Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer

Jizhe Zhu; Xin Wang; Suxiang Chen; Ruofei Du; Haoning Zhang; Menghan Zhang; Mengwei Shao; Changying Chen; Tao Wang

doi:10.1016/j.apjon.2022.100169

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Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer

Journal article

Open access

Peer reviewed

Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer

Jizhe Zhu, Xin Wang, Suxiang Chen, Ruofei Du, Haoning Zhang, Menghan Zhang, Mengwei Shao, Changying Chen and Tao Wang

Asia-Pacific Journal of Oncology Nursing, Vol.10(1), 100169

2023

DOI: https://doi.org/10.1016/j.apjon.2022.100169

PMID: 36583099

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Abstract

Compliance

Dysphagia

Head and neck cancer

Influence factor

Rehabilitation

Swallowing exercise

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 from inception to 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.

Details

Title: Improving compliance with swallowing exercise to decrease radiotherapy-related dysphagia in patients with head and neck cancer
Authors/Creators: Jizhe Zhu - Zhengzhou University
Xin Wang - Zhengzhou University
Suxiang Chen - Murdoch University
Ruofei Du - Zhengzhou University
Haoning Zhang - Zhengzhou University
Menghan Zhang - Zhengzhou University
Mengwei Shao - Zhengzhou University
Changying Chen - First Affiliated Hospital of Zhengzhou University
Tao Wang - Zhengzhou University
Publication Details: Asia-Pacific Journal of Oncology Nursing, Vol.10(1), 100169
Publisher: Elsevier Inc. on behalf of Asian Oncology Nursing Society
Identifiers: 991005588667007891
Murdoch Affiliation: Centre for Molecular Medicine and Innovative Therapeutics
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.179 Oncology; 1.179.377 Head And Neck Cancer
Web Of Science research areas: Nursing
ESI research areas: Clinical Medicine