Relationships Among Time Elapsed Since Hospital Discharge, Conversation Method, and QOL in Laryngectomized Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/304138
Category:
Abstract
Type:
Presentation
Title:
Relationships Among Time Elapsed Since Hospital Discharge, Conversation Method, and QOL in Laryngectomized Patients
Author(s):
Iwanaga, Kazuyo; Takahashi, Aya; Suzukamo, Yoshimi; Kotake, Kumiko; Nagamatsu, Yuki; Haba, Kaori; Kawamoto, Rieko; Kai, Ichiro
Lead Author STTI Affiliation:
Non-member
Author Details:
Kazuyo Iwanaga, RN, MS, kazuyons@adm.fukuoka-u.ac.jp; Aya Takahashi, RN, PHN, MSN; Yoshimi Suzukamo, PhD; Kumiko Kotake, PhD, RN, MSN; Yuki Nagamatsu, RN, MSN; Kaori Haba, RN, PHN, MSN; Rieko Kawamoto, PhD, RN; Ichiro Kai, MD, MPH;
Abstract:

Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013

Purpose:

Ascertaining the relationships among time elapsed since hospital discharge, conversation method, and quality of life (QOL) in laryngectomized patients

Methods:

Overall, 174 patients who underwent laryngectomy at four Japanese hospitals consented to participate. Of these, those who responded to surveys at three, six, and twelve months post-discharge were considered subjects. The surveys addressed age, gender, conversation methods, and QOL. The SF-36v2(NBSpoint), sent by post, evaluated QOL. Descriptive statistics of basic attributes and QOL scores were calculated. Conversation methods were classified into “alternative voice” and “non-voice.” A t-test evaluated the relationships among number of months since hospital discharge, conversation method, and QOL (p < 0.05). This study was approved by the ethics committee of our institution.

Results:

The patients’ (152 males; 22 females) mean age at laryngectomy was 64.7 years (range: 39–82 years). The alternative voice group had 32, 38, and 29 patients, respectively, at three, six, and twelve months post-discharge. The non-voice group had 59, 41, and 22 patients at the same stages. QOL scores on the standardized role-physical subscale (RP_N) were low for both groups at three months post-discharge. No relationship was found among time elapsed since discharge, conversation method, and QOL.

Conclusion:

The proportion of patients using voice communication increased with the time elapsed since discharge. Recovery from the invasive procedure probably affected voice acquisition. However, many patients still used non-voice communication probably because of the small number of esophagotracheal fistula surgeries performed in Japan and the difficulty in acquiring esophageal speech. No relationship was found between conversation method and QOL, indicating that QOL was affected by other factors.

Keywords:
conversation method; laryngectomized patients; Quality of life
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleRelationships Among Time Elapsed Since Hospital Discharge, Conversation Method, and QOL in Laryngectomized Patientsen_GB
dc.contributor.authorIwanaga, Kazuyoen_GB
dc.contributor.authorTakahashi, Ayaen_GB
dc.contributor.authorSuzukamo, Yoshimien_GB
dc.contributor.authorKotake, Kumikoen_GB
dc.contributor.authorNagamatsu, Yukien_GB
dc.contributor.authorHaba, Kaorien_GB
dc.contributor.authorKawamoto, Riekoen_GB
dc.contributor.authorKai, Ichiroen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsKazuyo Iwanaga, RN, MS, kazuyons@adm.fukuoka-u.ac.jp; Aya Takahashi, RN, PHN, MSN; Yoshimi Suzukamo, PhD; Kumiko Kotake, PhD, RN, MSN; Yuki Nagamatsu, RN, MSN; Kaori Haba, RN, PHN, MSN; Rieko Kawamoto, PhD, RN; Ichiro Kai, MD, MPH;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304138-
dc.description.abstract<p>Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013</p><b>Purpose: </b> <p>Ascertaining the relationships among time elapsed since hospital discharge, conversation method, and quality of life (QOL) in laryngectomized patients <p><b>Methods: </b> <p>Overall, 174 patients who underwent laryngectomy at four Japanese hospitals consented to participate. Of these, those who responded to surveys at three, six, and twelve months post-discharge were considered subjects. The surveys addressed age, gender, conversation methods, and QOL. The SF-36v2(NBSpoint), sent by post, evaluated QOL. Descriptive statistics of basic attributes and QOL scores were calculated. Conversation methods were classified into “alternative voice” and “non-voice.” A t-test evaluated the relationships among number of months since hospital discharge, conversation method, and QOL (<i>p </i>< 0.05). This study was approved by the ethics committee of our institution. <p><b>Results: </b> <p>The patients’ (152 males; 22 females) mean age at laryngectomy was 64.7 years (range: 39–82 years). The alternative voice group had 32, 38, and 29 patients, respectively, at three, six, and twelve months post-discharge. The non-voice group had 59, 41, and 22 patients at the same stages. QOL scores on the standardized role-physical subscale (RP_N) were low for both groups at three months post-discharge. No relationship was found among time elapsed since discharge, conversation method, and QOL. <p><b>Conclusion: </b> <p>The proportion of patients using voice communication increased with the time elapsed since discharge. Recovery from the invasive procedure probably affected voice acquisition. However, many patients still used non-voice communication probably because of the small number of esophagotracheal fistula surgeries performed in Japan and the difficulty in acquiring esophageal speech. No relationship was found between conversation method and QOL, indicating that QOL was affected by other factors.en_GB
dc.subjectconversation methoden_GB
dc.subjectlaryngectomized patientsen_GB
dc.subjectQuality of lifeen_GB
dc.date.available2013-10-22T20:29:49Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:29:49Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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