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EFFECTIVENESS OF COCONUT OIL PULLING ON ORAL MUCOSITIS
AMONG CANCER PATIENTS IN A SELECTED HOSPITAL AT MADURAI.
Mr. Chinna
Chadayan N
Ph.DSchloar, Himalayan University, Itangar ,Arunachal Pradesh Professor cum
Principal, GIMSAR School & College of Nursing, Cuttack.
Original Research Paper
Nursing
INTRODUCTION
“Oral cavity is the mirror of the body”.
- Sir William Osler.
India oral cancer has the highest number of cases of in the world and
this is increasing.Mucositis is the painful inammation and ulceration
of the mucous membranes lining the digestive tract, usually as an
adverse effect of chemotherapy and radiotherapy treatment for cancer.
Alimentary tract mucositis increases mortality and morbidity and
contributes to rising health care costs.
Approximately 400,000 patients per year may develop acute or
chronic oral complications during chemotherapy. Some degree of oral
mucositis occurs in approximately 40% of patients who receive cancer
chemotherapy. At least 75% of patients who receive conditioning
regimens (chemotherapy with or without total body irradiation)
develop oral mucositis.
Background of the Study
A good way of treating oral mucositis is with coconut oil .The way
coconut oil works is that it has anti-viral, anti-bacterial and anti-fungal
properties and which can help to combat viruses, bacteria and fungus
that can be found in a persons mouth and will cause ulcers. The
MCFA's (medium chain fatty acids) nd in coconut oil which is rapidly
absorbed in to the body and thus the healing process is accelerated.
MCFA's which are in coconut oil also help to enhance the body's own
immune system and thus help it to ght viruses, fungus and bacterial
problems. Also coconut oil is great for helping a person's intestinal
system by killing any fungi found in the intestinal tract.
Above are a number of reasons as to why coconut oil can not only help
to treat and heal mouth ulcers but also it helps prevent them from
forming. Also coconut oil is not messy to apply to the ulcer; it is one of
the traditional treatments and is completely edible and natural.
Need for the study
Annually, nearly 12 million cases are diagnosed with cancer, in India
there are about 1150 cases per 100,000 are diagnosed with cancer, in
Tamil Nadu there are about 112.3 cases per 100,000 are diagnosed,
among than 85 % cancer patients receive chemotherapy, radiation
therapy (RT).
Oral mucositis causes, restricts oral intake, may act as a portal of entry
for organisms, frequently contributes to interruption of therapy, may
increase the use of antibiotics and narcotics, may increase the length of
hospitalization, and may increase the overall cost of treatment. Patients
with oral mucositis have a relative risk of septicemia. And hence this
motivated the researcher to take up this project.
Objective of the study
To evaluate the effectiveness of coconut oil pulling on oral mucositis
among cancer patients.
Hypothesis
The coconut oil pulling is effective in reducing the severity of oral
mucositis among cancer patients.
METHODS AND MATERIALS
The quasi - experimental pretest and post test design with control
group was used to evaluate the effectiveness of coconut oil pulling on
oral mucositis among cancer patients.The samples were selected by
adopting non probability convenient sampling technique and decided
to select 60 samples, among which 30 for experimental and 30 for
control group, the cancer patients who had oral mucositis, admitted in
Devaki cancer hospital and research institute at Madurai.
Coconut oil pulling Technique Intervention& tool
About 5 ml of coconut oil was given for oil pulling early in the morning
for 7 continuous days; the coconut oil pulling was done for complete 5
minutes, after 7 days of duration, severity of mucositis was assessed
with Standardized WHO oral mucositis rating scale oral mucositis
ratting scale among both the groups.
Data Analysis
The demographic variables were analyzed by using descriptive
measures. The effectiveness of coconut oil pulling on the severity of oral
mucositis was analyzed by using paired 't' test. Association between the
severity of oral mucositis among the cancer patients with the selected
demographic variables were analyzed by using chi square test.
Major Findings
Section: I Data On Assessment Of Severity Of Oral Mucositis Among
Cancer Patients.
Table: 2 Frequency and percentage distribution pre and post test
of coconut oil pulling on oral mucositis patients among cancer on
experimental and control group.
N = 60
Oral cancer is one of the fatal health problems faced by the mankind today in India due to cultural , ethnic factors and the
addictive habits, oral cancer ranks in top three of all cancer deaths in India (Mehrotra, R., Pandya, S., Chaudhary, A. K.,
Kumar, M., & Singh, M. 2008). The common oral complications from cancer treatment include the oral mucositis. Coconut oil is edible and has
anti-viral, anti-bacterial and anti-fungal and soothing effect and it has been proven an effective remedy against oral health issues.The objective
was to evaluate the effectiveness of coconut oil pulling on oral mucositis among cancer patients.
