Helping Patients With Head and Neck Cancer Understand Dysphagia: Exploring the Use of Video-Animation
Helping Patients With Head and Neck Cancer Understand Dysphagia: Exploring the Use of Video-Animation
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DOI：
10.1044/2018_ajslp-18-0184
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发表时间：
2019-05-01
影响因子：
2.6
通讯作者：
Gardner, Benjamin
中科院分区：
文献类型：
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作者：
Govender, Roganie;Taylor, Stuart A.;Gardner, Benjamin
目的：新诊断为头颈部癌症的患者应在治疗前咨询期间告知癌症治疗对吞咽功能的影响。本研究的目的是探索（a）视频动画在帮助患者了解吞咽机制和吞咽困难的基础知识方面的有用性和（B）可接受性。方法：十三名接受头颈部癌症治疗的患者参与了本研究。有声思维是一种定性的方法，被用来鼓励患者在观看两个简短的视频动画显示正常/异常吞咽的过程中用语言表达他们的想法。结果：四个主要主题被确定为：（a）病人的兴趣和参与，（B）视觉图像和叙述的可接受性，（c）信息提供和学习，（d）个人相关性和预期的行动。患者似乎对视频动画感兴趣并参与其中，询问了几个关于如何保持或改善吞咽功能的自发问题。从患者对严重吞咽障碍模式的识别和言语表达中可以明显看出学习。大多数患者报告图像在视觉上是可接受的，并且通常可以将他们所看到的内容与他们自己的吞咽体验联系起来。许多患者还verbalized认识到需要保持肌肉活跃通过exercises.Conclusions：这些结果表明，吞咽的视频动画是可以接受的，有趣的，信息丰富，和相关的大多数患者。因此，它不仅作为一种教育工具是有用的，而且还显示出影响患者进行预防性干预的意图的潜力，这些干预可能会在癌症治疗后保持更好的吞咽功能。
Purpose: Patients newly diagnosed with head and neck cancer should be informed of the ramifications of cancer treatment on swallowing function during their pretreatment consultation. The purpose of this study was to explore (a) the usefulness and (b) the acceptability of video-animation in helping patients to understand the basics of the swallowing mechanism and dysphagia.Method: Thirteen patients treated for head and neck cancer participated in this study. Think-aloud, a type of qualitative methodology, was used to encourage patients to verbalize their thoughts while watching two short video-animations showing the process of normal/abnormal swallowing. Transcripts were analyzed using thematic analysis.Results: Four main themes were identified as follows: (a) patient interest and engagement, (b) acceptability of visual imagery and narration, (c) information provision and learning, and (d) personal relevance and intended action. Patients appeared interested and engaged in the video-animations, asking several spontaneous questions about how to maintain or improve swallowing function. Learning was evident from patients' recognition and verbalizations of grossly disordered swallowing patterns. Most patients reported the images to be visually acceptable and could often relate what they were seeing to their own swallowing experience. Many patients also verbalized recognition of the need to keep muscles active through exercises.Conclusions: These results suggest that the video-animations of swallowing were acceptable, interesting, informative, and relevant for most patients. It was therefore useful not only as an education tool, but also showed potential to influence patients' intentions to undertake preventative interventions that may preserve better swallowing function after cancer treatment.