Abstract

Purpose: This study aims to identify how patients after laryngectomy (PaL) feel about their lives before discharge.

Methods: The participants received total laryngectomy for peri-laryngeal cancer. They were interviewed for physical condition and concerns in daily lives, and how they coped with them before discharge. Qualitative induction was used to analyze. This study was conducted by obtaining the approval of the Ethical Review Committee of the university the researcher belongs to.

Results: All 9 participants were male, and the mean age was 68.2 years.
They “felt their bodies were recuperating” from the surgical invasion with free from respiratory distress and other pains before the surgery. However, they were “concerned about their bodies” because they lost own voice and due to the resection of their larynx with increased phlegm.

While they felt that “unable to spend daily lives as they expected” about to swallow and to breathe, they also felt their bodies remain unchanged. And they tried to “identify the changes in daily life” through understanding the details changed by the surgery.

Through these attempts, they felt “the loss of a familiar life” including “feeling lonely by inability to spend as before”. They also felt a strong desire for the people to “understand the existence of PaLs”.

They suffered from “constant worrying,” however, they accepted the changes after the surgery by gaining “further understanded themselves through interactions with others” and “seeking a compromise”.

Thereby PaLs proceed to “try to adjust their daily lives” again. Moreover, they evaluated the degree to acquire self-care skills necessary for their lives. What facilitated this process was "desires to return to my former self", “living freely”, and so on. They proceeded to “identify the changes in their daily lives” more by gaining new awareness.

Conclusion: After reanalyzing the data with more 5 new participants, we identified two new concepts, "Desires to return to my former self" and “living freely”. This suggests that aspects of PaLs's lives before discharge were complex. The newly discovered concepts suggest that they experience many unexpected difficulties in their lives after surgery. And it was suggested that they are becoming increasingly anxious about acquiring the physical strength and self-care skills necessary to lead a stable life afterwards. It is important for nurses to provide appropriate information and psychological support.

Notes

References:

Kotake, K., Kai K., Iwanaga, K., Suzukamo, Y., & Takahashi, A. (2019). Effects of Occupational Status on Social Adjustment after Laryngectomy in Patients with Laryngeal and Hypopharyngeal Cancer. European Archives of Oto-Rhino-Laryngology. 276(5). 1439-1446. doi:10. 1007/s00405-019-05378-9

Yang, H., Zeng, F., Pang. T., Zhang, H., & Lu. J. (2021). A Qualitative Study of the Experience of Returning to Family Life and the Coping Styles of Patients after Total Laryngectomy. Annals of Palliative Medicine, 10(11), 11482-11491. doi:10.21037/apm-21-2687

Description

This study aims to identify how patients after laryngectomy (PaL) feel about their lives in the period before Hospital discharge. The PaL before Hospital discharge seems to be trying to find a way to live peacefully in their own ways. The newly discovered concepts suggest that they experience many unexpected difficulties in their lives. It is important for medical professionals to provide appropriate information and psychological support.

Author Details

Kaori Haba, MSN; Kumiko Kotake; Mami Kurita, PhD; Kazuyo Iwanaga, PhD; Ichiro Kai, MD; Yoshimi Suzukamo, PhD; Aya Takahashi, MSN; Yoko Ishibashi, MSN; Yoriko Hara, PhD; Ichiro Ota, PhD; Hirokazu Uemura, PhD

Sigma Membership

Tau Nu

Type

Poster

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Qualitative Research

Keywords:

Long-term Care, Laryngectomy, Laryngectomees, Quality of Life

Conference Name

37th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Toronto, Ontario, Canada

Conference Year

2026

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. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-08-12

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Life of Patients after Laryngectomy Before Hospital Discharge

Toronto, Ontario, Canada

Purpose: This study aims to identify how patients after laryngectomy (PaL) feel about their lives before discharge.

Methods: The participants received total laryngectomy for peri-laryngeal cancer. They were interviewed for physical condition and concerns in daily lives, and how they coped with them before discharge. Qualitative induction was used to analyze. This study was conducted by obtaining the approval of the Ethical Review Committee of the university the researcher belongs to.

Results: All 9 participants were male, and the mean age was 68.2 years.
They “felt their bodies were recuperating” from the surgical invasion with free from respiratory distress and other pains before the surgery. However, they were “concerned about their bodies” because they lost own voice and due to the resection of their larynx with increased phlegm.

While they felt that “unable to spend daily lives as they expected” about to swallow and to breathe, they also felt their bodies remain unchanged. And they tried to “identify the changes in daily life” through understanding the details changed by the surgery.

Through these attempts, they felt “the loss of a familiar life” including “feeling lonely by inability to spend as before”. They also felt a strong desire for the people to “understand the existence of PaLs”.

They suffered from “constant worrying,” however, they accepted the changes after the surgery by gaining “further understanded themselves through interactions with others” and “seeking a compromise”.

Thereby PaLs proceed to “try to adjust their daily lives” again. Moreover, they evaluated the degree to acquire self-care skills necessary for their lives. What facilitated this process was "desires to return to my former self", “living freely”, and so on. They proceeded to “identify the changes in their daily lives” more by gaining new awareness.

Conclusion: After reanalyzing the data with more 5 new participants, we identified two new concepts, "Desires to return to my former self" and “living freely”. This suggests that aspects of PaLs's lives before discharge were complex. The newly discovered concepts suggest that they experience many unexpected difficulties in their lives after surgery. And it was suggested that they are becoming increasingly anxious about acquiring the physical strength and self-care skills necessary to lead a stable life afterwards. It is important for nurses to provide appropriate information and psychological support.