Implementation of a hospital oral care protocol and recording of oral mucositis in children receiving cancer treatment : a retrospective and a prospective study
| Autor: | Akram F. Qutob, Gabrielle Allen, Dorothy M. K. Keefe, Tamas Revesz, Sumant Gue, Richard M. Logan |
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| Přispěvatelé: | Qutob, Akram F, Allen, Gabrielle, Gue, Sumant, Revesz, Tamas, Logan, Richard M, Keefe, Dorothy |
| Rok vydání: | 2012 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent MEDLINE Oral Health children Clinical Protocols Neoplasms South Australia Mucositis Medicine childhood cancer Humans Prospective Studies hospital Sex Distribution Prospective cohort study implementation Child Stomatitis Pain Measurement Retrospective Studies Protocol (science) Medical Audit business.industry Nursing research Incidence (epidemiology) Incidence Infant Retrospective cohort study oral care protocol medicine.disease humanities body regions Hospitalization stomatognathic diseases Oncology Child Preschool Female business oral mucositis |
| Zdroj: | Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 21(4) |
| ISSN: | 1433-7339 |
| Popis: | Purpose: This retrospective/prospective study was carried out to implement a standardized hospital oral care protocol and record the incidence of oral mucositis for inpatients with childhood cancer. Methods: The implementation process included stages of collaboration, consultation, education, and evaluation. The retrospective part of the study documented the existing hospital oral care protocol and audited medical records of all pediatric patients diagnosed with cancer over a 12-month period. The frequency of recorded oral mucositis and the rate of referral to the pediatric dentistry department were assessed. Following evaluation of the retrospective study, the literature was searched to create a new hospital oral care protocol. Referral to the dental department was standardized and frequent in-service presentations were given to staff. The oral mucositis scale was recorded daily for all inpatients, and compliance rates were assessed. Results: Fifty-nine patients' medical records were audited during the retrospective study. Oral mucositis prevalence was clearly documented at 34%, while an additional 20% lacked a definitive diagnosis. During the prospective study, 38 patients were followed and had a verified incidence of oral mucositis of 33%. The rate of compliance of implementing the oral mucositis scale improved from 41% during the first 4 months to 87% during last 3 months. Referral rates to the dental department increased from 53% during the retrospective study to 100% during the prospective study. Conclusions: Mutual understanding and collaboration between the oncology and dental departments in hospitals is crucial for standardizing patient care and for improving oral care standards |
| Databáze: | OpenAIRE |
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