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Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer
OBJECTIVE: Dysphagia, one of the most common complications in head and neck cancer (HNC) treated with radiotherapy, can severely affect patients’ quality of life. Currently, because no “gold standard” treatment exists, swallowing exercise remains the main rehabilitation strategy for dysphagia. Howev...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9792737/ https://www.ncbi.nlm.nih.gov/pubmed/36583099 http://dx.doi.org/10.1016/j.apjon.2022.100169 |
_version_ | 1784859697681006592 |
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author | Zhu, Jizhe Wang, Xin Chen, Suxiang Du, Ruofei Zhang, Haoning Zhang, Menghan Shao, Mengwei Chen, Changying Wang, Tao |
author_facet | Zhu, Jizhe Wang, Xin Chen, Suxiang Du, Ruofei Zhang, Haoning Zhang, Menghan Shao, Mengwei Chen, Changying Wang, Tao |
author_sort | Zhu, Jizhe |
collection | PubMed |
description | OBJECTIVE: Dysphagia, one of the most common complications in head and neck cancer (HNC) treated with radiotherapy, can severely affect patients’ quality of life. Currently, because no “gold standard” treatment exists, swallowing exercise remains the main rehabilitation strategy for dysphagia. However, patients’ compliance with long-term swallowing exercise is only 40%, thus, greatly compromising outcomes. This article aims to analyze thefactors influencing swallowing exercise compliance in patients with HNC and explains strategies developed to date for improved rehabilitation outcomes. METHODS: Research studies published from inception to 2022 were retrieved from seven databases: PubMed, Cochrane Library, Embase, CINAHL, CNKI, Wan Fang Database, and VIP Database, and 21 articles were shortlisted and systematically reviewed. RESULTS: The swallowing exercise compliance in patients with HNC undergoing radiotherapy was affected by multiple factors, including socio-demographic factors, illness-associated factors, treatment-associated factors, and psychosocial factors. Regarding the interventions, current strategies mainly address psychosocial issues via developing various education programs. CONCLUSIONS: Different factors influencing swallowing exercise compliance are important and should be observed. Measures including developing multidisciplinary teams, applying innovative equipment, refining the intervention procedure, and applying systematic theory frameworks should be performed to achieve better outcomes of compliance interventions. |
format | Online Article Text |
id | pubmed-9792737 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-97927372022-12-28 Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer Zhu, Jizhe Wang, Xin Chen, Suxiang Du, Ruofei Zhang, Haoning Zhang, Menghan Shao, Mengwei Chen, Changying Wang, Tao Asia Pac J Oncol Nurs Review OBJECTIVE: Dysphagia, one of the most common complications in head and neck cancer (HNC) treated with radiotherapy, can severely affect patients’ quality of life. Currently, because no “gold standard” treatment exists, swallowing exercise remains the main rehabilitation strategy for dysphagia. However, patients’ compliance with long-term swallowing exercise is only 40%, thus, greatly compromising outcomes. This article aims to analyze thefactors influencing swallowing exercise compliance in patients with HNC and explains strategies developed to date for improved rehabilitation outcomes. METHODS: Research studies published from inception to 2022 were retrieved from seven databases: PubMed, Cochrane Library, Embase, CINAHL, CNKI, Wan Fang Database, and VIP Database, and 21 articles were shortlisted and systematically reviewed. RESULTS: The swallowing exercise compliance in patients with HNC undergoing radiotherapy was affected by multiple factors, including socio-demographic factors, illness-associated factors, treatment-associated factors, and psychosocial factors. Regarding the interventions, current strategies mainly address psychosocial issues via developing various education programs. CONCLUSIONS: Different factors influencing swallowing exercise compliance are important and should be observed. Measures including developing multidisciplinary teams, applying innovative equipment, refining the intervention procedure, and applying systematic theory frameworks should be performed to achieve better outcomes of compliance interventions. Elsevier 2022-11-19 /pmc/articles/PMC9792737/ /pubmed/36583099 http://dx.doi.org/10.1016/j.apjon.2022.100169 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Zhu, Jizhe Wang, Xin Chen, Suxiang Du, Ruofei Zhang, Haoning Zhang, Menghan Shao, Mengwei Chen, Changying Wang, Tao Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer |
title | Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer |
title_full | Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer |
title_fullStr | Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer |
title_full_unstemmed | Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer |
title_short | Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer |
title_sort | improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9792737/ https://www.ncbi.nlm.nih.gov/pubmed/36583099 http://dx.doi.org/10.1016/j.apjon.2022.100169 |
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