Evaluation of patient specific care needs during treatment for head and neck cancer

Schorn, Lara; Lommen, Julian; Sproll, Christoph; Krüskemper, G; Handschel, Jörg; Nitschke, Julia; Prokein, Benjamin; Gellrich, Nils‐Claudius; Holtmann, Henrik

doi:10.1016/j.oraloncology.2020.104898

Cited by 8 publications

(3 citation statements)

References 35 publications

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“…The biopsychosocial impact of oral cancer has previously been recognised (11,36,37,51), with evidence that being unprepared for some of the side-effects or challenges during and following treatment can exacerbate feelings of depression and anxiety (52). This is particularly evident in relation to key survivorship areas, such as social eating and drinking (36), speech (53) and intimacy (54). Developers of online resources, whose aim is to promote positive coping for HNC patients, should ensure content is presented within a biopsychosocial context, to be maximally effective and relevant (37,55).…”

Section: Discussionmentioning

confidence: 99%

Informing the development of an online resource for patients with oral cancer: triangulation of qualitative data from patients and healthcare professionals

Semple¹,

Kelly²,

Thompson³

et al. 2023

Front Oral Maxillofac Med

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Background: The traditional, paternalistic, paradigm of healthcare delivery is no longer acceptable; with transformation placing greater emphasis on shared-care and decision-making, centred on patients' values, needs and preferences. In this process, patients with cancer often assume a more active role in healthcare.The internet has acted as a likely catalyst and, or facilitator in this process, with proliferation during the global pandemic. Consequently, there has been an expansion of health information being accessed online by patients. A recent scoping review indicated a lack of high-quality evidence-based online resources for head and neck patients, with a paucity of end-user involvement during development. To inform the development and co-design of a high-quality, acceptable online resource for oral cancer patients, aimed at facilitating shared decision-making and treatment preparedness, patients' and healthcare professionals' (HCPs) preferences have been elucidated in this study.Methods: Qualitative research design using semi-structured interviews was employed with patients (n=10) and three focus groups with HCPs (n=21) to understand their perceptions and preference on content, issues to be addressed and key design elements of an online resource to promote decision-making and coping with oral cancer and its treatment effects. Reflexive thematic analysis (TA) was used to analyse both data sets, which were then triangulated.

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Section: Discussionmentioning

confidence: 99%

Informing the development of an online resource for patients with oral cancer: triangulation of qualitative data from patients and healthcare professionals

Semple¹,

Kelly²,

Thompson³

et al. 2023

Front Oral Maxillofac Med

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“…In its conclusion, the study states that this research emphasizes the necessity of a multidisciplinary approach to the treatment of cancer and treatment-related side-effects, as well as improved awareness of the need for participation of healthcare workers in early postoperative patient care. 22 Rigorous multidisciplinary treatment and assessment is thus indispensable, and it is of crucial importance that standard treatment including head and neck examination, radiation treatment, pathohistological evaluation, and HPV marker testing be supplemented with precise dental evaluation, nutritive status assessment, psychological profiling, and speech therapy assessment for speech and swallowing status, in order to optimize treatment and minimize side-effects. As opposed to the work of head and neck surgeons and oncologists, which has a defined scope and number of patients they must treat to as a precondition for their inclusion in an MDT, there are no standards for the inclusion of other healthcare workers such as nutritionists, speech therapists, psychologists, etc.…”

Section: Mdt Compositionmentioning

confidence: 99%

The Multidisciplinary Team (MDT) in the Treatment of Head and Neck Cancer – A Single-institution Experience

Prgomet

2022

ACC

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Head and neck cancers are associated with significant morbidity and mortality despite advancements in treatment in recent decades. A multidisciplinary approach to the treatment of these diseases is thus of essential importance and is becoming the gold standard. Head and neck tumors also endanger relevant structures of the upper aerodigestive tracts, including bodily functions such as voice, speech, swallowing, and breathing. Damage to these functions can significantly influence quality of life. Thus, our study examined not only the roles of head and neck surgeons, oncologists and radiotherapists, but also the importance of the participation of different scientific professions such as anesthesiologists, psychologists, nutritionists, stomatologists, and speech therapists in the work of a multidisciplinary team (MDT). Their participation results in a significant improvement of patient quality of life. We also present our experiences in the organization and work of the MDT as part of the Center for Head and Neck Tumors of the Zagreb Clinical Hospital Center.

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“…In current practice, the routine chemotherapy nursing mode usually oriented to the completion of a chemotherapy task is often adopted, but its application effect needs to be improved because it is not individually different and the nursing personnel cannot evaluate and intervene on the psychological status of patients. With the increasing attention paid to humanistic nursing, narrative nursing has been gradually applied to the clinic, which mainly refers to the nursing mode that the nursing personnel physically carry themselves into the patient's place by communicating and listening, deeply grasp the actual problems faced by the patient, propose targeted responses to resolve the patient's dilemma, and then alleviate their negative emotions [8][9][10][11]. Applying narrative nursing based on targeted nursing is more individually different, which can fundamentally solve the problems raised by the patients with different conditions and of different educational levels, comprehensively improve the psychological nursing effect, and enhance the application value.…”

Section: Introductionmentioning

confidence: 99%

Effect of Narrative Nursing Intervention Based on Targeted Nursing Intervention on Anxiety and Nursing Satisfaction of Patients with Malignant Tumors Undergoing Chemotherapy

Liu

et al. 2021

Journal of Healthcare Engineering

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Objective. To explore the effect of narrative nursing intervention based on targeted nursing intervention on anxiety and nursing satisfaction of patients with malignant tumors undergoing chemotherapy. Methods. 120 malignant tumor patients treated with chemotherapy in our hospital from January 2019 to January 2020 were selected as the research objects and randomly divided into group A and group B, with 60 cases in each group. The targeted nursing intervention was performed to group B, and the targeted nursing intervention centering on narrative nursing was performed to group A, so as to compare their distress thermometer (DT) scale scores, depression and anxiety scale scores, Medical Coping Modes Questionnaire (MCMQ) scores, Functional Assessment of Cancer Therapy-General (FACT-G) scores for quality of life, and nursing satisfaction. Results. After nursing intervention, group A obtained 5.00 ± 1.20 points in the DT score, which were significantly lower than group B ( P < 0.05 ); and group A achieved significantly lower depression and anxiety scale scores ( P < 0.001 ), better MCMQ scores ( P < 0.05 ), and higher FACT-G scores ( P < 0.05 ) and nursing satisfaction ( P < 0.05 ) than group B. Conclusion. The targeted nursing intervention based primarily on narrative nursing can greatly reduce negative emotions, alleviate anxiety, and improve confidence in treatment and quality of life for malignant tumor patients undergoing chemotherapy, with higher nursing satisfaction, which should be promoted and applied in the practice.

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Evaluation of patient specific care needs during treatment for head and neck cancer

Cited by 8 publications

References 35 publications

Informing the development of an online resource for patients with oral cancer: triangulation of qualitative data from patients and healthcare professionals

Informing the development of an online resource for patients with oral cancer: triangulation of qualitative data from patients and healthcare professionals

The Multidisciplinary Team (MDT) in the Treatment of Head and Neck Cancer – A Single-institution Experience

Effect of Narrative Nursing Intervention Based on Targeted Nursing Intervention on Anxiety and Nursing Satisfaction of Patients with Malignant Tumors Undergoing Chemotherapy

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