Objective: To study the application effect of mouth-opening training sticks combined with oral massage on patients with mouth-opening difficulty after treatment for head and neck cancer. Methods: Using convenient sampling, 60 patients with mouth-opening difficulty after treatment for head and neck cancer admitted to the Oncology Department from February 2022 to October 2023 were selected for a 2-week exercise and nursing program. The patients were divided into a control group (February 1, 2022 to November 30, 2022) and an observation group (December 1, 2022 to October 31, 2023), with 30 patients in each group. The control group underwent routine mouth-opening functional exercises combined with cork for oral support training, while the observation group underwent routine mouth-opening functional exercises combined with oral massage and mouth-opening training sticks for oral support training. The mouth-opening degree, mouth-opening difficulty level, comfort level, compliance, and quality of life were observed in both groups. Results: Before the intervention, there were no statistically significant differences in mouth-opening degree and mouth-opening difficulty level between the two groups (P > 0.05). After the intervention, the mouth-opening degree, mouth-opening difficulty level, oral comfort level, compliance, and QLICP-HN scores in the observation group were all better than those in the control group, with statistically significant differences (P < 0.05). Conclusion: The combination of mouth-opening training sticks and oral massage with mouth-opening functional exercises can effectively improve the degree of mouth-opening difficulty, enhance oral comfort, increase compliance with mouth-opening exercises, and improve quality of life.
References
[1]
Wang, Y., Hu, Y., Xie, Z., etal. (2022) Summary of the Best Evidence for Nutritional Management of Patients with Head and Neck Cancer Radiotherapy. PLAJournalofNursing, 39, 63-67.
[2]
Wu, H., Zhou, Z., Zhang, C., Shen, S., Liu, J. and Zhang, C. (2021) The Progress of Post-Treatment Restricted Mouth Opening in Oral and Maxillofacial Malignant Tumor Patients. FrontiersofOralandMaxillofacialMedicine, 3, 7. https://doi.org/10.21037/fomm-20-52
[3]
Wang, L. (2018) The Impact of Comprehensive Nursing Intervention on the Prevention of Mouth Opening Difficulties in Patients with Nasopharyngeal Carcinoma after Radiotherapy. Medical Equipment, 31, 159-160.
[4]
Cui, W., Wu, J., Yuan, X., etal. (2020) Research on the Effect of Integrated Management Model of Medical Care and Health Care to Intervene in the Difficulty of Opening the Mouth of Patients with Nasopharyngeal Carcinoma Radiotherapy. NursingPracticeandResearch, 17, 97-98.
[5]
Chen, C., Zeng, L. and Liu, L. (2020) Applied Research on Feedback Teaching Method in Mouth Opening Training for Patients with Nasopharyngeal Carcinoma Radio-Therapy. ChineseJournalofPracticalNursing, 36, 31-35.
[6]
Wu, R., Wang, Y. and Chen, L. (2021) Analysis of the Effect of Inflatable Opening Trainer Combined with Oral Function Training Exercises on Patients with Limited Mouth Opening. JournalofWannanMedicalCollege, 40, 192-195.
[7]
Nakanishi, T., Shiga, T., Homma, Y., Koyama, Y. and Goto, T. (2016) Comparison of the Force Applied on Oral Structures during Intubation Attempts by Novice Physicians between the Macintosh Direct Laryngoscope, Airway Scope and C-Mac PM: A High-Fidelity Simulator-Based Study. BMJOpen, 6, e011039. https://doi.org/10.1136/bmjopen-2016-011039
[8]
LI, W., Kong, L., Zhang, X.E., etal. (2008) Secondary Advanced Skin Radiation Injury after Radiotherapy for Nasopharyngeal Carcinoma. ChineseJournalofRadiationMedicineandProtection, 28, 631-633.
[9]
Luo, X., Cao, D. and Chen, M. (2019) Effect of Continuing Nursing on Compliance with Mouth Opening Training and Functional Rehabilitation of Patients with Nasopharyngeal Carcinoma. QiluJournalofNursing, 25, 57-59.
[10]
Mañas, A., Palacios, A., Contreras, J., Sánchez-Magro, I., Blanco, P. and Fernández-Pérez, C. (2009) Incidence of Oral Mucositis, Its Treatment and Pain Management in Patients Receiving Cancer Treatment at Radiation Oncology Departments in Spanish Hospitals (MUCODOL Study). ClinicalandTranslationalOncology, 11, 669-676. https://doi.org/10.1007/s12094-009-0422-y
[11]
Luo, J., Wan, C., Meng, Q., etal. (2007) Development and Evaluation of the Chinese Head and Neck Cancer Quality of Life Scale QLICP-HN. Modern PreventiveMedicine, 34, 4023-4025.
[12]
Watters, A.L., Cope, S., Keller, M.N., Padilla, M. and Enciso, R. (2019) Prevalence of Trismus in Patients with Head and Neck Cancer: A Systematic Review with Meta-Analysis. Head&Neck, 41, 3408-3421. https://doi.org/10.1002/hed.25836
[13]
Scherpenhuizen, A., van Waes, A.M.A., Janssen, L.M., Van Cann, E.M. and Stegeman, I. (2015) The Effect of Exercise Therapy in Head and Neck Cancer Patients in the Treatment of Radiotherapy-Induced Trismus: A Systematic Review. OralOncology, 51, 745-750. https://doi.org/10.1016/j.oraloncology.2015.05.001
