Other Titles
Effects of Continuing Nursing Care for Patients with Total Laryngectomy: Randomized Controlled Trial [Poster Title]
Abstract
Purpose: The objective of the study was to clarify whether informational/psychological nursing intervention could improve the quality of life of laryngectomized patients 3 months after hospital discharge compared to the provision of information only, and to examine whether the nursing intervention could continue to improve the quality of life at twelve months after discharge.
Methods: Randomization was performed according to Consolidated Standards of Reporting Trials guidelines. Hospitalized pharyngeal and laryngeal cancer patients who underwent laryngectomy had agreed to participate in the study.
They were randomly assigned to two groups: we offered relevant information including the distribution and conducted interviews on its content in the intervention group “PGI” (N=38). Whereas subjects (N=35) in the control group “PG” were only relevant information and guidebook distribution. The investigation was conducted five times (T1: before surgery, T2: before hospital discharge, T3: three months, T4: six months, and T5: twelve months after hospital discharge). The SF-36v2 was used. Subjects were asked about the basic attributes: age, sex, family structure, and occupational status. Furthermore, we classified the surgery methods as laryngectomy only and extensive surgery. Extensive surgery included total laryngectomy, lymphatic dissection, and free jejunal reconstruction.
Results: The mean age of the patients was PGI, 69.9 years, and PG, 70.0 years.
In terms of the effects of the nursing intervention, there was a difference in the RP, SF, and RE scores of the PGI (33.0, 33.7, 35.4) compared to the PG (22.7, 29.5, 25.9) at T3. Particularly, the PG showed the greatest decline in T3. T3, all scores were above 40 except for RP, SF, and RE. T5, the RP, SF, and RE of the PG were still in the low 31s.
The PGI had a better quality of life than the PG up to T5.
Conclusion: The PGI tended to increase until T5, suggesting that the intervention was effective and validated. In contrast, it was found that there was a downward trend in T3. The PG had the lowest scores in RP, SF, and RE T3. It was suggested that they were experiencing problems in role function and social function and were having difficulties in their lives. The PG had significantly lower scores in RP, SF, and RE T3 compared to T1. It was suggested that they were experiencing problems in role function and social function and were having difficulties in their lives.
Sigma Membership
Tau Nu
Type
Poster
Format Type
Text-based Document
Study Design/Type
Randomized Controlled Trial
Research Approach
Quantitative Research
Keywords:
Long-term Care, Primary Care, Hospice, Palliative, or End-of-Life, Laryngectomies
Recommended Citation
Kotake, Kumiko; Haba, Kaori; Kurita, Mami; Iwanaga, Kazuyo; Ishibashi, Yoko; Takahashi, Aya; Kai, Ichiro; Suzukamo, Yoshimi; Hara, Yoriko; Ota, Ichiro; and Uemura, Hiroyuki, "Effects of Continuing Nursing Care for Patients with Total Laryngectomy: RCT" (2025). International Nursing Research Congress (INRC). 146.
https://www.sigmarepository.org/inrc/2025/posters_2025/146
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Effects of Continuing Nursing Care for Patients with Total Laryngectomy: RCT
Seattle, Washington, USA
Purpose: The objective of the study was to clarify whether informational/psychological nursing intervention could improve the quality of life of laryngectomized patients 3 months after hospital discharge compared to the provision of information only, and to examine whether the nursing intervention could continue to improve the quality of life at twelve months after discharge.
Methods: Randomization was performed according to Consolidated Standards of Reporting Trials guidelines. Hospitalized pharyngeal and laryngeal cancer patients who underwent laryngectomy had agreed to participate in the study.
They were randomly assigned to two groups: we offered relevant information including the distribution and conducted interviews on its content in the intervention group “PGI” (N=38). Whereas subjects (N=35) in the control group “PG” were only relevant information and guidebook distribution. The investigation was conducted five times (T1: before surgery, T2: before hospital discharge, T3: three months, T4: six months, and T5: twelve months after hospital discharge). The SF-36v2 was used. Subjects were asked about the basic attributes: age, sex, family structure, and occupational status. Furthermore, we classified the surgery methods as laryngectomy only and extensive surgery. Extensive surgery included total laryngectomy, lymphatic dissection, and free jejunal reconstruction.
Results: The mean age of the patients was PGI, 69.9 years, and PG, 70.0 years.
In terms of the effects of the nursing intervention, there was a difference in the RP, SF, and RE scores of the PGI (33.0, 33.7, 35.4) compared to the PG (22.7, 29.5, 25.9) at T3. Particularly, the PG showed the greatest decline in T3. T3, all scores were above 40 except for RP, SF, and RE. T5, the RP, SF, and RE of the PG were still in the low 31s.
The PGI had a better quality of life than the PG up to T5.
Conclusion: The PGI tended to increase until T5, suggesting that the intervention was effective and validated. In contrast, it was found that there was a downward trend in T3. The PG had the lowest scores in RP, SF, and RE T3. It was suggested that they were experiencing problems in role function and social function and were having difficulties in their lives. The PG had significantly lower scores in RP, SF, and RE T3 compared to T1. It was suggested that they were experiencing problems in role function and social function and were having difficulties in their lives.
Description
The objective of the study was to clarify whether a nursing intervention (PGI) could improve the quality of life of laryngectomized patients at 3 months after hospital discharge (T3), compared to the provision of information only. The study design was an RCT study using a guidebook and interviews. The questions used the SF-36. The PGI tended to increase until T5, suggesting that the intervention was effective and validated. In contrast, it was found that there was a downward trend in T3.