Journal of Korean Academy of Nursing

Original Articles

The Effects of Oral Cryotherapy on Oral Mucositis, Reactive Oxygen Series, Inflammatory Cytokines, and Oral Comfort in Gynecologic Cancer Patients Undergoing Chemotherapy: A Randomized Controlled Trial: Nayeon Shin, Younhee Kang; J Korean Acad Nurs 2019;49(2):149-160. Published online April 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.2.149

Purpose

The purpose of this study was to examine the effects of oral cryotherapy on oral mucositis, reactive oxygen series, inflammatory cytokines, and oral comfort in patients undergoing chemotherapy for gynecologic cancers.

Methods

Participants were randomly assigned to the experimental group (n=25, receiving oral cryotherapy during chemotherapy) and the control group (n=25, receiving the usual care consisting of 0.9% normal saline gargles three times before meals). Oral mucositis was assessed using the oral assessment guide, while oral comfort was assessed using the oral perception guide. Reactive oxygen series was measured as total oxidant stress, and the level of two inflammatory markers, interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α), were examined. The data were analyzed using t-test, chi-square test, Fisher's exact test, Mann-Whitney U-test, and repeated measures analysis of variance.

Results

There was a significant difference in the oral mucositis score, reactive oxygen series score, TNF-α level, and oral comfort score between the two groups, and there were significant changes over time and in the group-by-time interactions. There was a significant difference in the IL-6 score between the two groups, but there were no significant changes over time or in the group-by-time interactions.

Conclusion

The study results revealed that oral cryotherapy was more effective than the usual care regime of normal saline gargles for reducing oral mucositis, reactive oxygen series, and inflammatory cytokines and for improving oral comfort in gynecologic cancer patients undergoing chemotherapy.

Citations

Citations to this article as recorded by

Effect of an Oral Care Program with Honey on Chemotherapy-related Mucositis among Cancer Patients
Bo Ram Song, Hye-Ja Park
Journal of Health Informatics and Statistics.2024; 49(1): 9. CrossRef
Effectiveness of Photobiomodulation and Oral Cryotherapy on Oral Mucositis Among Patients Undergoing Chemotherapy Conditioning Prior to Hematological Stem Cell Transplantation
Xin Chan, Lyn Tay, Shi Jed Yap, Vivien Xi Wu, Piyanee Klainin-Yobas
Seminars in Oncology Nursing.2023; 39(3): 151405. CrossRef
CLINICAL EXPERIENCE OF LOCAL HYPOTHERMIA USAGE IN THE COMPREHENSIVE TREATMENT OF ORAL LICHEN PLANUS
Irina Firsova, Valerij Mikhalchenko, Yulia Fedotova, Sergej Krajnov, Alexandra Popova, Aleksandra Khvan
Actual problems in dentistry.2022; 18(2): 109. CrossRef
The Effects of Oral Cryotherapy on Nausea, Vomiting, Oral Mucositis, and Oral Pain in Breast Cancer Patients Undergoing Chemotherapy
So-Yeong Kim, Haeng-Mi Son
Asian Oncology Nursing.2020; 20(3): 132. CrossRef

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The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy: Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung; J Korean Acad Nurs 2019;49(4):472-485. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.472

Abstract PDF

Abstract Purpose

This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy.

Methods

The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants’ health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0.

Results

Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group.

Conclusion

The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.

Citations

Citations to this article as recorded by

The Effect of Group Education Reflecting Unmet Needs on Knowledge of Chemotherapy for Patients and Their Families Undergoing Chemotherapy: A One Group Pre-Post Design
Seyoung Lee, Hoyoung Kim, Nayeon Kim, Misun Yi, Ayoung Lee, Seonmi Cho, Minsun Nam, Juhee Cho
Asian Oncology Nursing.2024; 24(1): 42. CrossRef
Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
Yun-La Hur, Eun-Jeong Hong
Asian Oncology Nursing.2024; 24(3): 155. CrossRef
The Effects of Chemotherapy Education Reflecting Educational Needs on Self-Care Knowledge and Performance in Female Cancer Patients: A Non-Equivalent Control Group Pretest-Posttest Design
Jin Hee Jun, Se-Na Lee
Asian Oncology Nursing.2024; 24(3): 103. CrossRef
Effectiveness of teach‐back for chronic kidney disease patient education: A systematic review
Hemamali M. H. Jagodage, Amanda McGuire, Charrlotte Seib, Ann Bonner
Journal of Renal Care.2024; 50(2): 92. CrossRef
Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
Boyeon Lee, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216. CrossRef
Analysis of Telephone Counseling of Patients in Chemotherapy Using Text Mining Technique
Seoyeon Kim, Jihyun Jung, Heiyoung Kang, Jeehye Bae, Kayoung Sim, Miyoung Yoo, Eunyoung, E. Suh
Asian Oncology Nursing.2022; 22(1): 46. CrossRef
Evaluating a theory-based intervention for improving eHealth literacy in older adults: a single group, pretest–posttest design
Sun Ju Chang, Kyoung-eun Lee, Eunjin Yang, Hyunju Ryu
BMC Geriatrics.2022;[Epub] CrossRef
Effects of the teach-back method among cancer patients: a systematic review of the literature
Seonhwa Choi, Jahyun Choi
Supportive Care in Cancer.2021; 29(12): 7259. CrossRef

