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Effect of the patient-to-patient communication model on dysphagia caused by total laryngectomy

Published online by Cambridge University Press:  18 January 2017

L Tian ,
R An ,
J Zhang ,
Y Sun ,
R Zhao  and
M Liu
L Tian
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Second Affiliated Hospital, Harbin Medical University, China
R An
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Second Affiliated Hospital, Harbin Medical University, China
J Zhang
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Second Affiliated Hospital, Harbin Medical University, China
Y Sun
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Second Affiliated Hospital, Harbin Medical University, China
R Zhao
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Second Affiliated Hospital, Harbin Medical University, China
M Liu*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Second Affiliated Hospital, Harbin Medical University, China
*
Address for correspondence: Dr M Liu, Department of Otorhinolaryngology, Head and Neck Surgery, Second Affiliated Hospital, Harbin Medical University, Harbin 150081, China Fax: +86 451 86605327 E-mail: [email protected]
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Abstract

Objective:

The study aimed to evaluate the effect of a patient-to-patient communication model on dysphagia in laryngeal cancer patients after total laryngectomy.

Methods:

Sixty-five patients who had undergone total laryngectomy were randomly divided into three groups: a routine communication group, a patient communication group (that received the patient-to-patient communication model) and a physician communication group. Questionnaires were used to compare quality of life and swallowing problems among all patient groups.

Results:

The main factors causing dysphagia in total laryngectomy patients were related to fear and mental health. The patient communication group had improved visual analogue scale scores at one week after starting to eat. Quality of life in swallowing disorders questionnaire scores were significantly higher in the patient communication and physician communication groups than in the routine communication group. In addition, swallowing problems were much more severe in patients educated to high school level and above than in others.

Conclusion:

The patient-to-patient communication model can be used to resolve swallowing problems caused by psychological factors in total laryngectomy patients.

Keywords

Laryngeal NeoplasmsQuality of LifeCommunicationDeglutition DisordersLaryngectomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 3 , March 2017 , pp. 253 - 258
Copyright
Copyright © JLO (1984) Limited 2017 

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