الفهرس 
Pediatric chemotherapyOnly 14 pages are availabe for public view
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Abstract
Oral mucositis is a common chemotherapy side effect. Lack of knowledge and presence of conflicting information regarding prevention and management of children having oral mucositis influences the quality of care and children’s health. Poor knowledge related to prevention and management of oral mucositis continue to be the most prevalent childhood health issues encountered by nurses. Pediatric nurses with a comprehensive understanding and knowledge of oral care practices should be able to educate children and parents about oral care and contribute to the improvement of children’s oral health status.The purpose of the study was to: -Examine the effect of providing planned mouth care intervention on the grade of oral mucositis in children receiving chemotherapy.Research design: -Aquasi-experimental design was used to assess the effect of planned of planned mouth care intervention on the grade of oral mucositis among children receiving chemotherapy.Setting: -This study was conducted at Pediatric Oncology and Hematology Unit,Menoufia University Hospital.Sampling: -A purposive sample of 60 children and their mothers who were diagnosed with cancer and received chemotherapy in the selected setting were included in the study and their mothers. Then, a simple random sample was done to assign them into two equal groups (study and control groups).Each group contained 30 children. Study group received planned oral care intervention. Control group only followed routine hospital care. Instruments of the study: -Four instruments were utilized and developed for data collection.Instrument one: Knowledge of Oral Care Structured Interview questionnaire sheet. This instrument was developed by the investigator based on a review of relevant literature (Peterson and Bores-Doets, 2015). It was divided in to three parts : Part one: Social characteristic of studied children and their mothers, part two: Medical data and part three: Children and mother’s knowledge. Instrument two: Mouth Care Observational checklist. It was developed by the investigator after a review of literature (Yavuz and Bal Yilmaz, 2015). It was developed to assess mothers and children practices about planned mouth care. It included three phases (before, during and after the procedure).Instrument three: Children’s International Mucositis Evaluation Scale(ChIMES). It was adopted from Tomlinson et al., (2010) . It was used for evaluating oral mucositis and mucositis related symptoms in pediatric oncology patients.Instrument four: World Health Organization Oral Mucositis Index: It was adopted from WHO (2013) to assess changes in the levels of chemotherapy-related oral mucositis. The mucositis severity was measured on a scale ranging from 0 to 4 on the basis of the severity of erythema, edema, ulceration and pain.The main results of the study showed that:
1. The mean age of children in study group was 14.4±1.3 years and the mean age of children in control group was 13.9±2.7 years.2. One third of studied children (33.3 %) of children in study group were on preparatory school education while about one third of studied children (33.3%) in control group were on primary school education.3. The mean age of mothers in study group was31.6 ±2.7 years and the mean age of mothers in control group was 29.9±3.1 years. 4. More than half of children in study group (53.4%) suffered from Leukemia while less than half of children (46.7%) on control group were suffering from brain and CNS tumors.5. Mean score of total children’s knowledge and their mothers on study group in pretest were (14.9±1.9, 15.4±1.2 respectively) compared to (19.8±1.6 ,16.5±0.7 respectively ) on posttest.6. Mean total practice scores on study and control groups pretest were (8.7± 2.5,7.6±3.2 respectively) compared to (40.6±5.9 , 8.1±1.5 respectively) on posttest.7. There was very highly significant positive correlation between total knowledge and total practices at 0.0001 % level of statistical significance.8. Mean level of severity of pain scores on study group posttest was 1.7 ±0.4compared to 13.1±2.2 control group posttest.The study concluded that:Children who followed planned mouth care intervention before chemotherapy(study group) reported less severe grades of oral mucositis than children who didn’t follow it (control group). All children and their mothers on the study group had higher level of knowledge on posttest compared to pretest .Children and their mothers on the study group had higher level of practice posttest compared to pretest .Based on the results of the study, it was recommended that:1. Integrating planned mouth care intervention must be a daily routine care to decrease severity and grade of oral mucositis in children receiving chemotherapy.2. Education nurses( continuing training nurses ) should be available in oncology clinics to educate children and parents about oral mucositis and its potential symptoms.3. Advanced booklets and electronic media regarding mouth care intervention should be available at each pediatric unit.4. Further studies should be applied on a larger samples to investigate the effects of education programs on mucositis severity to ensure the generalizability of results.5. Future studies should focus on the evaluation and comparison of efficacy of other different mouth care regimens.