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Published in: Supportive Care in Cancer 3/2012

01-03-2012 | Original Article

Experiences of patients with laryngectomies as they reintegrate into their community

Authors: Penny Dooks, Maurene McQuestion, David Goldstein, Alex Molassiotis

Published in: Supportive Care in Cancer | Issue 3/2012

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Abstract

Background

The purpose of this qualitative study is to describe the patient’s experiences as they reintegrate into the community following laryngectomy surgery and identify their perceived support and barriers within this transition.

Methods

Using Thorne’s interpretive descriptive approach, purposeful sampling was used to recruit participants from two large urban hospitals. In-depth, audio-taped interviews were conducted with nine participants 6–12 months following surgery.

Results

Enveloped under an overarching theme of a “Constant Accommodation to Life with a Laryngectomy,” were three main themes: (1) “Impact of Cancer Diagnosis,” (2) “Coping with Illness: Trying to Live Life like Before,” and (3) “Transitions in Recovery.” Subthemes further illuminated the constant accommodation participants had to make following cancer recurrence, surgery, and returning home.

Conclusions

Patients with laryngectomies face major changes in lifestyle related to altered airway, loss of voice, body image concerns, and challenges with eating. Support of family, friends, and health care professionals is critical for successful transition during this stressful period. Instant messaging, email, Web-based support groups, and video messaging can contribute to a great improvement in communication and engagement for this population.
Literature
1.
go back to reference Bozec A, Poissonnet G, Chamorey E, Demard F, Santini J, Peyrade F, Ortholan C, Benezery K, Thariat J, Sudaka A, Anselme K, Adrey B, Giacchero P, Dassonville O (2010) Results of vocal cord rehabilitation using tracheoesophogeal voice prosthesis after total laryngectomy and their predictive factors. Laryngology 267:751–758 Bozec A, Poissonnet G, Chamorey E, Demard F, Santini J, Peyrade F, Ortholan C, Benezery K, Thariat J, Sudaka A, Anselme K, Adrey B, Giacchero P, Dassonville O (2010) Results of vocal cord rehabilitation using tracheoesophogeal voice prosthesis after total laryngectomy and their predictive factors. Laryngology 267:751–758
2.
go back to reference Dropkin M (1997) Coping and disfigurement/dysfunction and length of hospital stay after head and neck cancer surgery. ORL-Head Neck Nurs 15:22–26PubMed Dropkin M (1997) Coping and disfigurement/dysfunction and length of hospital stay after head and neck cancer surgery. ORL-Head Neck Nurs 15:22–26PubMed
3.
go back to reference Dropkin M (1998) Disfigurement and dysfunction with head and neck cancer surgery. ORL-Head Neck Nurs 16:28–29PubMed Dropkin M (1998) Disfigurement and dysfunction with head and neck cancer surgery. ORL-Head Neck Nurs 16:28–29PubMed
4.
go back to reference Dropkin M (2001) Anxiety, coping strategies, and coping behaviours in undergoing head and neck cancer surgery. Cancer Nurs 24:143–148PubMedCrossRef Dropkin M (2001) Anxiety, coping strategies, and coping behaviours in undergoing head and neck cancer surgery. Cancer Nurs 24:143–148PubMedCrossRef
5.
go back to reference Happ M, Roesch T, Kagan S (2004) Communication methods, and perceived voice quality following head and neck surgery: a literature review. Cancer Nurs 27:1–9PubMedCrossRef Happ M, Roesch T, Kagan S (2004) Communication methods, and perceived voice quality following head and neck surgery: a literature review. Cancer Nurs 27:1–9PubMedCrossRef
6.
