Qualitative Olfactory Disorders: Patient Experiences and Self-Management.

IF 2.3 Q1 OTORHINOLARYNGOLOGY
Allergy & Rhinology Pub Date : 2021-09-22 eCollection Date: 2021-01-01 DOI:10.1177/21526567211004251
Carl Philpott, Joanne Dixon, Duncan Boak
{"title":"Qualitative Olfactory Disorders: Patient Experiences and Self-Management.","authors":"Carl Philpott,&nbsp;Joanne Dixon,&nbsp;Duncan Boak","doi":"10.1177/21526567211004251","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Qualitative olfactory disorders in the form of parosmia and phantosmia are very subjective and cannot be measured at present. They pose an unpleasant experience for patients and a therapeutic challenge for clinicians.</p><p><strong>Objective: </strong>This study aimed to characterise the specific experiences of patients affected by the qualitative symptoms of parosmia and phantosmia including both triggers for symptoms and self-help measures they have tried.</p><p><strong>Methods: </strong>A cross-sectional survey questionnaire was developed with the input of patient experts within the charity Fifth Sense. The survey was then open online for 3 months to charity members complaining of qualitative symptoms. The survey captured the frequency and impact of symptoms and self-management undertaken. Reflective feedback was also captured from a patient workshop.</p><p><strong>Results: </strong>There were 100 participants; 61% female, age range 13-88. Common self-reported aetiology included sinonasal disease (17%), idiopathic (33%) and post-viral olfactory loss (26%) and post-traumatic olfactory loss (23%). Parosmia was reported as a daily symptom in 67% compared to 31% for phantosmia; 36% complained of suffering with both symptoms. Only 4% of respondents reported having received any successful treatment for their qualitative symptoms and 58% reported having received no treatment whatsoever. Olfactory training was the most common self-management method reported.</p><p><strong>Conclusion: </strong>This study illustrates that qualitative disturbances remain problematic for those who experience them due to the duration of symptoms, the relative lack of experience or knowledge amongst medical professionals and the lack of therapeutic options. In future, consideration needs to be given to adaptation and coping strategies to help patients deal with these symptoms.</p>","PeriodicalId":45192,"journal":{"name":"Allergy & Rhinology","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8474348/pdf/","citationCount":"10","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Allergy & Rhinology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/21526567211004251","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 10

Abstract

Background: Qualitative olfactory disorders in the form of parosmia and phantosmia are very subjective and cannot be measured at present. They pose an unpleasant experience for patients and a therapeutic challenge for clinicians.

Objective: This study aimed to characterise the specific experiences of patients affected by the qualitative symptoms of parosmia and phantosmia including both triggers for symptoms and self-help measures they have tried.

Methods: A cross-sectional survey questionnaire was developed with the input of patient experts within the charity Fifth Sense. The survey was then open online for 3 months to charity members complaining of qualitative symptoms. The survey captured the frequency and impact of symptoms and self-management undertaken. Reflective feedback was also captured from a patient workshop.

Results: There were 100 participants; 61% female, age range 13-88. Common self-reported aetiology included sinonasal disease (17%), idiopathic (33%) and post-viral olfactory loss (26%) and post-traumatic olfactory loss (23%). Parosmia was reported as a daily symptom in 67% compared to 31% for phantosmia; 36% complained of suffering with both symptoms. Only 4% of respondents reported having received any successful treatment for their qualitative symptoms and 58% reported having received no treatment whatsoever. Olfactory training was the most common self-management method reported.

Conclusion: This study illustrates that qualitative disturbances remain problematic for those who experience them due to the duration of symptoms, the relative lack of experience or knowledge amongst medical professionals and the lack of therapeutic options. In future, consideration needs to be given to adaptation and coping strategies to help patients deal with these symptoms.

Abstract Image

Abstract Image

Abstract Image

定性嗅觉障碍:患者经验和自我管理。
背景:以嗅觉缺失和幻觉为形式的定性嗅觉障碍是非常主观的,目前还无法测量。它们给患者带来了不愉快的体验,对临床医生来说也是治疗上的挑战。目的:本研究的目的是表征的具体经验的患者影响的质性症状和幻影包括触发症状和自救措施,他们已经尝试。方法:在慈善机构第五感的病人专家的投入下,制定了一份横断面调查问卷。该调查随后在网上进行,为期3个月,向抱怨定性症状的慈善机构成员开放。调查记录了症状出现的频率和影响以及所进行的自我管理。反思性反馈也从患者研讨会中获得。结果:共100人;61%为女性,年龄13-88岁。常见的自我报告病因包括鼻窦疾病(17%)、特发性(33%)、病毒后嗅觉丧失(26%)和创伤后嗅觉丧失(23%)。67%的人报告说,缺失症是一种日常症状,而幻影症的这一比例为31%;36%的人抱怨患有这两种症状。只有4%的答复者报告其定性症状得到了任何成功的治疗,58%的答复者报告没有得到任何治疗。嗅觉训练是最常见的自我管理方法。结论:这项研究表明,由于症状持续时间长,医疗专业人员相对缺乏经验或知识,以及缺乏治疗选择,对那些经历过定性障碍的人来说仍然是一个问题。未来,需要考虑适应和应对策略,以帮助患者处理这些症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Allergy & Rhinology
Allergy & Rhinology OTORHINOLARYNGOLOGY-
CiteScore
3.30
自引率
4.50%
发文量
11
审稿时长
15 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信