PENGARUH KOPI SEBAGAI MEDIA ORAL HYGIENE PADA PASIEN KANKER KEPALA LEHER TERHADAP KEJADIAN MUKOSITIS DAN TINGKAT KENYAMANAN

Abstract

Effects of Coffee as Oral Hygiene Media in Patient with Head and Neck Cancer on Mucositis Incidence and Comfort Level The incidence of oral mucositis occurs as much as 75-100% in patients with head neck cancer undergoing radiotherapy. Mucositis causes discomfort in the mouth, inability to tolerate food or fluids (dysphagia) and decreased nutritional status. The treatment of mucositis was usually perfomed by giving an oral hygiene agent with antiseptic fluid and is rarely done by using a coffee solution. The purpose of this study was to determine the effects of robusta coffee on the incidence of mucositis and comfort level. This study used a pre and post test quasi-experimental design with a control group. The samples were 16 patients in the control group and 16 patients in the intervention group selected by purposive sampling. The intervention wasin the form of oral hygiene using robusta coffee mixed with plain water. The data were taken for 5 days using WHO’s mucositis instrument and comfort level with Verbal Rating Comfort Scale. The results showed that the majority of respondents were of middle adult (68.9%), male gender (62.5%), undergoing radiotherapy for 16-20 times (37.7%), and having an underweight nutritional status (56.2 %). The average degree of mucositis prior to oral hygiene using coffee in the intervention group was 3, and the mean degree of mucositis after the intervention was 2. The patient’s comfort level before the intervention had an average grade of 5.4, and after the intervention, the mean value was 6.4. There were effects of oral hygiene with coffee in cancer patients on the incidence of mucositis and comfort level with a p-value <0.05. The study concluded that oral hygiene using robusta coffee solution could reduce the degree of mucositis and increased comfort level. Keywords: coffee; head and neck cancer; mucositis; oral hygiene