DOI QR코드

DOI QR Code

A survey on the current status and the opinion of professional oral health care for oral cancer patients

구강암 환자의 전문가 구강건강관리 수행현황 및 견해조사

  • Yu, Ji-Won (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Shin, Bo-Mi (Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Song, Ga-In (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Lee, Sue-Hyang (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Yoo, Sang-Hee (Department of Dental Hygiene, College of Dentistry, Gangneung-Wonju National University) ;
  • Bae, Soo-Myoung (Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Shin, Sun-Jung (Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Lee, Hyo-Jin (Research Institute of Oral Science, Gangneung-Wonju National University)
  • 유지원 (강릉원주대학교 치과대학 치위생학과) ;
  • 신보미 (강릉원주대학교 구강과학연구소) ;
  • 송가인 (강릉원주대학교 치과대학 치위생학과) ;
  • 이수향 (강릉원주대학교 치과대학 치위생학과) ;
  • 유상희 (강릉원주대학교 치과대학 치위생학과) ;
  • 배수명 (강릉원주대학교 구강과학연구소) ;
  • 신선정 (강릉원주대학교 구강과학연구소) ;
  • 이효진 (강릉원주대학교 구강과학연구소)
  • Received : 2019.11.11
  • Accepted : 2019.11.29
  • Published : 2019.12.30

Abstract

Objectives: The purpose of this study is to identify the status and opinions of professional oral health care performance in oral cancer patients. Methods: Seven National University Dental Hospitals and the National Cancer Center in Korea surveyed the medical personnel in charge of oral health care for oral cancer patients. The questionnaire consisted of 16 questions, including the status of expert oral health care education and performance for oral cancer patients, etc. A total of 47 questionnaires were retrieved, and the collected data were used in PASW Statistics 23.0 to perform frequency analysis, cross-analysis, and kruskal Wallis tests. Results: A survey of oral health care education found that 29.8% of the medical personnel had received education. The most performed of professional oral health care was found that applying fluoride by dental hygienist, treating stomatitis by dentist, and wiping mouths with sponge by nurse. The assessment of self-performance has shown that applying fluoride by dental hygienists has a statistically significant difference. Only 37.8% of oral health care education for patients was conducted. Most recognized that oral health care in oral cancer patients was important, but it is difficult to provide care due to lack of performance personnel and time, opportunities for performance personnel to be educated. The improvement was found to require an increase in the number of performance personnel, placement of professionals, and practical training to enhance performance capabilities. Conclusions: For oral health care of oral cancer patients, continuous education for medical personnel, establishment of oral health care manual and medical system, research on oral health care of oral cancer patients and public relations campaign will have to be activated. Development of expert care manual analysis and evaluation tools for oral health care in oral cancer patients in the future and development of standardized curriculum will be necessary.

Keywords

References

  1. National Cancer Information Center. Cancer that I want to know. oral cancer [Internet]. National Cancer Information Center.[cited 2018 Nov 22]. Available from:https://www.cancer.go.kr/lay1/program/S1T211C223/cancer/view.do?cancer_seq=3461&menu_seq=3468
  2. Statistics Korea. Cancer registration statistics; Cancer incidence rate [Internet]. Statistics Korea.[cited 2019 May 28]. Available from: http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01#SelectStatsBoxDiv.
  3. Davis JM. Oral care of persons with cancer. In: Dental hygiene theory and practice. 3rd ed. Edited by Darby ML, Walsh MM: St. Louis Missouri: Saunders; 2010: 869-87.
  4. National Health Insurance Service. 2017 national health insurance statistical yearbook [Internet]. National Health Insurance Service.[cited 2019 Mar 22]. Avaliable from: https://www.nhis.or.kr/bbs7/boards/B0039/27967
  5. Jacquelyn F. Head and neck cancers. In: Prevention across the life span: A review of evidence-based interventions for common oral conditions. 1st ed. Edited by Ann ES, Fontinos SP: Charlotte; Colgate-Palmolive Company; 2017: 135-6.
  6. Kim YG, Kim YG, Kim MJ. Oral cancer. 1st ed. Seoul: Jsmall; 2002: 574.
  7. Centers for Disease Control and Prevention. Oral Cancer Monitoring [Internet]. Centers for Disease Control and Prevention: National Center for Health Statistics.[cited 2019 Mar 22]. Available from: https://www.cdc.gov/nchs/healthy_people/hp2000.htm
  8. Gajendra S, Cruz GD, Kumar JV. Oral cancer prevention and early detection: knowledge, practices, and opinions of oral health care providers in New York state. J Cancer Educ 2006;21(3):157-62. https://doi.org/10.1207/s15430154jce2103_14
  9. National Cancer Information Center. National cancer management project guide [Internet]. National Cancer Information Center.[cited 2019 May 28]. Availble from: https://www.cancer.go.kr/lay1/S1T549C550/contents.do
  10. Statistics Korea. Cancer registration statistics; Relative survival rate [Internet]. Statistics Korea.[cited 2019. Aug 6]. Available from: http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01#SelectStatsBoxDiv
  11. Kook MS, Kwon GH, Kwon DG, Kwon YD, Kim MG, Kim SG, et al. Clinical guideline of oral cancer. 2nd ed. Seoul: Korean Association of Oral and Maxillofacial Surgeons; 2016: 1-115.
  12. Lee YJ. Oral health care practices for hospitalized patients[Master's thesis]. Wonju: Univ. of Yonsei, 2017.
  13. Byun YS, Kim AK. The survey of mouth care among cancer patient received chemotherapy. Journal of the Korean Academy of Fundamentals of Nursing 1995;2(2):115-30.
  14. Moore KA, Ford PJ, Farah CS. Support needs and quality of life in oral cancer: a systematic review. Int J Dent Hygiene 2014;12(1):36-47. https://doi.org/10.1111/idh.12051
  15. Han JH, Shin MS, Hwang JM. Knowledge, attitude and beliefs about oral cancer of dept. of dental hygiene students. J Korean Soc Dent Hyg 2005;5(4):179-84.
  16. Lee SY. Comparison of curriculum between department of dental hygiene and dentistry[Master's thesis]. Daejeon: Univ. of Konyang, 2019.
  17. Sato J, Goto J, Harahashi Ai, Murata T, Hata H, Yamazaki Y, et al. Oral health care reduces the risk of postoperative surgical site infection in patients with oral squamous cell carcinoma. Support Care Cancer 2011;19(3):409-16. https://doi.org/10.1007/s00520-010-0853-6
  18. Li L, Yuan W, Zhang S, Wang K, Ruan H. Analysis of risk factors for pneumonia in 482 patients undergoing oral cancer surgery with tracheotomy. Journal of Oral and Maxillofacial Surgery 2016;74(2):415-9. https://doi.org/10.1016/j.joms.2015.08.018
  19. Shigeishi H, Ohta K, Fujimoto S, Nakagawa T, Mizuta K, Ono S, et al. Preoperative oral health care reduces postoperative inflammation and complications in oral cancer patients. Experimental and Therapeutic Medicine 2016;12:1922-8. https://doi.org/10.3892/etm.2016.3532
  20. FDI World Dental Federation. Oral cancer prevention and patient management [Internet]. FDI World Dental Federation.[cited 2019 Jun 19]. Available from: https://www.fdiworlddental.org/resources/toolkits/oral-cancer.
  21. Meurman JH, Gronross L. Oral and dental health care of oral cancer patients: hyposalivation, caries and infections. Oral Oncology 2010;46(6):464-7. https://doi.org/10.1016/j.oraloncology.2010.02.025