Instrumental assessment of dysphagia and dysphonia in head and neck cancer and patients’ perception: Systematic review

Q3 Nursing
Daniela Oliveira Vieira , Eduarda Sousa , Mário Dinis-Ribeiro , Eurico Monteiro
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引用次数: 0

Abstract

Head and neck cancer (HNC) patients may experience orofacial dysfunctions that could affect quality of life. This systematic review (SR) pretends to analyze the relation between patient's perception and instrumental assessment in dysphagia and dysphonia in HNC. From 3753 articles only 25 matched the inclusion criteria. Functional patients’ perception was assessed using MDADI (26%) or SWAL-QOL (7%), HNC quality of life questionnaires (EORTC C30, H&NC35, UW-QOL – 16%), or with dichotomic questions (23%). Instrumental assessments: videofluoroscopy (77%) or fiber-optic endoscopy (23%). 68% of the included articles reveal a significant relationship between patients’ perception and instrumental assessment. Emerged three principles topics: (1) oromotor skills; (2) physiological measures; and (3) safety. This study provides new insights. Swallowing residues and bio mechanical changes show a clear relationship with patients’ awareness. It's important to continue clarified the interceptions and impacts of this disorder in clinical practice.

头颈部癌症患者吞咽困难和发音障碍的仪器评估及患者感知:系统回顾
头颈癌(HNC)患者可能会出现口面部功能障碍,从而影响生活质量。本系统综述(SR)旨在分析 HNC 患者在吞咽困难和发音障碍方面的感知与工具评估之间的关系。在 3753 篇文章中,只有 25 篇符合纳入标准。功能性患者的感知通过 MDADI(26%)或 SWAL-QOL(7%)、HNC 生活质量问卷(EORTC C30、H&NC35、UW-QOL - 16%)或二分法问题(23%)进行评估。仪器评估:视频荧光内窥镜检查(77%)或纤维光学内窥镜检查(23%)。68%的收录文章显示患者感知与仪器评估之间存在显著关系。出现了三个原则性主题:(1)口腔运动技能;(2)生理措施;(3)安全性。本研究提供了新的见解。吞咽残留物和生物力学变化与患者的认知有明显的关系。在临床实践中继续澄清这种疾病的拦截和影响非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
28
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