International Journal of Speech-Language Pathology最新文献_第4页

Effect of intensive water resistance phonation therapy for people with presbyphonia: A pilot study. 强化水抵抗发声疗法对听前音患者的影响：一项初步研究。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-10-01 Epub Date: 2023-10-31 DOI: 10.1080/17549507.2023.2261660

Ming-Jhen Tsai, Chi-Te Wang, Sherry Fu, Feng-Chuan Lin

{"title":"Effect of intensive water resistance phonation therapy for people with presbyphonia: A pilot study.","authors":"Ming-Jhen Tsai, Chi-Te Wang, Sherry Fu, Feng-Chuan Lin","doi":"10.1080/17549507.2023.2261660","DOIUrl":"10.1080/17549507.2023.2261660","url":null,"abstract":"Purpose: The aim of this pilot study was to explore the efficacy of an intensive 3 week water resistance phonation (WRP) therapy program for people with presbyphonia.Method: Participants included 13 people with presbyphonia who received intensive WRP therapy. All participants completed eight sessions of therapy over 3 weeks. Auditory perceptual ratings, and acoustic and aerodynamic assessments were performed before and after treatment. Participants also completed the voice-related quality of life questionnaire before and after the treatment.Result: After 3 weeks of intensive voice therapy, significant improvements were demonstrated in acoustic, aerodynamic, and auditory perceptual parameters, as well as patient perceptions of voice-related quality of life. Acoustically, it was found there were significant decreases in shimmer (p = 0.019), noise-to-harmonic ratio (p = 0.016), and smoothed cepstral peak prominence (p = 0.001). Perceptually, the clients with presbyphonia showed significant reductions in the ratings of the overall grade, roughness, asthenia, and strain. Moreover, there was a significant increase in the total score of the Mandarin version of the Voice-Related Quality of Life measure post-therapy.Conclusion: The investigation provides preliminary evidence that people with presbyphonia can improve their vocal function and voice-related quality of life through intensive WRP therapy within a short period of time.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"728-736"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reframing transgender communication in gender-affirming communication care: Comfort and confidence are the main goals. 在确认性别的沟通护理中重塑跨性别沟通：舒适和自信是主要目标。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-10-01 Epub Date: 2023-10-31 DOI: 10.1080/17549507.2023.2259124

Jingyu Linna Jin, Carolyn Baylor, Jeffrey Teixeira, Kathryn Yorkston, Michael Nuara

{"title":"Reframing transgender communication in gender-affirming communication care: Comfort and confidence are the main goals.","authors":"Jingyu Linna Jin, Carolyn Baylor, Jeffrey Teixeira, Kathryn Yorkston, Michael Nuara","doi":"10.1080/17549507.2023.2259124","DOIUrl":"10.1080/17549507.2023.2259124","url":null,"abstract":"Purpose: To understand the communicative participation experiences of transgender people through a qualitative inquiry, and to address similarities and differences in experiences across genders.Method: This study was a secondary analysis of interview data gathered for modifying the Communicative Participation Item Bank for use with transgender populations. Fourteen transgender participants attended individual qualitative interviews. During the interview, participants shared their communication experiences in various situations and the availability of social supports related to communication. Qualitative content analysis was used to develop themes and subthemes from the data.Result: Three themes emerged from the data: the participants' priorities for comfort, safety, and authenticity; the use of an internal \"checklist\" to optimise their communication; and changes in attitudes towards communication over time. Across themes, participants shared core communication experiences regardless of gender identities.Conclusion: The findings support prior research on voice-related communication experiences of transgender people. A key finding is the notion that communication success is influenced by sociocultural contexts and the physical environment beyond their communication presentation. To achieve targeted comfort and satisfaction in communication, healthcare professionals need to consider the transgender client's communication contexts, and incorporate a life-participation approach to gender-affirming voice and communication training.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"750-764"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A qualitative study of reflective practice in the workplace. Speech-language pathologists have their say. 工作场所反思性实践的定性研究。语言病理学家对此有自己的看法。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-10-01 Epub Date: 2023-12-06 DOI: 10.1080/17549507.2023.2267193

