium phosphate-were evaluated using the Hadorn (J Clin Epidemiol 49: [749][750][751][752][753][754] 1996) criteria to determine level of evidence, followed by a guideline determination of one of the following: recommendation, suggestion, or no guideline possible, using Somerfield's (Classic Pap Cur Comments 4:881-886, 2000) schema.Results Fifty-two published papers were examined by treatment population (radiotherapy, chemotherapy, and hematopoietic stem cell transplant) and by whether the intervention aimed to prevent or treat OM. The resulting practice suggestions included using oral care protocols for preventing OM across all treatment modalities and age groups and not using chlorhexidine mouthwash for preventing OM in adults with head and neck cancer undergoing radiotherapy. Considering inadequate and/or conflicting evidence, no guidelines for prevention or treatment of OM were possible for the interventions of dental care, normal saline, sodium bicarbonate, mixed medication mouthwash, chlorhexidine in patients receiving chemotherapy or hematopoietic stem cell transplant, or calcium phosphate. Conclusions The evidence for basic oral care interventions supports the use of oral care protocols in patient populations receiving radiation and/or chemotherapy and does not support chlorhexidine for prevention of mucositis in head and neck cancer patients receiving radiotherapy. Additional welldesigned research is needed for other interventions to improve the amount and quality of evidence guiding future clinical care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systematic review of basic oral care for the management of oral mucositis in cancer patients

McGuire

Fulton²,

Park

et al. 2013

Support Care Cancer

216

151

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“…Biol., Salvador, v. 16, n. 1, p. 25-33, jan./abr. 2017 cuidados orais aos pacientes oncológicos e estudos sobre o nível de conhecimento dos cirurgiões-dentistas sobre câncer bucal (DANIEL; DAMATO;JOHNSON, 2004;DIB, 2004;DIB;SOUZA;TORTAMANO, 2005;GONDIM;GOMES;FIRMINO, 2010;HOROWITZ et al, 2000;SOUTHERN, 2007;TOVARU;MIRCEA, 2011).…”

Section: Discussionunclassified

“…qualidade de vida destes pacientes dependem da atuação de uma equipe multiprofissional capacitada no manejo desta alteração é de fundamental importância (DANIEL; DAMATO;JOHNSON, 2004;MCGUIRE;MI-GLIORATI, 2006).…”

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Avaliação do nível de conhecimento de alunos de pós-graduação em Radiologia e Imaginologia sobre mucosite oral

Carvalho

Silva

Ramos

et al. 2017

cmbio

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ResumoObjetivo: este estudo observacional transversal objetivou avaliar o nível de conhecimento dos cirurgiões-dentistas, alunos de pós-graduação em Radiologia e Imaginologia da Faculdade São Leopoldo Mandic -Campinas sobre diagnóstico, prevenção e tratamento de mucosite oral induzida pelo tratamento do câncer, por meio da aplicação um questionário. Metodologia: participaram da pesquisa 54 voluntários, cirurgiões dentistas, alunos de especialização e mestrado, que responderam um questionário desenvolvido para esta pesquisa, composto de questões para caracterização do entrevistado e questões para avaliar os conhecimentos sobre mucosite. Após a coleta, os dados obtidos foram tabulados no editor de planilhas Microsoft Office Excel e submetidos a uma análise estatística descritiva e analítica das variáveis coletadas. Resultados: revelaram que quanto à autoavaliação do conhecimento específico sobre mucosite oral foi "Regular" (44,6%) a resposta mais prevalente, seguida de "Bom" com 30,4%, "Insuficiente" com 17,9% e "Ótimo", com 7,1%. Questionados sobre o contato com a mucosite oral na prática clínica, 62,5% dos voluntários (n:35) responderam não ter tido contato e 35,7% responderam ter tido contato com a mucosite oral (n:20). O local de conhecimento da condição foi na graduação (75%); e quanto à conduta 12,5% realizaria o tratamento e 64,3% encaminharia para um estomatologista; e 50% dos investigados relataram não ter tido orientação de prevenção e tratamento da mucosite oral durante o curso de Graduação. Conclusão: pode se concluir que os entrevistados têm conhecimento teórico em nível médio (54,97%) sobre os conceitos mais gerais de mucosite oral; e a grande maioria (62,5%) não teve experiência clínica com esta patologia. Palavras-chave: Mucosite Oral. Radioterapia. Quimioterapia. Abstract Objective: this cross-sectional observational study aimed to evaluate the level of knowledge of dentists, graduate students in Radiology and Imaging of Faculdade São Leopoldo Mandic -Campinas on diagnosis, prevention and treatment of oral mucositis induced by cancer treatment, through the application of an questionnaire.Methodology: the participants were 54 volunteers, dentists, specialization and master's students, who answered a questionnaire developed for this study, consisting of questions to characterize the interviewee and questions to assess the knowledge of mucositis. The data were tabulated and submitted to a descriptive and analytical statistical analysis of the collected variables.Results: the results revealed that the self-assessment of specific knowledge about oral mucositis was "Regular" (44.6%) the most prevalent response, followed by " Good" with 30.4%, "Not Enough" with 17.9% and "Great", with 7

