두경부암 환자의 방사선치료 증례에서 맞춤형 자가 불소겔 도포 순응도와 구강건강 관련 삶의 질 간의 상관관계

Abstract

Objectives: The objectives of this study were to research the quality of life in the patients receiving radiotherapy for the head and neck cancer, and to evaluate the caries-preventive effect of fluoride gel application using a custom tray. Methods: The subjects of this study were 28 irradiated patients, ≥ 18 years of age, who had been treated for head and neck cancer from between 1998 to and 2007, aged 18 years or older andthe patients used the a customized fluoride carrier in order to apply fluoride gel for six ≥ 6 months and over. Each patients were was interviewed regarding their attitude to self- fluoride application using a custom tray and evaluated their quality of life using OHIP-14 (Oral Health Impact Profile-14 (OHIP-14) was determined. Then, the patients were classified into two groups and a comparative analysis was performed. Result: Self-consciousness about the preventive effects of fluoride application using a custom tray and the quality of life score using the OHIP-14 represented was higher in the compliance group (p＜0.01). Among each subscale of OHIP-14, the compliance group hads more a greater improvement ind quality of life than compared to the non-compliance group, the functional limitations, like such as worsened a decreased sense of taste, and pronunciation difficulties, and psychological discomfort, (p＜0.01) is were frequent problems (p＜0.01).statistically significant. The correlation between satisfaction measurement, self-consciousness about the preventive effects of self fluoride application, and quality of life score has had a positive tendency (p＜0.01), and the degree of self- consciousness for the dental treatment requireds had as negative relationship with the satisfaction measurement (p＜0.01). Conclusion: Self-fluoride gel application using a custom tray has positive effects on the quality of life in the patients receiving radiotherapy for the head and neck cancer.