Effect of Swallowing Exercises Program on Patients with Head and Neck Cancer | ||||
| Egyptian Journal of Health Care | ||||
| Article 32, Volume 13, Issue 1, March 2022, Page 435-452 PDF (587.97 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.218558 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Asmaa Omar Abd Elsalam Mohammed1; Amany Safwat2; Sara Fathi Mahmoud3; Hussein Mohammed Metwaly4 | ||||
| 1Nursing Supervisor in Quality Department at Fayoum University Hospital | ||||
| 2Professor of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University | ||||
| 3Lecturer of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University | ||||
| 4Lecturer of Clinical Oncology, Faculty of Medicine, Fayoum University | ||||
| Abstract | ||||
| Background: Swallowing exercises can improve the swallowing function and minimize swallowing problems that may develop from head and neck cancer and its treatment Aim: The aim of this study was to assess the effect of swallowing exercises program on patients with head and neck cancer. Design: A quasi- experimental design used to achieve the aim of the current study. Subjects: Convenience sample of 30 adult patients with head and neck cancer. Setting: The study conducted at the oncology outpatient clinics affiliated to Fayoum University hospital, Cairo, Egypt. Tools: Three tools were used in the current study, I. Patients' interviewing questionnaire which composed of demographic characteristics, patients' medical data, and patients' knowledge regarding head and neck cancer and swallowing exercises, II. Sydney Swallowing Scale (SSS) self-report inventory, which measure symptomatic severity of swallowing difficulty III. Swallowing exercises assessment tool to assess the ability of head and neck cancer patients to practices swallowing exercises, Results: the mean age of the study sample was 38.76±5.09 and 60.0% were males, 43.3% of patient diagnosed with tumor in the neck (larynx). There was high significant deference between patients knowledge pre and post swallowing exercises program implementation in all items include definition, causes, factors, signs and symptoms and managing of HNC with (p value =0.001). Finally there is weak positive correlation between total patients' level of knowledge and total performance of swallowing exercises at (r =0.284). Conclusion: based on findings of the current study, it could be concluded that: majority of the study patients had satisfactory level of total knowledge post swallowing exercises program. Meanwhile, there is significant relation among the studied patients in all items of swallowing Sydney scale (alleviate swallowing problem) post swallowing exercises program implementation. In addition to, there was a positive correlation between the total level of knowledge of the patients and the total performance of swallowing exercises at (r=0.284). There is a positive correlation between total patients' level of knowledge and the total swallowing scale of Sydney at (r=0.401).There is a positive correlation between total performance of swallowing exercise and total Sydney swallowing scale at (r=0.375). Recommendations: Continues update educational program about swallowing problems and swallowing exercises that should be designed for patients with head and neck cancer to improve their knowledge and prevention of potential complications | ||||
| Keywords | ||||
| Head and neck cancer& swallowing exercises program | ||||
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