TY - JOUR
T1 - Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer
AU - Zhu, Jizhe
AU - Wang, Xin
AU - Chen, Suxiang
AU - Du, Ruofei
AU - Zhang, Haoning
AU - Zhang, Menghan
AU - Shao, Mengwei
AU - Chen, Changying
AU - Wang, Tao
PY - 2023/1
Y1 - 2023/1
N2 - Objective: Dysphagia, one of the most common complications in head and neck cancer (HNC) treated with radiotherapy, can severely affect patients' quality of life. Currently, because no "gold standard" treatment exists, swallowing exercise remains the main rehabilitation strategy for dysphagia. However, patients' compliance with long-term swallowing exercise is only 40%, thus, greatly compromising outcomes. This article aims to analyze thefactors influencing swallowing exercise compliance in patients with HNC and explains strategies developed to date for improved rehabilitation outcomes.Methods: Research studies published between 2005 and 2022 were retrieved from seven databases: PubMed, Cochrane Library, Embase, CINAHL, CNKI, Wan Fang Database, and VIP Database, and 21 articles were shortlisted and systematically reviewed.Results: The swallowing exercise compliance in patients with HNC undergoing radiotherapy was affected by multiple factors, including socio-demographic factors, illness-associated factors, treatment-associated factors, and psychosocial factors. Regarding the interventions, current strategies mainly address psychosocial issues via developing various education programs.Conclusions: Different factors influencing swallowing exercise compliance are important and should be observed. Measures including developing multidisciplinary teams, applying innovative equipment, refining the intervention procedure, and applying systematic theory frameworks should be performed to achieve better outcomes of compliance interventions.
AB - Objective: Dysphagia, one of the most common complications in head and neck cancer (HNC) treated with radiotherapy, can severely affect patients' quality of life. Currently, because no "gold standard" treatment exists, swallowing exercise remains the main rehabilitation strategy for dysphagia. However, patients' compliance with long-term swallowing exercise is only 40%, thus, greatly compromising outcomes. This article aims to analyze thefactors influencing swallowing exercise compliance in patients with HNC and explains strategies developed to date for improved rehabilitation outcomes.Methods: Research studies published between 2005 and 2022 were retrieved from seven databases: PubMed, Cochrane Library, Embase, CINAHL, CNKI, Wan Fang Database, and VIP Database, and 21 articles were shortlisted and systematically reviewed.Results: The swallowing exercise compliance in patients with HNC undergoing radiotherapy was affected by multiple factors, including socio-demographic factors, illness-associated factors, treatment-associated factors, and psychosocial factors. Regarding the interventions, current strategies mainly address psychosocial issues via developing various education programs.Conclusions: Different factors influencing swallowing exercise compliance are important and should be observed. Measures including developing multidisciplinary teams, applying innovative equipment, refining the intervention procedure, and applying systematic theory frameworks should be performed to achieve better outcomes of compliance interventions.
KW - Head and neck cancer
KW - Dysphagia
KW - Swallowing exercise
KW - Compliance
KW - In fluence factor
KW - Rehabilitation
KW - ADHERENCE
KW - THERAPY
KW - PROGRAM
KW - IMPACT
UR - http://www.scopus.com/inward/record.url?scp=85144740203&partnerID=8YFLogxK
U2 - 10.1016/j.apjon.2022.100169
DO - 10.1016/j.apjon.2022.100169
M3 - Review article
C2 - 36583099
SN - 2347-5625
VL - 10
JO - Asia-Pacific journal of oncology nursing
JF - Asia-Pacific journal of oncology nursing
IS - 1
M1 - 100169
ER -