Communication Needs, Methods, and Perceived Voice Quality Following Head and Neck SurgeryA Literature Review
作者:
Mary Happ,
Tricia Roesch,
Sarah Kagan,
期刊:
Cancer Nursing
(OVID Available online 2003)
卷期:
Volume 26,
issue 5
页码: 346-354
ISSN:0162-220X
年代: 2003
出版商: OVID
关键词: Augmentative and alternative communication;Head and neck surgery;Nonspeaking patient;Postoperative communication needs
数据来源: OVID
摘要:
Patients with head and neck cancer experience complex and frustrating communication problems after surgery, yet patient communication during the in hospital postoperative period has received relatively little attention in clinical and research literature. A computerized and hand search of the medical (MEDLINE, Cancerlit), psychological (health and psychosocial instruments), and nursing (CINAHL) literature (1968 to April 2002) produced 10 published studies and 1 clinical case report specifically addressing the communication needs, methods, or perceived voice quality of patients with head and neck cancer during the postoperative period ([.lessequal]12 months after surgery). This review presents a summary and critique of research and related literature on in-hospital postoperative communication with adult patients who have head and neck cancer. Three major themes are addressed: (1) information needs, (2) communication methods and perceived voice quality and (3) quality-of-life perceptions related to communication, disfigurement, and socialization. This review shows that the communication needs, communication methods, and perception of voice quality among patients with head and neck cancer have been ignored during the in-hospital period. Clinical issues and technological advancements in augmentative and alternative communication applicable to the in-hospital period are discussed, and research implications are presented.
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