Oral health of chemotherapy patients before and after provision of oral hygiene instructions at a tertiary care hospital: pre-post design.
BMC Oral Health
; 24(1): 655, 2024 Jun 04.
Article
in En
| MEDLINE
| ID: mdl-38835001
ABSTRACT
OBJECTIVE:
Disturbances in the oral mucosa is a major concern among patients undergoing chemotherapy. One of the most significant barriers in the implementation of oral care is the lack of knowledge. The aim of the study was to assess gingival and periodontal health status of chemotherapy patients before and after the provision of oral hygiene instructions.METHODS:
A single group, pre-post test was conducted to assess oral health status of patients at the daycare chemotherapy, Aga Khan University Hospital, Karachi, Pakistan. Oral hygiene instructions were given with study models and leaflets. Patients were followed for 6-weeks. Oral health was assessed by using Simplified-Oral Hygiene Index (OHI-S) and Community Periodontal Index (CPI). Differences in indices were analyzed in STATA version-15.0 using Generalized Estimating Equation (GEE) and Wilcoxon Signed-rank test.RESULTS:
Out of 74, 53 (72%) patients completed study follow-up. Improvement in the OHI-S was found in 14 (26%) patients (p-value < 0.001). GEE showed that age [adjusted OR = 1.10; 95% CI 1.03-1.11], current chemotherapy cycle [adjusted OR = 1.19; 95% CI 0.98-1.46], highest education level [Adjusted OR = 1.37; 95% CI 1.08-12.7] and cancer therapy [Adjusted OR = 0.12; 95% CI 0.24-0.55] were significantly associated with the change in OHI-S. Wilcoxon signed-rank test showed positive changes in the CPI (p-value < 0.001).CONCLUSIONS:
Basic oral hygiene instructional intervention can be effective in improving the oral hygiene of chemotherapy patients. Nurses should also play a key role in providing psychological and nutritional support to patients.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Oral Hygiene
/
Oral Health
/
Antineoplastic Agents
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Asia
Language:
En
Journal:
BMC Oral Health
Journal subject:
ODONTOLOGIA
Year:
2024
Document type:
Article
Affiliation country:
Pakistán
Country of publication:
Reino Unido