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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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References

1 Karatzanis, AD, Psychogios, G, Waldfahrer, F, Kapsreiter, M, Zenk, J, Velegrakis, GA et al. Management of locally advanced laryngeal cancer. J Otolaryngol Head Neck Surg 2014;43:4 Google Scholar
2 Gourin, CG, Starmer, HM, Herbert, RJ, Frick, KD, Forastiere, AA, Eisele, DW et al. Short- and long-term outcomes of laryngeal cancer care in the elderly. Laryngoscope 2015;125:924–33Google Scholar
3 Johansson, M, Rydén, A, Finizia, C. Self evaluation of communication experiences after laryngeal cancer: a longitudinal questionnaire study in patients with laryngeal cancer. BMC Cancer 2008;8:80 Google Scholar
4 Braz, DS, Ribas, MM, Dedivitis, RA, Nishimoto, IN, Barros, AP. Quality of life and depression in patients undergoing total and partial laryngectomy. Clinics (Sao Paulo) 2005;60:135–42Google Scholar
5 Ramírez, MJ, Ferriol, EE, Doménech, FG, Llatas, MC, Suárez-Varela, MM, Martínez, RL. Psychosocial adjustment in patients surgically treated for laryngeal cancer. Otolaryngol Head Neck Surg 2003;129:92–7Google Scholar
6 Grassi, L, Travado, L, Moncayo, FL, Sabato, S, Rossi, E, SEPOS Group. Psychosocial morbidity and its correlates in cancer patients of the Mediterranean area: findings from the Southern European Psycho-Oncology Study. J Affect Disord 2004;83:243–8Google Scholar
7 Cho, J, Choi, EK, Kim, SY, Shin, DW, Cho, BL, Kim, CH et al. Association between cancer stigma and depression among cancer survivors: a nationwide survey in Korea. Psychooncology 2013;22:2372–8CrossRefGoogle ScholarPubMed
8 McHorney, CA, Bricker, DE, Kramer, AE, Rosenbek, JC, Robbins, J, Chignell, KA et al. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia 2000;15:115–21Google Scholar
9 McHorney, CA, Robbins, J, Lomax, K, Rosenbek, JC, Chignell, K, Kramer, AE et al. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia 2002;17:97–114 Google Scholar
10 McHorney, CA, Bricker, DE, Robbins, J, Kramer, AE, Rosenbek, JC, Chignell, KA. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: II. Item reduction and preliminary scaling. Dysphagia 2000;15:122–33Google Scholar
11 Pauloski, BR. Rehabilitation of dysphagia following head and neck cancer. Phys Med Rehabil Clin N Am 2008;19:889–928 Google Scholar
12 Hilarius, DL, Kloeg, PH, Gundy, CM, Aaronson, NK. Use of health-related quality-of-life assessments in daily clinical oncology nursing practice: a community hospital-based intervention study. Cancer 2008;113:628–37Google Scholar
13 Relic, A, Mazemda, P, Arens, C, Koller, M, Glanz, H. Investigating quality of life and coping resources after laryngectomy. Eur Arch Otorhinolaryngol 2001;258:514–17Google Scholar
14 Zheng, Y, Liu, M, Li, M, Zhang, J, Ge, J, Sun, Y et al. The influence of the ‘patient-to-patient model’ on swallowing problems in patients with supraglottic laryngeal cancer. ORL J Otorhinolaryngol Relat Spec 2014;76:171–7Google Scholar
15 Ayres, A, Jotz, GP, Rieder, CR, Schuh, AF, Olchik, MR. The impact of dysphagia therapy on quality of life in patients with Parkinson's Disease as measured by the Swallowing Quality of Life Questionnaire (SWALQOL). Int Arch Otorhinolaryngol 2016;20:202–6Google Scholar
16 Robertson, SM, Yeo, JC, Dunnet, C, Young, D, Mackenzie, K. Voice, swallowing, and quality of life after total laryngectomy: results of the west of Scotland laryngectomy audit. Head Neck 2012;34:59–65 Google Scholar
17 Guibert, M, Lepage, B, Woisard, V, Rives, M, Serrano, E, Vergez, S. Quality of life in patients treated for advanced hypopharyngeal or laryngeal cancer. Eur Ann Otorhinolaryngol Head Neck Dis 2011;128:218–23Google Scholar
18 Pereira da Silva, A, Feliciano, T, Vaz Freitas, S, Esteves, S, Almeida, E Sousa, C. Quality of life in patients submitted to total laryngectomy. J Voice 2015;29:382–8Google Scholar
19 Ganly, I, Patel, S, Matsuo, J, Singh, B, Kraus, D, Boyle, J et al. Postoperative complications of salvage total laryngectomy. Cancer 2005;103:2073–81Google Scholar
20 Matsushita, T, Matsushima, E, Maruyama, M. Psychological state, quality of life, and coping style in patients with digestive cancer. Gen Hosp Psychiatry 2005;27:125–32Google Scholar
21 Allison, PJ, Nicolau, B, Edgar, L, Archer, J, Black, M, Hier, M. Teaching head and neck cancer patients coping strategies: results of a feasibility study. Oral Oncol 2004;40:538–44CrossRefGoogle ScholarPubMed
22 Fawzy, FI, Canada, AL, Fawzy, NW. Malignant melanoma: effects of a brief, structured psychiatric intervention on survival and recurrence at 10-year follow-up. Arch Gen Psychiatry 2003;60:100–3Google Scholar
23 Hilton, BA. Family communication patterns in coping with early breast cancer. West J Nurs Res 1994;16:366–88Google Scholar