A STUDY TO ASSESS THE EFFECTIVENESS OF ICE CUBE APPLICATION ON ORAL MUCOSITIS AMONG PATIENTS WITH HEAD AND NECK CANCER RECEIVING TREATMENT INJECTION 5-FLUROURACIL IN DEEPAK HOSPITAL JALNA, MAHARASHTRA.

ABSTRACT A STUDY TO ASSESS THE EFFECTIVENESS OF ICE CUBE APPLICATION ON ORAL MUCOSITIS AMONG PATIENTS WITH HEAD AND NECK CANCER RECEIVING TREATMENT INJECTION 5-FLUROURACIL IN DEEPAK HOSPITAL JALNA, MAHARASHTRA. A Quasi experimental study was conducted to assess the effectiveness of ice cube application on oral mucositis among patients with head and neck cancer receiving treatment injection 5- flurouracil in Deepak Hospital Jalna, Maharashtra. Data was collected from the patients of head and neck cancer with oral mucositis in Deepak Hospital Jalna, Maharashtra. The research design used for the study was two group pre-test and post-test design. 40 patients selected by convenient sampling technique. The pre-test was done by using oral mucositis index score (OMI) developed by WHO. After the pre-test, intervention was given as ice cube application for 30 minute up to 7 days. Then finally the post-test assessment was done to assess the effectiveness of ice cube application on reduction of oral mucositis among patients with head and neck cancer by using the oral mucositis index score (OMI). Paired‘t’ test was used for data analysis. The study was concluded that the ice cube application is effective to prevent oral mucositis among patients with head and neck cancer. Objectives of the study 1. To assess the pre-test grading of oral mucositis among patients with head and neck cancer receiving treatment injection 5- flurouracil in experimental group and control group. 2. To assess the post-test grading of oral mucositis among patients with head and neck cancer receiving treatment injection 5- flurouracil in experimental group and control group. 3. To compare the pre-test and post-test grading of oral mucositis among patients with head and neck cancer receiving treatment injection 5- flurouracil in experimental group and control group. 4. To associate the pre-test grading of oral mucositis among patients with head and neck cancer receiving treatment injection 5- flurouracil with their selected demographic variables and clinical variables in experimental group and control group. Method : The research approach adopted for present study was quantitative approach. The research design adopted for present study was two group pre-test and post-test design. Convenient sampling technique was used to select the samples. The total sample size for the research 40 samples. The independent variable was ice cube application on oral mucositis and dependent variable was reducing grading at oral mocositis in head and neck cancer patients. Structured tool was used. Major Finding of the study: 1. With regard to age, the majority of study subjects with head and neck cancer in were belong to 41-60 years of age (65% ). 2. Regarding gender, 65% of study subjects were female. 3. Based on educational status 70% of study subjects with head and neck cancer had primary education. 4. With regard to religion, 55% of study subjects with head and neck cancer were Hindu. 5. Majority of the study subjects with head and neck cancer 90% were Married. 6. Majority of the study subjects 30% were Coolie 7. Regarding personal habit, 35% of the study subjects were habituated to Pan. 8. Totally 70% of the study subjects were Non-Vegetarian. 9. Majority of the study subjects totalling 55% were belongs to Semi-Urban area. 10. The result shows that there was significant difference between OMI score in pre-test and post-test level of effectiveness of ice cube application on oral mucositis among patients with head and neck cancer in experimental group. Hence the stated hypothesis H1 was accepted. 11. The result shows that there was no association between pre-test level of effectiveness of ice cube application on oral mucositis in experimental group with age, gender, education status, religion, marital status, occupation, habits, dietary pattern and geographical location among patients with head and neck cancer. Hence the stated hypothesis H2 was rejected. Conclusion: The study result shows that, the treatment ice cube application was more effective to reduce chemotherapy (5-flurouracil) induced oral mucositis among head and neck cancer patients admitted in Deepak Hospital, Jalna, Maharashtra.