A study to assess the supportive care needs of post operative patients with oral cancer in B.R.A I.R.C.H, AIIMS, New Delhi.

Date 24 November 2018
Event ESMO Asia 2018 Congress
Session Poster display - Cocktail
Topics Supportive Measures
Head and Neck Cancers
Presenter Neenumol Paulose
Citation Annals of Oncology (2018) 29 (suppl_9): ix94-ix104. 10.1093/annonc/mdy438
Authors N. Paulose
  • Oncology, All India Institute of Medical Sciences, 110029 - Delhi/IN

Abstract

Background

The Indian sub-continent accounts for one-third of oral cancer burden in the world. Oral cancer and surgery can affect a person’s self-esteem and body image. The supportive care needs are many as these patients experience physical symptoms, social isolation and psychological distress during post-operative period.

Methods

The study was conducted at B.R.A.I.R.C.H, AIIMS, New Delhi. The data was collected by convenience sampling from 50 adults who underwent surgery for oral cancer during July 2017 to December 2017. A standardized self-structured supportive care need survey(SCNS) questionnaire assessed the perceived level of supportive care needs during hospital stay and at one month follow up. Descriptive and inferential statistics were used for data analysis. Ethical clearance was obtained from institutional ethics committee.

Results

80% patients were male. Majority of the patients underwent mandibulectomy (66%) modified neck dissection (60%) and regional flap reconstruction (56%). All of the post operative patients with oral cancer perceived need in Physical and daily living domain (100%), majority perceived need in Psychological domain (82%) and health system and information domain (56%) during hospital stay while majority of them perceived need in Physical and daily living domain (88.2%) and Psychological domain (55.7%) at one month follow up. The percentage of patients satisfied in patient care and support domain and health system and information domain during hospital stay were (46% and 28%) and one month follow up (58.1% and 51.1%). There was a significant decrease in the perceived level of need in Psychological domain of the post operative patients with oral cancer at one month follow up (26.92 + 7.33, 22.6 + 7.55) as compared to during hospital stay with p = 0.01,

Conclusions

The present study shows that there is need to support and care post-operative oral cancer patients in the physical and daily living domain and psychological domain even after their discharge from the hospital. Future studies with larger sample over extended period will yield much.

Editorial acknowledgement

Clinical trial identification

Legal entity responsible for the study

Neenumol Paulose.

Funding

Has not received any funding.

Disclosure

The author has declared no conflicts of interest.