ĐÁNH GIÁ CHĂM SÓC ĐIỀU DƯỠNG VỀ TÁC DỤNG KHÔNG MONG MUỐN VIÊM NIÊM MẠC MIỆNG TRÊN BỆNH NHÂN UNG THƯ ĐẦU CỔ ĐIỀU TRỊ HOÁ XẠ TẠI BỆNH VIỆN K

Abstract

Objective: evaluating the efficace of nursing care for mucositis induced by chemoradiotherapy for the treatment of head and neck cancer at National Cancer Hospital. Patients and method: 65 patients were diagnosed of head and neck cancer and treated with chemoradiotherapy at National Cancer Hospital from 03/2022 to 10/2022. Method research was description prospective and cross-section. Results: Male patients were dominated (accounted for 67.7%) with 70.8% of patients less than 65 years old. ECOG 0 was the most common performant status, accounted for 70.1%, then ECOG 1 (69.3%). Most of patients had  history of smoking and/or drinking (72.3%). Major patients was diagnosed of nasopharyngeal cancer (55,4%). The majority of patients had grade 1 and 2 mucositis (accounted for 23.1% and 67.7%, respectively), six patients presented of grade 3. Mild and moderate local pain were most common symptoms, accounted for 35.8% and 58.5%, respectively. The percentage of weight loss < 5% was 43.1% of cases. The most patients were outpatient with education and nursing care, 11 cases presented with grade 3 toxicity and/or combined infections need medical treatment at hospital. Many patients improved mucositis condition after intervention and no report of complications. Conclusion: Mucositis induced by chemoradiotherapy was common adverse events in head and neck cancer. Internal medicine care plays an important role in improving patient’s symptoms and their quality of life, minimizing the treatment interruption.