護理衛教對頭頸部癌症病人口腔照顧認知、健康信念及自我效能之成效

The Effects of Patient Education on Oral Care Cognition, Health Belief and Self-Efficacy in Head and Neck Cancer Patients

田沁潔(Chin-Chieh Tien) ； 賴惠玲(Hui-Ling Lai) ； 許文林(Wen-Lin Hsu) ； 彭逸稘(Yi-Chi Peng) ； 李茹萍(Ru-Ping Lee)

《實證護理》 3卷3期 (2007/09) Pp. 215-224

https://doi.org/10.6225/JEBN.3.3.215

摘要

Patients with head and neck cancer (HNC) often suffer from mucositis following radiation therapy. Mucositis causes great pain, which is an important nursing problem. The purpose of this quasi-experimental research was to examine the effects on HNC patients of a patient educational program, in relation to oral care cognition, health belief and self-efficacy. A total of 30 patients (the educational group) who met the inclusion criteria were selected from the radiation therapy department of a hospital in Hualien. Oral care cognition, health belief and self-efficacy were measured by structured questionnaire. Also, oral mucosa level and body weight were assessed before intervention and after two weeks of intervention. In order to compare the effects of patient education, 30 patients (the chart review group), under the charge of one doctor and meeting the inclusion criteria, were included by medical chart review. Their oral mucosa level and body weight data were collected. The results showed that the educational group had higher scores for oral care cognition, health belief and self-efficacy (p＜.001), but less damage to the mucosa and less body weight change during radiotherapy. In conclusion, an educational program for oral care during radiotherapy of patients with head and neck cancer not only increases patients' oral care cognition, health belief and self-efficacy, but also prevents damage to the mucosa and body weight change from radiotherapy.

關鍵字

病人衛教 ； 頭頸部癌症 ； 口腔照顧認知 ； 健康信念 ； 自我效能

並列摘要

Patients with head and neck cancer (HNC) often suffer from mucositis following radiation therapy. Mucositis causes great pain, which is an important nursing problem. The purpose of this quasi-experimental research was to examine the effects on HNC patients of a patient educational program, in relation to oral care cognition, health belief and self-efficacy. A total of 30 patients (the educational group) who met the inclusion criteria were selected from the radiation therapy department of a hospital in Hualien. Oral care cognition, health belief and self-efficacy were measured by structured questionnaire. Also, oral mucosa level and body weight were assessed before intervention and after two weeks of intervention. In order to compare the effects of patient education, 30 patients (the chart review group), under the charge of one doctor and meeting the inclusion criteria, were included by medical chart review. Their oral mucosa level and body weight data were collected. The results showed that the educational group had higher scores for oral care cognition, health belief and self-efficacy (p＜.001), but less damage to the mucosa and less body weight change during radiotherapy. In conclusion, an educational program for oral care during radiotherapy of patients with head and neck cancer not only increases patients' oral care cognition, health belief and self-efficacy, but also prevents damage to the mucosa and body weight change from radiotherapy.

並列關鍵字

patient educational program ； head and neck cancer ； oral care cognition ； health belief ； self-efficacy