Effectiveness of Selected Interventions on Reduction of Holistic Symptoms and Prognosis of Patients with Head and Neck Cancer in a Selected Hospital, Kanya Kumari District

This study looked into the impact of a few therapies on patients with head and neck cancer’s overall symptoms and prognosis. With random sampling technique, a quasi experimental pre-test post-test design was used (random allotment of weeks: Group I-patient admitted in 1st and 3rdweek and Group II patient admitted in 2ndand 4th week). A total of 200 patients were included in the study’s sample (100 patients in Group I and 100 patients in Group II). Both groups of patients received interventions: Group I received counselling (day 1 and day 7), financial support, and oral care for 6 days (1-6 days), and Group II received counselling (day 1 and day 7). (day 1 and day 7), 6 days of cash assistance, oral care, and music therapy (1-6 days). Both groups had a pretest on the first day and a posttest on the seventh day. Data was gathered utilising a structured questionnaire and an interview schedule to analyse socio-demographic and clinical information. Check for physiological, psychological, and spiritual symptoms with this 20-item symptom checklist. To determine the severity of pain, use the universal pain evaluation scale. Tool for evaluating sleep, blood pressure, and pulse rate, as well as other physiological parameters. To assess the quality of life, a modified University of Washington quality of life questionnaire with 20 divisions was created. The standardised radiation mucositis scale is used to determine the severity of the ulcer. Both descriptive and inferential statistics were used in the analysis. Group II received music therapy and experienced a significant reduction in physiological symptoms (Mean score on day 7 is 11.20 and paired ‘t’ test 20.638, P value 0.001) and psychological symptoms (Mean score on day 7 is 13.82 and paired ‘t’test 14.296, P value 0.001) compared to Group I (Mean score on day 7 is 13.82 and paired ‘t’test 14.296, P value 0.001). (Group II Mean score on day 7 is 3.32 and Group I Mean score on day 7 is 6.49, F test 167.395, P value 0.001). Oral care combined with music therapy had an impact on oral mucositis (on day 1, 62 percent of Group II participants had ulceration, whereas no one had ulceration on day 7). The patients in Group II had a longer average mean sleep duration (Mean score on day 1 is 4.13, day 7 is 4.41) than those in Group I. (Mean score on day 1 is 4.41 and on day 7 is 7.02). This indicated that music treatment increased sleep duration in Group II patients. Patients in Group 1 (day 1: 26.6, day 7: 29.44) and Group 2 (day 1: 29.44, day 7: 51.74), F test 16.48, P value 0.001. It reveals that music therapy had a greater impact on patients in Group II’s quality of life than patients in Group I. The ANCOVA F value for Group I (Day 1 7.76 and Day 7 6.28), Group II (Day 1 6.28 and Day 7 2.51) is 1098, P value 0.001). This demonstrated the efficacy of music therapy in lowering pain. As a result, the study found that music therapy, in addition to counselling, financial support, and oral care, considerably reduced holistic symptoms, systolic and diastolic blood pressure, pain, and oral mucositis, as well as greatly increased sleep length and quality of life.

Author (S) Details

Santhi Appavu
Department of Medical Surgical Nursing, Christian College of Nursing, Neyyoor, The Tamilnadu Dr. M. G. R. Medical University, Chennai, India.

S. Kalavathi
Rani Meyyammai College of Nursing, Annamalai University, India.

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