Tsae-Jyy Wang1, Jung-Hui Su2, Kam-Wing Leung3, Shu-Yuan Liang4, Shu-Fang Wu5, Hung-Ming Wang6. 1. School of Nursing, National Taipei University of Nursing and Health Science, Taipei, Taiwan. Electronic address: tsaejyy@ntunhs.edu.tw. 2. Department of Nursing, Yuan's General Hospital, Kaohsiung City, Taiwan. Electronic address: y3048@yuanhosp.com.tw. 3. Department of Oral and Maxillofacial Surgery, Yuan's General Hospital, Kaohsiung City, Taiwan. Electronic address: leungjaso@gmail.com. 4. School of Nursing, National Taipei University of Nursing and Health Science, Taipei, Taiwan. Electronic address: shuyuan@ntunhs.edu.tw. 5. School of Nursing, National Taipei University of Nursing and Health Science, Taipei, Taiwan. Electronic address: shufang@ntunhs.edu.tw. 6. Department of Hemtotolgy/Oncology, Chang Gung Memorial Hospital at Linkou and Chang Gung University, Taiwan. Electronic address: whm526@adm.cgmh.org.tw.
Abstract
PURPOSE: The purpose of the study was to investigate the effects of a mouth-opening intervention for postoperative trismus and remote support provided via telephone following hospital discharge for intervention adherence in patients with oral cancer. METHODS: The study is a parallel randomized trial. Patients admitted at a general hospital for oral cancer surgery were recruited and randomly assigned to either the experimental or the active control group. Both groups underwent a 12-week intervention program, including warm compress, masticatory muscle massage, and jaw exercise. Subjects in the experimental group received additional support via telephone following hospital discharge. Data on intervention adherence maximum interincisal opening and mandibular function impairment were collected at baseline, week 4, and week 12. RESULTS:Sixty subjects (30 in each group) that completed the study were included in the analysis. At week 12, the intervention practice time in the experimental group was 299.67 min (95% CI: 223.44-357.89) more than that of the active control group. From baseline to week 12, the change in maximum interincisal opening was 10.30 mm (95% CI: 8.22-12.37) greater in the experimental than in the active control group. The change in mandibular function impairment score was -0.36 (95% CI: -0.44 to -0.28) greater in the experimental than in the active control group. CONCLUSIONS: The study results support the effect of remote support via telephone for enhancing adherence to the intervention protocol, and the effect of the intervention program for alleviating trismus and mandibular function impairments in patients who receive curative surgery for oral cancer.
RCT Entities:
PURPOSE: The purpose of the study was to investigate the effects of a mouth-opening intervention for postoperative trismus and remote support provided via telephone following hospital discharge for intervention adherence in patients with oral cancer. METHODS: The study is a parallel randomized trial. Patients admitted at a general hospital for oral cancer surgery were recruited and randomly assigned to either the experimental or the active control group. Both groups underwent a 12-week intervention program, including warm compress, masticatory muscle massage, and jaw exercise. Subjects in the experimental group received additional support via telephone following hospital discharge. Data on intervention adherence maximum interincisal opening and mandibular function impairment were collected at baseline, week 4, and week 12. RESULTS: Sixty subjects (30 in each group) that completed the study were included in the analysis. At week 12, the intervention practice time in the experimental group was 299.67 min (95% CI: 223.44-357.89) more than that of the active control group. From baseline to week 12, the change in maximum interincisal opening was 10.30 mm (95% CI: 8.22-12.37) greater in the experimental than in the active control group. The change in mandibular function impairment score was -0.36 (95% CI: -0.44 to -0.28) greater in the experimental than in the active control group. CONCLUSIONS: The study results support the effect of remote support via telephone for enhancing adherence to the intervention protocol, and the effect of the intervention program for alleviating trismus and mandibular function impairments in patients who receive curative surgery for oral cancer.
Authors: Sara C Parke; David Michael Langelier; Jessica Tse Cheng; Cristina Kline-Quiroz; Michael Dean Stubblefield Journal: Curr Oncol Rep Date: 2022-02-19 Impact factor: 5.075