go back to reference Hd M (2002) The influence of early speech rehabilitation with voice prosthesis on the psychological state of laryngectomized patients. Eur Arch Oto-rhino-laryngol 259:48–52CrossRef Hd M (2002) The influence of early speech rehabilitation with voice prosthesis on the psychological state of laryngectomized patients. Eur Arch Oto-rhino-laryngol 259:48–52CrossRef
7.
go back to reference Johansson M, Ryden A, Finizia C (2008) Self evaluation of communication experiences after laryngeal cancer—a longitudinal questionnaire study in patients with laryngeal cancer. BMC Cancer 8:80-91 Johansson M, Ryden A, Finizia C (2008) Self evaluation of communication experiences after laryngeal cancer—a longitudinal questionnaire study in patients with laryngeal cancer. BMC Cancer 8:80-91
8.
go back to reference Klemm P, Hardie T (2002) Depression in Internet and face-to-face cancer support groups: a pilot study. Oncol Nurs Forum 29(4):45–51CrossRef Klemm P, Hardie T (2002) Depression in Internet and face-to-face cancer support groups: a pilot study. Oncol Nurs Forum 29(4):45–51CrossRef
9.
go back to reference Lee MT, Gibson S, Hilari K (2010) Gender differences in health-related quality of life following total laryngectomy. Int J Lang Commun Disord 45:287–294PubMedCrossRef Lee MT, Gibson S, Hilari K (2010) Gender differences in health-related quality of life following total laryngectomy. Int J Lang Commun Disord 45:287–294PubMedCrossRef
10.
go back to reference Lennie TA, Christman SK, Jadack RA (2001) Educational needs and altered eating habits following total layrngectomy. Oncol Nurs Forum 28(4):667–674PubMed Lennie TA, Christman SK, Jadack RA (2001) Educational needs and altered eating habits following total layrngectomy. Oncol Nurs Forum 28(4):667–674PubMed
11.
go back to reference Maclean J, Cotton S, Perry A (2009) Dysphagia following a total laryngectomy: the effect on quality of life, functioning, and psychology well-being. Dysphagia 24:314–321PubMedCrossRef Maclean J, Cotton S, Perry A (2009) Dysphagia following a total laryngectomy: the effect on quality of life, functioning, and psychology well-being. Dysphagia 24:314–321PubMedCrossRef
12.
go back to reference Morton P, Witterick I (1995) Rationale and development of a quality-of- life instrument for head-and-neck cancer patients. Am J Otolaryngol 16:284–293PubMedCrossRef Morton P, Witterick I (1995) Rationale and development of a quality-of- life instrument for head-and-neck cancer patients. Am J Otolaryngol 16:284–293PubMedCrossRef
13.
go back to reference Noonan BJH, Josephine (2010) The impact of total laryngectomy: the patient’s perspective. Oncol Nurs Forum 37:293–301PubMedCrossRef Noonan BJH, Josephine (2010) The impact of total laryngectomy: the patient’s perspective. Oncol Nurs Forum 37:293–301PubMedCrossRef
14.
go back to reference Price B (2002) Laddered questions and qualitative data research interviews. J Adv Nurs 37:273–281PubMedCrossRef Price B (2002) Laddered questions and qualitative data research interviews. J Adv Nurs 37:273–281PubMedCrossRef
15.
go back to reference Rapoport Y, Chaitchik S, Algor R, Weissler K (1993) Psychosocial problems in head-and-neck cancer patients and their change with time since diagnosis. Ann Oncol 4:69–73PubMed Rapoport Y, Chaitchik S, Algor R, Weissler K (1993) Psychosocial problems in head-and-neck cancer patients and their change with time since diagnosis. Ann Oncol 4:69–73PubMed
16.
go back to reference Relic A, Mazemda P, Arens C, Koller M, Glanz H (2001) Investigating quality of life and coping resources after laryngectomy. Eur Arch Oto-rhino-laryngol 258:514–517CrossRef Relic A, Mazemda P, Arens C, Koller M, Glanz H (2001) Investigating quality of life and coping resources after laryngectomy. Eur Arch Oto-rhino-laryngol 258:514–517CrossRef
17.
