Rehabilitation Nursing Program in Otolaryngology
Study Details
Study Description
Brief Summary
The European Commission's current political guidelines demonstrate into a joint plan aimed at improving and controlling cancer disease. Head and neck cancer (HNC) are the sixth most common cancer worldwide. The surgery is one of the most effective treatments, however it significantly compromises the self-care and functional capacity of the patients, so the intervention the Rehabilitation Nurse (RN) is essential.
Objective: Compare the degree of dependence in discharge from patients undergoing HNC surgery with RN intervention versus general nursing care (not RN intervention). The specific objective is to analyze the role of confounders in the effect of the RN intervention on the patient dependence.
Seventy-nine patients with RN intervention who undergoing a different type of surgery (1-Neck dissection, 2-Total laryngectomy with neck dissection, 3-Pelviglossomandibulectomy with neck dissection and tracheotomy, 4-Pelviglossomandibulectomy with neck dissection, pectorals major flap and tracheotomy) and all patients who undergoing the same type of surgery without RN intervention (n=72).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
Seventy-nine patients with RN intervention who undergoing a different type of surgery (1-Neck dissection, 2-Total laryngectomy with neck dissection, 3-Pelviglossomandibulectomy with neck dissection and tracheotomy, 4-Pelviglossomandibulectomy with neck dissection, pectorals major flap and tracheotomy) and all patients who undergoing the same type of surgery without RN intervention (n=72). Differences between groups were calculated using non-parametric tests Chi-square for categorical variables and Mann-Whitney U for numeric variable. After correlation tests between variables, statistical analysis was carried out through Poisson regression to a significance level of 5%.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Rehabilitation nursing intervention Functional respiratory rehabilitation exercise plan. Motor exercise plan. Cardiorespiratory optimization. Early diagnosis of potential problems associated. |
Other: rehabilitation nursing
Functional respiratory rehabilitation and motor exercise plan.
|
Rehabilitation nursing not intervention General nursing care |
Other: rehabilitation nursing
Functional respiratory rehabilitation and motor exercise plan.
|
Outcome Measures
Primary Outcome Measures
- Change is being assessed [0 week - 4 weeks]
Self-care: Barthel Index (0 points-100 points)
Secondary Outcome Measures
- Impatient days [0 week - 4 weeks]
Days of hospitalization
Eligibility Criteria
Criteria
Inclusion Criteria:
- Undergoing a different type of surgery: 1-Neck dissection, 2-Total laryngectomy with neck dissection, 3-Pelviglossomandibulectomy with neck dissection and tracheotomy, 4-Pelviglossomandibulectomy with neck dissection, pectorals major flap and tracheotomy.
Exclusion Criteria:
- Participants will be excluded if not be possible access of the clinical information.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Évora | Évora | Portugal | 7000 |
Sponsors and Collaborators
- University of Évora
- Instituto Portugues Oncologia de Lisboa Francisco Gentil
Investigators
- Principal Investigator: José JM Moreira, MSc, University of Évora
Study Documents (Full-Text)
None provided.More Information
Publications
- Ahlberg A, Engström T, Nikolaidis P, Gunnarsson K, Johansson H, Sharp L, Laurell G. Early self-care rehabilitation of head and neck cancer patients. Acta Otolaryngol. 2011 May;131(5):552-61. doi: 10.3109/00016489.2010.532157.
- Clarke P, Radford K, Coffey M, Stewart M. Speech and swallow rehabilitation in head and neck cancer: United Kingdom National Multidisciplinary Guidelines. J Laryngol Otol. 2016 May;130(S2):S176-S180.
- Davidson A, Williams J. Factors affecting quality of life in patients experiencing facial disfigurement due to surgery for head and neck cancer. Br J Nurs. 2019 Feb 14;28(3):180-184. doi: 10.12968/bjon.2019.28.3.180.
- Sheikh A, Shallwani H, Ghaffar S. Postoperative shoulder function after different types of neck dissection in head and neck cancer. Ear Nose Throat J. 2014 Apr-May;93(4-5):E21-6.
- University of Évora