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J Adv Nurs. 2019 May;75(5):1010-1017. doi: 10.1111/jan.13896. Epub 2018 Nov 19.

Effects of oral hygiene programme and home phone counselling for hepatitis C patients receiving antiviral treatment.

Author information

1
Department of Nursing, Chang Jung Christian University, Tainan, Taiwan.
2
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan.
3
College of Medicine, Chang Gung University, Taoyuan, Taiwan.
4
Department of Nursing, Chang Gung University of Science and Technology, Chiayi, Taiwan.
5
Department of Nursing, Chang Gung University, Taoyuan, Taiwan.
6
Department of Cardiology, Chang Gung Memorial Hospital, Chiayi, Taiwan.

Abstract

in English, Chinese

AIMS:

To explore the effectiveness of an oral hygiene programme combined with home phone counselling on hepatitis C patients during antiviral treatment.

BACKGROUND:

Hepatitis C virus infection is the leading cause of liver diseases. Evidence indicates that the antiviral treatment for hepatitis C virus infection has been successful, albeit its many side effects, such as discomfort symptoms of oral ulcers, which, in turn, leads to discontinued treatment. Inappropriate oral hygiene may worsen the side effects and increase the risk of dropping out of the treatment.

DESIGN:

A quasi-experimental pre-post-test design was used.

METHODS:

The oral hygiene programme was based on a standardized protocol of oral health care combined with home phone counselling. The participants were recruited from an outpatient clinic between August 2016 and July 2017. The generalized estimating equation was used for repeated measures of oral health behaviour, oral health status and discomfort symptoms.

FINDINGS:

Thirty-four participants completed this study. The findings indicated that the oral hygiene programme significantly improved tooth brushing, use of dental floss and oral comfort. The result showed that the participants' oral health status significantly improved in 3 months.

CONCLUSIONS:

This pilot study supports the finding that an oral hygiene programme can reduce oral discomfort, improve oral hygiene behaviour, and enhance the oral health status of hepatitis C patients receiving treatment. This is a simple and low-cost programme, which can be performed at home easily and boosts the completion of antiviral treatment.

KEYWORDS:

antiviral treatment; early prevention; hepatitis C; infection; nursing; oral health status; oral hygiene; plaque index

PMID:
30375059
DOI:
10.1111/jan.13896

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