Adherence to swallowing recommendations during (chemo)radiotherapy in head and neck cancer survivors: a scoping review

被引:1
作者
Rowe, Elizabeth A. [1 ,6 ]
Dunton, Jane [2 ]
Cooke, Samuel [3 ]
Laparidou, Despina [4 ]
Patterson, J. M. [5 ]
机构
[1] Chesterfield Royal Hosp Fdn Trust, Speech & Language Therapy Dept, Chesterfield, England
[2] Guys & St Thomas NHS Fdn Trust, Speech & Language Therapy Dept, London, England
[3] Sch Hlth & Social Care, Colchester, England
[4] Univ Lincoln, Sch Hlth & Social Care, Community & Hlth Res Unit CaHRU, Lincoln, England
[5] Univ Liverpool, Sch Hlth Sci, Liverpool, England
[6] Chesterfield Royal Hosp Fdn Trust, Speech & Language Therapy Dept, Suite 5, Chesterfield S44 5BL, England
关键词
adherence; head and neck cancer; radiotherapy; scoping review; swallowing recommendations; BEHAVIOR-CHANGE; EXERCISES; THERAPY; CHEMORADIOTHERAPY; RADIOTHERAPY; DYSPHAGIA; OUTCOMES; IMPACT; CHEMORADIATION; TRIAL;
D O I
10.1097/MOO.0000000000000882
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Purpose of reviewThere is a paucity of knowledge regarding patient adherence to dysphagia recommendations. It is recognized that unique barriers and facilitators contribute to poor treatment adherence in head and neck cancer (HNC) survivors. This review aims to identify the key themes and knowledge gaps regarding adherence to swallowing recommendations in HNC survivors during (chemo)radiotherapy (C)RT.Recent findingsSeven studies were identified. Six facilitators to adherence were extracted, namely pain relief, behavioural intervention, attendance at multidisciplinary clinic, individualised swallowing therapy, absence of prophylactic percutaneous endoscopic gastronomy (PEG) and positive social control from a spouse. Barriers to adherence included pain, depression and presence of prophylactic PEG. Adherence to swallowing recommendations positively impacted swallowing outcomes in one study.Little is known about adherence to swallowing recommendations during (C)RT in HNC survivors. Capturing adherence is challenging. Several knowledge gaps were identified. Further research is needed to better understand the barriers and facilitators from the survivors' perspective. This will inform development of best practice regarding how swallowing recommendations are provided to promote adherence and improve outcomes.
引用
收藏
页码:171 / 179
页数:9
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