The research design adopted was quasi-experimental post test design with control group with Non-probability convenient sampling
technique was adopted to select the desired sample. The sample size was 60. The researcher used structured self interview questionnaire
with standardized WHO Oral Mucositis Ratting Scale to assess the severity of oral mucositis . Coconut oil pulling technique was
administered to the experimental group.
The data were analyzed by using both descriptive and inferential statistical methods. Paired 't' test was used to evaluate the effectiveness of
coconut oil pulling on oral mucositis among cancer patients. The ndings revealed that the coconut oil pulling reduced the severity of oral
mucositis among cancer patients.
ABSTRACT
KEYWORDS : Effectiveness, Coconut Oil Pulling, Oral mucositis, Cancer patients.
Volume -10 | Issue - 5 | May - 2020 | . PRINT ISSN No 2249 - 555X | DOI : 10.36106/ijar
S.No.
GRADE
Experimental Group
Control Group
Pre-test
Post-test
Pre-test
Post-test
n
%
n
%
n
%
n
%
1
Grade 0
-
-
7
23%
-
-
-
-
2
Grade 1
3
10%
15
50%
5
17%
-
-
3
Grade 2
13
43%
8
27%
20
66%
3
10%
4
Grade 3
14
47%
-
-
5
17%
21
70%
5
Grade 4
-
-
-
-
-
-
6
20%
64
INDIAN JOURNAL OF APPLIED RESEARCH
Table 1. Reveals that, pre test and post test score among experimental
group, none were under the grade 0 of pre test and 7(23%) were under
grade 0 of post test, 3(10%) were under grade 1 of pre test and 5(50%)
were under grade 1 of post test, 13(43%) were under grade 2 of pre test
and 8(27%) were under grade 2 of post test,14(47%) were under grade
3 of pre test and none were under grade 3 of post test,none were under
grade 4 of pre test and none were under grade 4 of post test.
It also reveals that, pre test and post test score among control group,
none were under the grade 0 of pre and post test, 5(17%) were under
grade 1 of pre test and none were under post test, 20(66%) were under
grade 2 of pre test and 3(10%) were under grade 2 of post test,5(17%)
were under grade 3 of pre test and 21(70%) were under grade 3 of post
test,none were under grade 4 of pre test and 6(20%) were under grade 4
of post test.
Section: II Data On Effectiveness Coconut Oil Pulling On Oral
Mucositis Among Cancer Patients.
Table: 2.1 Mean, Standard Deviation, Mean Difference and 't'
Value of Post-test on coconut oil pulling on oral mucositis among
cancer patients in Experimental and Control Group.
N = 60
[df = 29, table value =2.045, p<0.05 (signicant) ]
Table 2.1 Reveals that, among control group, the post-test mean was
3.10, standard deviation was 0.55 and experimental group post-test
mean 1.03, standard deviation 0.72 and mean difference was 29, the't'
value was 13.04 that is signicant at 0.05 level.
Hence, the hypothesis stated was accepted.
Mean, Standard Deviation, Mean Difference and 't' Value of Pre-
test and Post-test on coconut oil pulling on oral mucositis among
cancer patients in Experimental Group.
Table: 2.2
N = 60
[df = 29, table value = 2.045, p<0.05 (signicant) ]
Table 2.2 Reveals that, among experimental group, the pre-test mean
was 2.37,standard deviation was 0.69 and experimental group post-test
mean 1.03, standard deviation 0.72 and mean difference was 29, the't'
value was 10.27that is signicant at 0.05 level.
Hence, the hypothesis stated was accepted.
DISCUSSION
The present study revealed that coconut oil pulling helps to reduce the
severity of mucositis& reduced the conception of analgesics. The
obtained't' value were signicant, p<0.05 level .It implies that there
was a greater effect of coconut oil pulling technique on oral mucositis .
There was signicant association between the severity of oral
mucositis and monthly income in experimental group. There was no
association between age, sex, education, habit of smoking, habit of
betel leaf chewing, source of information and type of cancer treatment.
(p<0.05).The study ndings is congruent withIn 2001, Singh osbarhir,
Holovacs, Calvley and Spenser conducted a study on effectiveness of
coconut oil pulling on oral mucositis.
CONCLUSION
To conclude it showed an imperative need to understand the purpose of
coconut oil pulling technique regarding the reduction on severity of
oral mucositis among cancer patients. Coconut oil pulling is very
effective on severity of oral mucositis among cancer patients in
treating and healing oral mucositis by which the standard and life of the
cancer patients will be promoted.
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Volume -10 | Issue - 5 | May - 2020 | . PRINT ISSN No 2249 - 555X | DOI : 10.36106/ijar
Group
Mean
S.D
t-value
Experimental Pre test
Experimental post test
2.37
1.03
0.69
0.72
10.27
INDIAN JOURNAL OF APPLIED RESEARCH
65