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“…Esto refleja la importancia de formar a las enfermeras en conocimientos y habilidades para valorar la cavidad oral. Esta necesidad de formación para implantar el cuidado de la boca en la práctica diaria de enfermería también se ha encontrado en estudios previos [27][28][29] . cia interna sean bajos puede atribuirse a la homogeneidad de la muestra como se menciona en la literatura 30,31 y por lo tanto no siempre indica que tenga una pobre correlación entre los ítems.…”

Section: Discussionunclassified

Validity and reliability of the Spanish version of the oral assessment guide (OAG) in cancer patients

Oroviogoicoechea

Carvajal

et al. 2015

An Sist Sanit Navar

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Fundamento. El instrumento Oral Assessment Guide (OAG) es una herramienta diseñada y ampliamente utilizada para evaluar problemas de la mucosa oral en pacientes con cán-cer, sin embargo no está validada en español. El objetivo de este trabajo es traducir y validar al español la escala de la valoración de la cavidad oral (OAG) diseñada por Eilers.Método. El proceso de traducción se realizó utilizando el método de traducción retrotraducción por bilingües. El estudio se llevó a cabo en pacientes con cáncer ambulatorios y hospitalizados del Departamento Onco-hematológico y con enfermeras que trabajaban con pacientes de cáncer. Se evaluaron las siguientes propiedades psicométricas de la OAG: consistencia interna, validez concurrente con la escala de la mucositis de la OMS, la armonía interjueces entre dos enfermeras diferentes. También se recogió la percepción de los pacientes y enfermeras sobre la utilización de la OAG.resultados. Se obtuvo una adecuada versión española de la OAG. Todos los participantes (n=40) completaron el estudio. La consistencia interna con el alpha de Cronbach fue de 0,71 y la armonía interjueces obtuvo un índice de Kappa moderado y bueno en la mayoría de los ítems (k=0,4-0,81) excepto en "lengua y encía" (k=0,33-0,37). La validez concurrente con la escala de la mucositis de la OMS fue aceptable (r=0,458). Todas las enfermeras (n=6) consideraron que la escala era fácil de entender y útil en la práctica clínica. Los pacientes dijeron que no les pareció incómoda la valoración de la boca con la escala.conclusiones. La versión española de la OAG es un instrumento válido y fiable en pacientes con cáncer. Es una escala fácil de usar en la práctica clínica y bien aceptada por los pacientes.Palabras clave. Validación. Fiabilidad. Aspectos psicomé-tricos. Oral Assessment Guide (OAG). Cáncer. aBstractBackground. The Oral Assessment Guide (OAG) is a widely used tool designed for evaluating problems of oral mucous in cancer patients, but it has not been validated in Spanish. The aim of this work is to translate and validate into Spanish the scale of the OAG designed by Eilers.Method. The translation process was carried out using the method of back-translation by bilingual translators. The study was carried out with cancer patients, both outpatient and inpatients, of the Hematology/Oncology Department and with oncology nurses. The following psychometric properties of the OAG were evaluated: internal consistency, concurrent validity with WHO's mucositis scale, interjudge agreement between two different nurses. The perception of patients and nurses on the use of the OAG was also assessed.

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Educational issues in oral care

Cited by 25 publications

References 10 publications

Systematic review of basic oral care for the management of oral mucositis in cancer patients

Systematic review of basic oral care for the management of oral mucositis in cancer patients

Avaliação do nível de conhecimento de alunos de pós-graduação em Radiologia e Imaginologia sobre mucosite oral

Validity and reliability of the Spanish version of the oral assessment guide (OAG) in cancer patients

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