go back to reference Risberg-Berlin B, Ryden A, Moller RY, Finizia C (2009) Effects of total laryngectomy on olfactory function, health-related quality of life, and communication: a 3-year follow-up study. BMC Ear Nose Throat Disord 9:8-16 Risberg-Berlin B, Ryden A, Moller RY, Finizia C (2009) Effects of total laryngectomy on olfactory function, health-related quality of life, and communication: a 3-year follow-up study. BMC Ear Nose Throat Disord 9:8-16
18.
go back to reference Rogers SN, Ahad SA, Murphy AP (2007) A structured review and theme analysis of paper published on “quality of life” in head and neck cancer: 2000–2005. Oral Oncol 43:843–868PubMedCrossRef Rogers SN, Ahad SA, Murphy AP (2007) A structured review and theme analysis of paper published on “quality of life” in head and neck cancer: 2000–2005. Oral Oncol 43:843–868PubMedCrossRef
19.
go back to reference Ruf MBSMH, Zwahlen RA, Jenewein J (2009) Positive personal changes in the aftermath of head and neck cancer diagnosis: a qualitative study in patients and their spouses. Head Neck 31:513–520PubMedCrossRef Ruf MBSMH, Zwahlen RA, Jenewein J (2009) Positive personal changes in the aftermath of head and neck cancer diagnosis: a qualitative study in patients and their spouses. Head Neck 31:513–520PubMedCrossRef
20.
go back to reference Sawka AM, Goldstein DP, Brierley JD, Tsang RW, Rotstein L, Ezzat S, Straus S, George SR, Abbey S, Rodin G, O’Brien MA, Gafni A, Thabane L, Goguen J, Naeem A, Magalhaes L (2009) The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study. PLoS One 4(1):e4191PubMedCrossRef Sawka AM, Goldstein DP, Brierley JD, Tsang RW, Rotstein L, Ezzat S, Straus S, George SR, Abbey S, Rodin G, O’Brien MA, Gafni A, Thabane L, Goguen J, Naeem A, Magalhaes L (2009) The impact of thyroid cancer and post-surgical radioactive iodine treatment on the lives of thyroid cancer survivors: a qualitative study. PLoS One 4(1):e4191PubMedCrossRef
21.
go back to reference Semple C (2001) The role of CNS in head and neck oncology. Nurs Stand 15:39–46PubMed Semple C (2001) The role of CNS in head and neck oncology. Nurs Stand 15:39–46PubMed
22.
go back to reference Semple C (2008) Changes and challenges to patients’ lifestyle patterns following treatment for head and neck cancer. J Adv Nurs 63:8CrossRef Semple C (2008) Changes and challenges to patients’ lifestyle patterns following treatment for head and neck cancer. J Adv Nurs 63:8CrossRef
23.
go back to reference Sullivan K (1999) Managing the sensitive research interview: a personal account. Nurse Res 6:72–86 Sullivan K (1999) Managing the sensitive research interview: a personal account. Nurse Res 6:72–86
24.
go back to reference Thorne S, Reimer S, MacDonald-Emes J (1997) Interpretive description: a noncategorical qualitative alternative for developing nursing knowledge. Res Nurs Health 20:169–177PubMedCrossRef Thorne S, Reimer S, MacDonald-Emes J (1997) Interpretive description: a noncategorical qualitative alternative for developing nursing knowledge. Res Nurs Health 20:169–177PubMedCrossRef
25.
go back to reference Ward E, Coleman A, van As-Brooks C, Kerle S (2010) Rehabilitation of olfaction post-laryngectomy: a randomized control trial comparing clinician assisted versus a home practice approach. Clin Otolaryngol 35:39–45PubMedCrossRef Ward E, Coleman A, van As-Brooks C, Kerle S (2010) Rehabilitation of olfaction post-laryngectomy: a randomized control trial comparing clinician assisted versus a home practice approach. Clin Otolaryngol 35:39–45PubMedCrossRef
Metadata
Title
Experiences of patients with laryngectomies as they reintegrate into their community
Authors
Penny Dooks
Maurene McQuestion
David Goldstein
Alex Molassiotis
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 3/2012
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-011-1101-4

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