The impact of total laryngectomy: the patient's perspective.

Hdl Handle:
http://hdl.handle.net/10147/207732
Title:
The impact of total laryngectomy: the patient's perspective.
Authors:
Noonan, Brendan J; Hegarty, Josephine
Affiliation:
School of Nursing and Midwifery, University College Cork, South, Infirmary-Victoria University Hospital, Cork, Ireland. b.noonan@ucc.ie
Citation:
Oncol Nurs Forum. 2010 May;37(3):293-301.
Journal:
Oncology nursing forum
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207732
DOI:
10.1188/10.ONF.293-301
PubMed ID:
20439213
Abstract:
PURPOSE/OBJECTIVES: To describe the experiences of patients who had total laryngectomy from their perspective. RESEARCH APPROACH: Descriptive, qualitative study.Setting: Participants' homes or investigator's hospital office. PARTICIPANTS: 10 patients after total laryngectomy. METHODOLOGIC APPROACH: Data were collected by semistructured, open-ended interviews during a period of six months, with an interview topic guide built on the framework of the literature review. Data were analyzed with descriptive content analysis. Trustworthiness of the study was enhanced through the use of verbatim quotations, audible data analysis trail, and a reflexive approach. MAIN RESEARCH VARIABLES: Patients' experiences of undergoing total laryngectomy. FINDINGS: Patients who have undergone a total laryngectomy report difficulties and concerns that are largely functional and psychological. The functional difficulties reported included descriptions of altered swallow, excess phlegm, speech difficulties, weak neck muscles, and altered energy levels. The psychological concerns reported included descriptions of depression, regrets, and personal resolve. CONCLUSIONS: As a group, patients experience a broad range of problems well after completion of treatment, reinforcing the need for rehabilitation management for prolonged periods after surgery. INTERPRETATION: Nurses are suitably positioned to support this group of patients across the disease management trajectory, from the initial preoperative period to the postoperative period and through to the rehabilitative period and beyond.
Language:
eng
MeSH:
Activities of Daily Living/psychology; *Adaptation, Psychological; Aged; *Attitude to Health; Cost of Illness; Deglutition Disorders/etiology; Depression/etiology; Female; Humans; Ireland; Laryngectomy/*adverse effects/nursing/*psychology/rehabilitation; Male; Middle Aged; Nursing Methodology Research; Oncologic Nursing; Qualitative Research; Quality of Life/psychology; Questionnaires; Social Support; Speech Disorders/etiology
ISSN:
1538-0688 (Electronic); 0190-535X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorNoonan, Brendan Jen_GB
dc.contributor.authorHegarty, Josephineen_GB
dc.date.accessioned2012-02-01T10:42:19Z-
dc.date.available2012-02-01T10:42:19Z-
dc.date.issued2012-02-01T10:42:19Z-
dc.identifier.citationOncol Nurs Forum. 2010 May;37(3):293-301.en_GB
dc.identifier.issn1538-0688 (Electronic)en_GB
dc.identifier.issn0190-535X (Linking)en_GB
dc.identifier.pmid20439213en_GB
dc.identifier.doi10.1188/10.ONF.293-301en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207732-
dc.description.abstractPURPOSE/OBJECTIVES: To describe the experiences of patients who had total laryngectomy from their perspective. RESEARCH APPROACH: Descriptive, qualitative study.Setting: Participants' homes or investigator's hospital office. PARTICIPANTS: 10 patients after total laryngectomy. METHODOLOGIC APPROACH: Data were collected by semistructured, open-ended interviews during a period of six months, with an interview topic guide built on the framework of the literature review. Data were analyzed with descriptive content analysis. Trustworthiness of the study was enhanced through the use of verbatim quotations, audible data analysis trail, and a reflexive approach. MAIN RESEARCH VARIABLES: Patients' experiences of undergoing total laryngectomy. FINDINGS: Patients who have undergone a total laryngectomy report difficulties and concerns that are largely functional and psychological. The functional difficulties reported included descriptions of altered swallow, excess phlegm, speech difficulties, weak neck muscles, and altered energy levels. The psychological concerns reported included descriptions of depression, regrets, and personal resolve. CONCLUSIONS: As a group, patients experience a broad range of problems well after completion of treatment, reinforcing the need for rehabilitation management for prolonged periods after surgery. INTERPRETATION: Nurses are suitably positioned to support this group of patients across the disease management trajectory, from the initial preoperative period to the postoperative period and through to the rehabilitative period and beyond.en_GB
dc.language.isoengen_GB
dc.subject.meshActivities of Daily Living/psychologyen_GB
dc.subject.mesh*Adaptation, Psychologicalen_GB
dc.subject.meshAgeden_GB
dc.subject.mesh*Attitude to Healthen_GB
dc.subject.meshCost of Illnessen_GB
dc.subject.meshDeglutition Disorders/etiologyen_GB
dc.subject.meshDepression/etiologyen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshLaryngectomy/*adverse effects/nursing/*psychology/rehabilitationen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshNursing Methodology Researchen_GB
dc.subject.meshOncologic Nursingen_GB
dc.subject.meshQualitative Researchen_GB
dc.subject.meshQuality of Life/psychologyen_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshSocial Supporten_GB
dc.subject.meshSpeech Disorders/etiologyen_GB
dc.titleThe impact of total laryngectomy: the patient's perspective.en_GB
dc.contributor.departmentSchool of Nursing and Midwifery, University College Cork, South, Infirmary-Victoria University Hospital, Cork, Ireland. b.noonan@ucc.ieen_GB
dc.identifier.journalOncology nursing forumen_GB
dc.description.provinceMunster-

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