Kate J Cook, Cheryl Messick, Carolyn Baylor, Megan J McAuliffe

{"title":"A qualitative study of reflective practice in the workplace. Speech-language pathologists have their say.","authors":"Kate J Cook, Cheryl Messick, Carolyn Baylor, Megan J McAuliffe","doi":"10.1080/17549507.2023.2267193","DOIUrl":"10.1080/17549507.2023.2267193","url":null,"abstract":"Purpose: Engaging in reflective practice (RP) and demonstrating reflective abilities is an essential graduate skill for speech-language pathologists (SLPs), yet limited studies have examined the perspectives of practicing SLPs and how and why they engage in RP. This qualitative study aimed to examine SLPs' experiences and perspectives of RP in diverse workplaces.Method: Individual semi-structured interviews were conducted with 30 SLPs working in health, education, or private practice sectors. Interviews were analysed using thematic analysis.Result: Three themes were developed from the data, describing what SLPs use RP for, what SLPs perceive as important in order to engage in RP in the workplace, as well as the barriers they have identified, and how SLPs have observed a change in engaging in RP as they have progressed in their careers.Conclusion: SLPs described that RP is valued in the workplace for supporting client focused care, problem-solving, and lifelong learning. SLPs wanted time to be protected for RP at all stages of their career and valued the relationships with others as contributing positively to RP. Perceptions of and engagement in RP changed in relation to SLPs' clinical experience. Implications for clinical practice are discussed.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"637-651"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A comparative study of automatic vowel articulation index and auditory-perceptual assessments of speech intelligibility in Parkinson's disease. 帕金森病患者自动元音发音指数和语音清晰度听觉感知评估的比较研究。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-10-01 Epub Date: 2023-10-06 DOI: 10.1080/17549507.2023.2251725

Rachel B Convey, Tiina Ihalainen, Yuanyuan Liu, Okko Räsänen, Sari Ylinen, Nelly Penttilä

{"title":"A comparative study of automatic vowel articulation index and auditory-perceptual assessments of speech intelligibility in Parkinson's disease.","authors":"Rachel B Convey, Tiina Ihalainen, Yuanyuan Liu, Okko Räsänen, Sari Ylinen, Nelly Penttilä","doi":"10.1080/17549507.2023.2251725","DOIUrl":"10.1080/17549507.2023.2251725","url":null,"abstract":"Purpose: The purpose of this study was to analyse the relationship between automatic vowel articulation index (aVAI) and direct magnitude estimation (DME) among speakers with Parkinson's disease (PD) and healthy controls. We further analysed the potential of aVAI to serve as an objective measure of speech impairment in the clinical setting.Method: Speech samples from native Finnish speakers were utilised. Expert raters utilised DME to scale the intelligibility of speech samples. aVAI scores for PD speakers and healthy control speakers were analysed in relationship to DME speech intelligibility ratings and, among PD speakers, disease stage utilising nonparametric statistical analysis.Result: Mean DME intelligibility ratings were lower among PD speakers compared to healthy controls. Mean aVAI scores were nearly the same between speaker groups. DME intelligibility ratings and aVAI were strongly correlated within the PD speaker group. aVAI and DME intelligibility ratings were moderately correlated with disease stage as measured by the Hoehn and Yahr scale.Conclusion: aVAI was observed to be a promising tool for analysing vowel articulation in PD speakers. Further research is warranted on the application of aVAI as an objective measure of severity of speech impairment in the clinical setting, with varying patient populations and speech samples.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"663-673"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Speech-language pathologist involvement in the paediatric intensive care unit. 言语语言病理学家参与儿科重症监护室。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-10-01 Epub Date: 2023-10-01 DOI: 10.1080/17549507.2023.2244195

Rachel Santiago, Blair J Gorenberg, Christine Hurtubise, Panayiota Senekki-Florent, Sapna R Kudchadkar

{"title":"Speech-language pathologist involvement in the paediatric intensive care unit.","authors":"Rachel Santiago, Blair J Gorenberg, Christine Hurtubise, Panayiota Senekki-Florent, Sapna R Kudchadkar","doi":"10.1080/17549507.2023.2244195","DOIUrl":"10.1080/17549507.2023.2244195","url":null,"abstract":"Purpose: To measure the prevalence of speech-language pathologist (SLP) involvement and associated trends for critically ill children in United States (US) paediatric intensive care units (PICU) through secondary analysis of the Prevalence of Acute Rehab for Kids in the PICU (PARK-PICU) study data.Method: A secondary analysis of cross-sectional point prevalence study conducted over 1 day in 82 US PICUs. Data collected included SLP presence, patients' age, length of stay, medical interventions, aetiology, admission data, Glasgow Coma Scale scores, staffing involvement, and family presence.Result: Among 961 patients, 82 were visited by an SLP on the study day for a prevalence of 8.5%. Most visits were for children <3 years old. The odds of SLP involvement were lower for children who were 7-12 years old (vs. age 0-2; adjusted odds ratio [aOR] 0.28; 95% CI 0.1-0.8), were mechanically ventilated via endotracheal tube (vs. room air; aOR 0.02; 95% CI 0.005-0.11), or had mild or severe disability (mild vs. no disability; aOR 0.34; 95% CI 0.16-0.76 and severe vs. no disability; aOR 0.39; 95% CI 0.17-0.90). Concurrent physical and/or occupational therapy involvement was associated with higher odds of SLP involvement (aOR 3.6; 95% CI 2.1-6.4).Conclusion: SLP involvement is infrequent in US PICUs. PICU teams should be educated about the scope of SLP practice, to support communication and oral feeding needs during early recovery from critical illness.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"674-681"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A survey of speech-language pathology service delivery in Australian schools. 澳大利亚学校语言病理学服务调查。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-09-25 DOI: 10.1080/17549507.2024.2404035

