Effect of educational video on the student's knowledge about oral hygiene
               of patients undergoing chemotherapy

Stina, Ana Paula Neroni; Zamarioli, Cristina Mara; Carvalho, Emilia Campos de

doi:10.5935/1414-8145.20150028

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RESEARCH • Esc Anna Nery 19 (2) • Apr-Jun 2015 • https://doi.org/10.5935/1414-8145.20150028 copy

Effect of educational video on the student's knowledge about oral hygiene of patients undergoing chemotherapy

Authorship SCIMAGO INSTITUTIONS RANKINGS

Supervise dental conditions and teach oral hygiene are responsibility of the nurse. Patients on chemotherapy have risk factors for oral and systemic changes.

Objective:

To determine the effect of educational video on the cognitive and procedural knowledge of oral hygiene, the degree of importance that the student gives to procedure for the oral health of patients undergoing chemotherapy and evaluate the acceptance of this teaching strategy.

Methods:

Quasi - experimental study, before and after an intervention (video) with senior students of undergraduate nursing. Instruments were employed to evaluate start and end the cognitive and procedural knowledge about oral hygiene, analysis the relevance of the learning experience importance.

Results:

23 students participated in the study, 82% found the experience useful and 87 % would recommend to. Data showed increased cognitive and technical (p < 0.05) knowledge (p < 0.05) after the video.

Conclusion:

Educational video improved cognitive and procedural knowledge of undergraduate students in nursing; was well accepted and can be used in the multidisciplinary team training.

Nursing care; Oral Health; Knowledge; Oral Hygiene

Sentences	Before the video		After the video
Sentences	Correct	Incorrect/Unknown	Correct	Incorrect/Unknown
1. Dental plaque is composed of bacteria and food residues which adhere to the teeth when it hardens and forms tartar.	22	1	23	-
2. Dental plaque is formed immediately after food intake.	13	10	15	8
3. The correct hygiene of the teeth prevents gum inflammation, bleeding and softening of the teeth.	23	-	23	-
4. Dental caries can cause widespread infections in immunosuppressed individual	15	8	22	1
5. The oral cavity has microorganisms in its flora that can be the focus of infection.	19	4	23	-
6. The oral sanitation be done upon waking up and before going to sleep.	17	6	17	6
7. All structures (teeth, gums, tongue, cheek, palate and mouth floor) should be brushed.	18	5	10	13
8. Teeth brushing is recommended to remove plaque and rest of food from patients on chemotherapy.	20	3	22	1
9. Oral hygiene should be done until 60 minutes after meals.	2	21	4	19
10. The movements back and forth, circular and vertical are to be employed in brushing the back surface of the teeth.	4	19	16	7
11. At night time the actions of bacteria are smaller.	15	8	21	2
12. The sequence of hygiene steps comprises: flossing, brushing with toothbrush and use of mouthwash	4	19	20	3
13. When applied the mouthwash should be used for up to 30 seconds not to attack the mucous	2	21	15	8
14. The floss should be abolished in patients on chemotherapy treatment.	7	16	19	4
15. The use of toothbrush is contraindicated in patients taking chemotherapy, where manual removal with gauze should be applied.	11	12	19	4
16. The sequence of areas sanitized do not compromise the outcome of the procedure	4	19	3	20
17. The use of toothpaste with high abrasion is recommended to reduce the number of movements needed for mechanical cleaning.	8	15	19	4
18. The amount of toothpaste should be equivalent to a pea.	4	19	20	3

Steps	Before the video			After the video
Steps	Yes	No	Didn't do it	Yes	No	Didn't do it
1. Applied a small amount of toothpaste on the toothbrush.	17	6	-	23	-	-
2. Put the bristles angled between the gum and the tooth.	5	18	-	23	-	-
3. Brushed superior arcade with sweeping movements from top to bottom.	3	20	-	23	-	-
4. Brushed lower jaw with sweeping movements towards the bottom up.	3	20	-	23	-	-
5. Brushed inner part (rear) of the upper teeth with sweeping movements from top to bottom	5	18	-	23	-	-
6. Brushed inside (higher) lower teeth with sweeping movements towards the bottom up.	5	18	-	23	-	-
7. Placed toothbrush on the masticatory surface of the teeth horizontally, making smooth moves back and forth on all teeth.	10	13	-	23	-	-
8. Each of these movements was repeated approximately 10 times.	18	5	-	22	1	-
9. Spit the foam formed whenever necessary.	23	-	-	23	-	-
10. Rinse the toothbrush and mouth.	23	-	-	22	1	-
11. Brushed all the tongue from bach to front, with the bristles of the brush, as if sweeping it, to remove plaque formed in the tongue.	14	9	-	23	-	-
12. Rinsed the mouth again.	23	-	-	23	-	-
13. With about 30 cm wire/dental floss, held the most part of it with the middle finger of one hand and the rest the middle finger of the other.	14	9	-	20	3	-
14. Held the wire/floss stretched between the thumb and forefinger while maintaining a small space between them.	15	8	-	21	2	-
15. Gently slid the wire/floss between the teeth, bending it to form a "C" on the surface of each tooth and sliding it between the tooth and the gum.	13	10	-	21	2	-
16. Used about 10 ml of mouthwash, gargling for 1 minute.	12	11	-	18	5	-

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E-mail: annaneryrevista@gmail.com

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[1] Corresponding author: Cristina Mara Zamarioli. E-mail: cristinazamarioli@usp.br