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Indian Journal of Cancer Education and Research

Volume  6, Issue 1, January-June 2018, Pages 73-84
 

Original Article

A Study to Evaluate Effectiveness of Application of Ice Cubes on Oral Mucositis among Clients Receiving Cancer Chemotherapy in Yashoda Hospitals, Twin Cities, A.P.

Chacko Sunitha Elizabeth

Clinical Instructor, 2nd year Basic BSc Nursing, Department of Medical & Surgical Nursing, Nerul, Mumbai, Maharashtra 400706, India.

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DOI: DOI: http://dx.doi.org/10.21088/ijcer.2321.9815.6118.9

Abstract

 

A Study To Evaluate Effectiveness of application of ice cubes on oral mucositis among clients receiving cancer chemotherapy in Yashoda Hospitals, twin cities, A.P. This study was undertaken by Miss. Sunitha Elizabeth Chacko in partial fulfillment of the requirement for the degree of master science in nursing under Dr. N.T.R. University of Health Sciences Gunadala, Vijayawada, and Andhra Pradesh. 

Objectives of the study: 1. To assess the severity of oral mucositis among experimental and control group by pre test. 2. To assess the effectiveness of ice cubes application on severity of oral mucositis among experimental group by post test. 3. To evaluate the severity of oral mucositis by application of ice cubes to the experimental group by post test. 4. To assess the severity of oral mucositis in control group by post test. 5. To find out the post test association between the severity of oral mucositis among experimental and control group with selected demographic variables. The research approach adopted for the study was evaluative approach and the research design adopted was quasi­experimental design. 40 oral mucositis clients, among which 20 oral mucositis clients who receiving cancer chemotherapy are in experimental group and 20 in control group, by using Purposive sampling. by using questioning method with structured questionnaire and assesses the severity of oral mucositis, by using WHO five point observation check list and assessed satisfactory level of clients who are receiving cancer chemotherapy, by using Smitten Satisfactory scale.The reliability of the tool was tested by using spearman brown split half method and it was found in experimental group to be r=0.9 and control group r=0. On the first day experimental group and control group severity of oral mucositis was assessed by using WHO grading scale. Application of ice cubes to the 20 experimental groups 5 minutes before the administration of chemotherapy for 30 minutes where as 20 control group didn’t receive any intervention. Severity of oral mucositis will assess from day 1 to 5. Among 5 days score, 5th day score is taken as final observational score of severity of oral mucositis in both experimental and control group. Data were analyzed by SPSS version ­ 15, paired and unpaired ‘t’ test was used for finding the effectiveness and Chi square test was used for finding out the association between severity of oral mucositis and selected demographic variables. The calculated value of ‘t’ (13.5427) is greater than the tabulated value of ‘t’ (2.0244) at 5% level of significance with 38df by means that researcher can conclude that there is significance difference between experimental group and control group among clients who are having oral mucositis and who are receiving chemotherapy. Hence it is concluded that after applied ice cubes on oral mucositis among clients receiving cancer chemotherapy of the clients have been decreased the severity level. This positive result is a clear indication that effectiveness of application of ice cubes on oral mucositis among clients receiving cancer chemotherapy. 

Keywords: Chemotherapy; mucositis.

 

 


Corresponding Author : Chacko Sunitha Elizabeth, Clinical Instructor, 2nd year Basic BSc Nursing, Department of Medical & Surgical Nursing, Nerul, Mumbai, Maharashtra 400706, India.