Wendy M Pearce, Diane Jacobs, Caroline Lai

{"title":"A survey of speech-language pathology service delivery in Australian schools.","authors":"Wendy M Pearce, Diane Jacobs, Caroline Lai","doi":"10.1080/17549507.2024.2404035","DOIUrl":"https://doi.org/10.1080/17549507.2024.2404035","url":null,"abstract":"Purpose: Speech-language pathologists (SLPs) work in Australian schools yet, little is documented about their service delivery practices. This study therefore explores Australian speech-language pathology service delivery in schools, inclusive of work activities, caseloads, and assessment and intervention practices.Method: An online survey comprising multiple choice, constant sum, Likert scale, and open text questions was completed by 105 SLPs. Quantitative data was analysed using descriptive statistics while open-text responses were analysed using content analysis.Result: Participants were predominantly government education department employees working in multiple schools, and caseloads ranged from 10 to 240 students for full-time SLPs. While responses varied considerably, some general trends emerged. Most time was spent on intervention, followed by non-contact tasks, and assessments, with differences across employment sectors. Language was the most common student need, followed by literacy and speech. Frequently reported factors contributing to client complexity and intervention frequency were co-occurring presentations, severity of student needs, caseload size, and impact on learning. Caseload manageability was a concern for participants who reported larger caseloads, spent more time in assessment or less time in therapy than others, and worked in education departments.Conclusion: Findings have implications for policy makers, professional bodies and employers, and provide direction for future systematic data collection.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.4,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Everyone's brains are different…you can't just have one therapy plan to suit everyone" - A qualitative investigation of community-based rehabilitation services following traumatic brain injury. "每个人的大脑都不一样......不可能只有一种治疗方案适合所有人"--对脑外伤后社区康复服务的定性调查。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-09-25 DOI: 10.1080/17549507.2024.2390513

Crystal Kelly, Petrea Cornwell, Ronelle Hewetson, Anna Copley

{"title":"\"Everyone's brains are different…you can't just have one therapy plan to suit everyone\" - A qualitative investigation of community-based rehabilitation services following traumatic brain injury.","authors":"Crystal Kelly, Petrea Cornwell, Ronelle Hewetson, Anna Copley","doi":"10.1080/17549507.2024.2390513","DOIUrl":"https://doi.org/10.1080/17549507.2024.2390513","url":null,"abstract":"Purpose: To examine the lived experiences of adults who have received community-based rehabilitation (CBR) services in Australia or New Zealand for cognitive-communication disorders (CCDs) following traumatic brain injury (TBI) and their support people. Participants' recommendations for future models of care were also explored to enhance rehabilitation services for people with TBI.Method: A qualitative descriptive approach grounded in phenomenology was used, whereby semi-structured interviews were conducted with each participant. A total of 28 interviews were completed, four in-person and 24 via video conferencing. Two participant groups were recruited: Adults with TBI; and their support people. Sixteen adults with a self-reported diagnosis of cognitive-communication disorder (CCD) following TBI who had received CBR and 12 support people were included. Interviews were analysed using reflexive thematic analysis.Result: Four themes were identified by the participant groups indicating the core pillars of CBR models of care. They included the importance of: (a) accessible and inclusive CBR services; (b) specialised clinical skills and treatment approaches; the acknowledgment that (c) knowledge is power; and the significance of (d) peer networks and support.Conclusion: This study further advances the evidence base of how services can be optimised to meet the complex needs of adults with CCDs following a TBI. Clinicians, researchers, and service providers should endeavour to incorporate the four core pillars outlined to enhance future CBR models of care for this clinical population.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.4,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Staying connected": Speech-language pathologists' perspectives on the communication needs of people with primary progressive aphasia and their family members. "保持联系"：言语病理学家对原发性进行性失语症患者及其家人沟通需求的看法。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-09-24 DOI: 10.1080/17549507.2024.2388072

