Abstract
Objective Through establishment of prevention and control guideline for radioactive oral cavity mucositis (radiotherapy-induced oral mucositis, RTOM), to guide nursing staff to strengthen the prevention and control for RTOM in patients with head and neck tumor, thereby improving the quality of nursing. Methods Through evidence-based literature retrieval, interview chemoradiation division staff and RTOM cases, the common problems in nursing management of RTOM prevention and control were concluded and analyzed. According to related evidence-based nursing practice, prevention and control guidelines was established. Through establishment of a multidisciplinary team and process for prevention and control of RTOM, strengthening RTOM specialty and related assessment scale training, health education propaganda material and quality control measures were made. Results After the implementation of prevention and control guidance, the incidence of grade Ⅲ RTOM reduced to 16.7% from 40.0%; pain score (Numerical Rating Scale, NRS) reduced from (3.90±0.76) points to (1.67±1.07) points (P<0.05). Conclusions The prevention and control guideline has better clinical guidance on RTOM in patients with head and neck tumor. Key words: Head and neck tumor; Radiation therapy; Oral mucositis; Management
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