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정연이 ( ) - 소속확인중
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Abstract
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Oral cavity changes have been recognized as a problem in cancer treatment but the lack of clear, concise and clinically useful tool for assessing such changes has interfered with nursing care for the patient receiving stomatoxic treatments.
The purpose of this study was to test the interrater reliability of an oral assessment guide.
The OAG(Oral Assessment Guide) defines three levels of defines three levels of descriptors for each of eight categories(voice, swallowing, lips, tongue, salivation, oral mucosa, gingiva & teeth).
To establish the interrater reliability of OAG, eight registered nurses assessed the oral cavities of the subjects.
The number of subjects was five, in which four patients who were undergoing stomatoxic therapy, and one without stomatotoxic therpy normal.
The results obtained :
1. The nurse/nurse interrater reliability using Kendall’s coefficient on concordance was W=0.894.
2. Swallowing was the most reliable(Kendall’s W=1) and the tongue was the least reliable (W=0.3140).
3. The order of reliability of 8 categories were swallowing, lips, salivation, gingiva, voice, oral mucosa, teeth and tongue.
High reliability of OAG among interrrators indicated the usefulness of this tool in the clinic. By carefully and systematically inspecting a person’s mouth, the nurse can detect alteration in oral status and provide early intervention. Additional testing of the OAG will help substantiate application of the tool.
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KeyWords
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Oral assessment guide
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원문 및 링크아웃 정보
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등재저널 정보
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