To Evaluate the Effectiveness of Awareness Program on Self Care Management among Patients Undergoing Radiotherapy

Background: Cancer is one of the main life-threatening disease among all diseases. Besides a large number of care efforts dedicated to this disease in the health system, cancer also imposes high costs on society. Aim of the Study: To evaluate the effectiveness of awareness program on self care management among patients undergoing radiotherapy. Methods: In this, study participants are a head and neck cancer patient, Interventional approach, The one group pre-test and post-test design. The head and neck cancer patient having an age group of more than 20 years will be included as per inclusion/exclusion criteria. The efficacy of the awareness program on management of self care in undergoing radiotherapy patients will be assessed by a structured knowledge questionnaire and perception questionnaire on radiotherapy. Each test having 20 items and the duration of the test will be 20 min. The pre-test will be assessed first day then the informational booklet on self care management undergoing radiotherapy will be provided to each patient and after seven days post-test will be assessed. Expected Outcome: Primary outcomes include evaluation of the efficacy of awareness on self care management in patients undergoing radiotherapy. Secondary outcomes involve Association of Knowledge and perception score related to management of self care among radiotherapy receiving patients related to their demographic variable. Conclusion: The study will be drawn from the results and after that article will be published in the peer-review journal.

LITERATURE REVIEW : CHARACTERISTIC ANALYSIS PHYSICAL CHEMISTRY PROPERTIES (ACIDITY, FLOW RATE, CONSISTENCY) SALIVA RADIOTHERAPY HEAD & NECK CANCER PATIENT

Background: Head and Neck Cancer (oral, nose, pharynx, and larynx area) are 890.000 new cases and 450.000 deaths in 2018. One of the treatment’s Radiotherapy affects saliva’s quality in physicochemical properties (flow rate, consistency, and acidity). Physicochemical properties are analyzed because they can influence saliva’s quality. The study is to get updated analysis about physicochemical properties’ saliva in Radiotherapy of Head and Neck Cancer Patient. Method: There are 39.972 articles, searched in Google Scholar, Academia, and Microsoft Academy database. The articles that are connected with keywords topic are 52 articles with abstract and title screening processes. The next process is selecting articles and getting 17 excluding articles and 35 including articles. The total articles are 35 articles. Therefore, they’re ready to be analyzed.Result: Major result of the analysis is radiotherapy affecting patients with Xerostomia. There’s a reducing flow rate, increasing consistency, and pH decrease in the acute phase. In the late phase, physicochemical properties’ saliva quality is decreased because of high ionizing radiation damaging DNA and membrane of the acinar cell. Primary saliva became hypertonic because protein kinase A enzyme and protein kinase C enzyme fail to do phosphorylation to build protein materials in the acinar cell. Conclusion: Radiotherapy making Xerostomia impact decreasing physicochemical properties’ quality in head and neck cancer. Education is the main thing to take Xerostomia’s complications for maintaining OHI like teeth brushing, chlorhexidine, fluoride or salivary stimulant application, and others. Analysis can be developed for the observation of consistency outcomes based on quantity.