Katharine Davies, Tami Howe, Jeff Small, Ging-Yuek Robin Hsiung

{"title":"\"Staying connected\": Speech-language pathologists' perspectives on the communication needs of people with primary progressive aphasia and their family members.","authors":"Katharine Davies, Tami Howe, Jeff Small, Ging-Yuek Robin Hsiung","doi":"10.1080/17549507.2024.2388072","DOIUrl":"https://doi.org/10.1080/17549507.2024.2388072","url":null,"abstract":"Purpose: The research objectives were to explore the communication needs pertaining to (a) people with primary progressive aphasia (PwPPA); (b) family members of PwPPA; and (c) the different variants of primary progressive aphasia (PPA), from the perspectives of speech-language pathologists (SLPs).Method: This investigation used a qualitatively driven concurrent mixed methods research design. Data collection involved semi-structured interviews and mixed methods questionnaires with 14 SLPs. Qualitative content analysis of interview and questionnaire data was used to identify codes and categories related to the research objectives. Quantitative analysis of questionnaire data involved single item summaries and cross item tabulations.Result: Analysis revealed eight categories of communication need pertaining to PwPPA and six pertaining to their family members. Results regarding communication needs according to variant of PPA revealed limited findings.Conclusion: SLPs perceived several important areas of communication need for PwPPA and their family members, highlighting key clinical implications for proactive communication care across the continuum of care. Future research can build on the current findings and integrate the perspectives of PwPPA and their family members on this topic, to develop interventions and explore models of service delivery to meet their progressive and complex communication needs.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.4,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caregiver training improves child feeding behaviours in children with paediatric feeding disorder and may reduce caregiver stress: A systematic review and meta-analysis. 护理人员培训可改善儿科喂养障碍儿童的喂养行为，并可减轻护理人员的压力：系统回顾和荟萃分析。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-09-05 DOI: 10.1080/17549507.2024.2381459

Megan Madonna, Elodie Jeffers, Katherine E Harding

{"title":"Caregiver training improves child feeding behaviours in children with paediatric feeding disorder and may reduce caregiver stress: A systematic review and meta-analysis.","authors":"Megan Madonna, Elodie Jeffers, Katherine E Harding","doi":"10.1080/17549507.2024.2381459","DOIUrl":"https://doi.org/10.1080/17549507.2024.2381459","url":null,"abstract":"Purpose: The purpose of this systematic review and meta-analysis was to synthesise the evidence from randomised controlled trials for caregiver training on child and family outcomes for children with paediatric feeding disorder.Method: A systematic review was conducted in accordance with PRISMA guidelines. Searches of Medline, CINAHL, PsychInfo, and EMBASE were conducted using the key concepts of paediatrics, feeding disorders, parents/caregivers, and training. Eligible studies included randomised controlled trials published in peer-reviewed articles, testing the impact of caregiver training on outcomes for children with paediatric feeding disorder.Result: Eight articles met the inclusion criteria, involving 575 participants from three countries. Seven articles were included in the meta-analyses, providing high certainty evidence that caregiver training improves child feeding behaviours and reduces unhelpful caregiver mealtime strategies compared with no intervention. Uncertainty remains in regard to impact on caregiver stress and intervention intensity.Conclusion: Caregiver training is an effective strategy for improving outcomes in children with paediatric feeding disorder. Further research is required to determine the most effective methods of caregiver training, including the intensity of treatment required to attain clinically important benefits for families with different levels of need.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.4,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An audit of perioperative speech pathology intervention on improving enhanced recovery after surgery in oesophagectomy patients. 围手术期语言病理学干预对改善食道切除术患者术后恢复的审计。

IF 1.4 4区医学

International Journal of Speech-Language Pathology Pub Date : 2024-09-02 DOI: 10.1080/17549507.2024.2388066

Amelia Starkey, Laura Lincoln, Douglas Fenton-Lee, Lauren J Christie

{"title":"An audit of perioperative speech pathology intervention on improving enhanced recovery after surgery in oesophagectomy patients.","authors":"Amelia Starkey, Laura Lincoln, Douglas Fenton-Lee, Lauren J Christie","doi":"10.1080/17549507.2024.2388066","DOIUrl":"10.1080/17549507.2024.2388066","url":null,"abstract":"Purpose: To evaluate the impact of a speech-language pathology (SLP) pathway on recovery following oesophagectomy.Method: An audit was conducted at a single metropolitan public hospital in Sydney, Australia. Patients between 2014-2021 undergoing a three-stage oesophagectomy (n = 41) were included in the study. The sample was divided into two groups, those who received usual care (2014-2019) and those who received perioperative SLP assessment and intervention (2020-2021), with data collected across swallowing and health outcomes. Patient demographics and outcomes between the two groups were compared.Result: Patients who received perioperative SLP intervention commenced oral intake faster postoperatively (SLP intervention group Mdn = 6.50 days, IQR = 6.00-7.00; usual care group Mdn = 9.00 days, IQR = 7.00-13.25; p = 0.001). There was no statistically significant difference between groups in rates of aspiration on the postoperative leak test (p = 0.32). No statistically significant differences were found between the two groups in length of hospital stay or number of swallowing-related medical images completed during their admission.Conclusion: Perioperative SLP intervention has a positive impact on commencing oral intake following a three-stage oesophagectomy, however, it does not have a significant impact on rates of aspiration postoperatively. This pathway may contribute to enhanced recovery after oesophagectomy.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-6"},"PeriodicalIF":1.4,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0