الفهرس 
Title : Impact of nursing instructions on selected outcomes among paticts with head and neck cancer
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Abstract
Treatment of head and neck cancer with radiotherapy becoming increasingly
effective but may result in several undesired complications as oral mucositis, xerostomia,
dysphagia, trismus, mucosal infections, and pain. These complications can lead to marked
weight loss and nutrient deficiencies because of decreased oral intake rate. So, it is important
to provide patients with nursing instructions through oral care and pain management and
nutritional modifications to reduce theses complications. Aim: Was to evaluate the impact of
nursing instructions on selected patients’ outcomes (oral mucositis, oral pain, weight loss and
the results of laboratory studies (hemoglobin and albumin) among patients with head and neck
cancer receiving radiotherapy. Design: Non-equivalent control group time series qausiexperimental
design was used. Setting: The study was carried out at the oncology unit in kaser
El -Aini Hospital. Cairo University. Sample: A convenient sample of 80 patients with head
and neck cancer was recruited for this study from oncology unit. Tools: Four tools were used
to collect data: Demographic and Medical Background Information Form, National Cancer
Institute Scoring for Mucositis. The Pain Numeric Rating Scale and weight scale. Results:
Showed that there were no statistically significant differences between the study and control
groups before implementing nursing instructions. As regards total mean scores of oral
mucositis and oral pain after implementing nursing instructions, there were statistically
significant differences among the study and control groups at three weeks (t = 3.7 P = 0.0001),
(t = 3.7 P = 0.0001) respectively, and at six weeks (t = 3.3 P = 0.0001), (t = 3.3 P = 0.0001)
respectively. Also, concerning hemoglobin level, there were statistically significant
differences among the study and control groups at six weeks (t = 1.9 P = 0.05). Conclusion:
The Provision of nursing instructions for patient with head and neck cancer undergoing
radiotherapy had significant effect on reducing radiation induced oral mucositis and its
associated oral pain as well as preserving hemoglobin value. Recommendations: Endorse the
nursing instructions before starting radiotherapy sessions for those patients to ensure positive