Effectiveness of Prophylactic Swallowing Exercise on Dysphagia and Quality of Life among Head and Neck Cancer Patients Receiving Chemo- Radiotherapy | ||||
| Mansoura Nursing Journal | ||||
| Volume 10, Issue 2, July 2023, Page 61-74 PDF (740.5 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mnj.2023.340367 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ola Zedan1; Madiha Nabih2; Hanan Soliman3 | ||||
| 1Bsc. Nursing, Mansoura University | ||||
| 2Assist. Prof. Faculty of Nursing, Mansoura University | ||||
| 3Assist. Prof. Faculty of Nursing, Mansoura University, Medical- Surgical Nursing department | ||||
| Abstract | ||||
| Background: Dysphagia is one of the most frequent side effects of chemo-radiotherapy for head and neck cancer, which has an adverse influence on the quality of life and health of survivors. Aim: This study aimed to evaluate the effectiveness of prophylactic swallowing exercise on dysphagia and quality of life among patients with head and neck cancer receiving chemo-radiotherapy. Method: A quasi-experimental research approach was conducted in radiotherapy department at Mansoura Nuclear Medicine Unit. Sample: A purposive sample of 60 head and neck cancer patients undergoing chemo- radiotherapy, was divided into two matched groups; study group and control group. Prophylactic swallowing exercise initiated before the start of chemo-radiotherapy and continued throughout the duration of their chemo-radiotherapy. Tools: A structured Interview Questionnaire, (EORTC) Quality-of-Life Questionnaire (QLQ-C30) and its Head and Neck Cancer Module (QLQH& N35) and Functional Oral Intake Scale (FOIS). Results: Head and neck cancer patients undergoing chemo-radiotherapy who received swallowing exercise experienced less dysphagia and improved quality of life compared to whom received routine care as there was a highly statistically significant differences between studied groups (p<0.001). Conclusion: Prophylactic swallowing exercise had a positive effect on dysphagia and quality of life in head and neck cancer patients undergoing chemo- radiotherapy. Recommendation: Head and neck cancer patients undergoing chemo- radiotherapy should be encouraged to perform the prophylactic swallowing exercise before and along the period of chemo-radiotherapy. | ||||
| Keywords | ||||
| Chemo-radiotherapy; Dysphagia; Head and Neck Cancer; Swallowing Exercise | ||||
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