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Comparing the Effects of Drug Therapy, Physical Therapy, and Exercise on Pain, Disability, and Depression in Patients with Chronic Low Back Pain: Ja Kyung Ko; Journal of Korean Academy of Nursing 2007;37(5):645-654. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.645

Abstract PDF

Purpose

This research was conducted to compare the effects of drug therapy, physical therapy, and exercise on pain, disability, and depression in patients with chronic low back pain.

Methods

The research design of this study was a nonequivalent control group pretest-posttest design. The subjects of this study were 28 patients for the drug therapy & physical therapy, 24 patients for the drug therapy & exercise, and 22 patients for the physical therapy & exercise. Data was collected by MVAS, Oswestry disability questionnaires, and questionnaires of depression. It was analyzed by paired t-test for effectiveness, ANOVA, and Scheffe for comparison of the effects of the 3 experimental treatments, using SPSS/WIN 12.0.

Results

There were no effects of drug therapy & physical therapy on pain, disability, and depression. However, there were effects of drug therapy & exercise and the physical therapy & exercise on pain, disability, and depression. The effects of physical therapy & exercise on pain, disability, and depression were the greatest, but there was no statistically significant differences between the drug therapy & exercise and the physical therapy & exercise.

Conclusions

Exercise is regarded as a more effective and easily accessible nursing intervention to apply alone than drug therapy or physical therapy simultaneously in reducing pain, disability and depression.

Citations

Citations to this article as recorded by

The Effect of Stretching on Lumbar Muscle Flexibility, Isokinetic Parameters and Lower Extremity Function
Ye-Won Lee, Jun-Ho Yoo, Dong Yeop Lee, Jae Ho Yu, Jin Seop Kim, Seung Gil Kim, Yeon-Gyo Nam, Jihoen Hong
The Journal of Korean Physical Therapy.2024; 36(4): 145. CrossRef
Analysis of Recent Research Trends in Thread Embedding Acupuncture for Low Back Pain
Yae Gi Min, Hyang Gi Lim, Hyun Jong Lee, Jung Hee Lee, Sung Chul Lim, Yun Kyu Lee, Jae Soo Kim
Journal of Acupuncture Research.2024; 41(2): 96. CrossRef
Effects of Breathing Exercise of Pilates on Dysfunction and Lumbar Flexibility in Patients with Chronic Non-Specific Low Back Pain
Sooyong Lee, Yusik Choi
Physical Therapy Rehabilitation Science.2023; 12(3): 268. CrossRef
Effect of Exercise Stage-Matched Intervention for Elderly Women with Chronic Back Pain in the Contemplation and Preparation Stage
Hyun-Ju Oh, Soon-Rim Suh, Mihan Kim
Korean Journal of Adult Nursing.2019; 31(4): 414. CrossRef
The effect of abdominal drawing-in exercise and myofascial release on pain, flexibility, and balance of elderly females
Seong Hun Yu, Yong Hyeon Sim, Myung Hoon Kim, Ju Hee Bang, Kyung Hyun Son, Jae Woong Kim, Hyun Jin Kim
Journal of Physical Therapy Science.2016; 28(10): 2812. CrossRef
Effect of Spinal Stabilization Exercise and Manual Therapy on Visual Analogue Scale and Oswestry Disability Index in Acute or Subacute Patients with Low Back Pain
Eun-Young Park, Won-Ho Kim
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(4): 1792. CrossRef
Effects of the Hand Acupressure and Lumbar Strengthening Exercise on Women with Lower Back Pain
Eun Young Jeon
journal of east-west nursing research.2013; 19(2): 63. CrossRef
Adaptation Experience to Work of Nurses with Low Back Pain
Jin-Hyang Yang
Korean Journal of Adult Nursing.2013; 25(6): 597. CrossRef
A Study of Pain, Depression, and Adjustment to Military Life of Soldiers with Low Back Pain
Ji-Hyun Lee, Jong-Im Kim
Journal of muscle and joint health.2010; 17(2): 173. CrossRef
Effects of a Strengthening Program for Lower Back in Older Women with Chronic Low Back Pain
Hee-Kyoung Hyoung
Journal of Korean Academy of Nursing.2008; 38(6): 902. CrossRef

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