Summary
Total laryngectomy affects the speaking functions of many patients. Speech deprivation has great impacts on the quality of life of patients, especially on self-efficacy. Learning esophageal speech represents a way to help laryngectomees speak again. The purpose of this study was to determine the influence of collective esophageal speech training on self-efficacy of laryngectomees. In this study, 28 patients and 30 family members were included. The participants received information about training via telephone or a WeChat group. Collective esophageal speech training was used to educate laryngectomees on esophageal speech. Before and after collective esophageal speech training, all participants completed the General Self-Efficacy Scale (GSES) to assess their perceptions on self-efficacy. Through the training, laryngectomees recovered their speech. After the training, the self-efficacy scores of laryngectomees were higher than those before the training, with significant differences noted (T<0.05). However, family members’ scores did not change significantly. In conclusion, collective esophageal speech training is not only convenient and economical, but also improves self-efficacy and confidence of laryngectomees. Greater self-efficacy is helpful for laryngectomees to master esophageal speech and improve their quality of life. In addition, more attention should be focused on improving the self-efficacy of family members and making them give full play to their talent and potential on laryngectomees’ voice rehabilitation.
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References
Chu EA, Kim YJ. Laryngeal cancer: diagnosis and preoperative work-up. Otolaryngol Clin North Am, 2008,41(4):673–695
Boscolo-Rizzo P, Zanetti F, Carpene S, et al. Long-term results with tracheoesophageal voice prosthesis: primary versus secondary TEP. Eur Arch Otorhinolaryngol, 2008,265(1):73–77
Silver CE, Beitler JJ, Shaha AR, et al. Current trends in initial management of laryngeal cancer: the declining use of open surgery. Eur Arch Otorhinolaryngol, 2009,266(9):1333–1352
Mumovic G, Hocevar-Boltezar I. Olfaction and gustation abilities after a total laryngectomy. Radiol Oncol, 2014, 48(3):301–306
Xi S. Effectiveness of voice rehabilitation on vocalisation in postlaryngectomy patients: a systematic review. Int J Evid Based Healthc, 2010,8(4):256–258
Tiple C, Drugan T, Dinescu FV, et al. The impact of vocal rehabilitation on quality of life and voice handicap in patients with total laryngectomy. J Res Med Sci, 2016,21:127
Kaye R, Tang CG, Sinclair CF. The electrolarynx: voice restoration after total laryngectomy. Med Devices (Auckl), 2017,10:133–140
Miyoshi M, Fukuhara T, Kataoka H, et al. Relationship between quality of life instruments and phonatory function in tracheoesophageal speech with voice prosthesis. Int J Clin Oncol, 2016,21(2):402–408
Zhao HL, Liu Y, Yu R. Research progress on the influencing factors of the quality of life in patients who have undergone laryngectomy. Chin Nurs Manag (Chinese), 2014,14(12):1288–1290
Babin E, Beynier D, Le Gall D, et al. Psychosocial quality of life in patients after total laryngectomy. Rev Laryngol Otol Rhinol, 2009,130(1):29–34
Perry A, Casey E, Cotton S. Quality of life after total laryngectomy: functioning, psychological well-being and self-efficacy. Int J Lang Commun Disord, 2015,50(4):467–475
Benight CC, Bandura A. Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy. Behav Res Ther, 2004,42(10):1129–1148
Tang CG, Sinclair CF. Voice Restoration After Total Laryngectomy. Otolaryngol Clin North Am, 2015,48(4):687–702
Rgbsky TT. Learning guide of esophageal speech[EB/OL]. https://doi.org/wenku.baidu.com/view/dd3cc20502020740be1e9b26.html?from=search.
Luszczynska A, Scholz U, Schwarzer R. The general self-efficacy scale: multicultural validation studies. J Psychol, 2005,139(5):439–457
Wang CK, Hu ZF, Liu Y. The reliability and validity of the general self efficacy scale. Ying Yong Xin Li Xue (Chinese), 2001,7(1):37–40
Kresić S, Veselinovic M, Mumovic G, et al. Possible factors of success in teaching esophageal speech. Med Pregl, 2015,68(1–2):5–9
Luszczynska A, Schwarzer R. Social cognitive theory. In M. Conner & P. Norman (Eds.). Predicting health behaviour. England: Open University Press, 2005:127–169
Noonan BJ, Hegarty J. The impact of total laryngectomy: the patient’s perspective. Oncol Nurs Forum, 2010,37(3): 293–301
Brunner TH, Kristyn DK, Michael LM, et al. Using Technology to Give Patients a Voice After Surgery for Head and Neck Cancer. Clin J Oncol Nurs, 2016,20(5):474–476
Salturk Z, Arslanoglu A, Ozdemir E, et al. How do voice restoration methods affect the psychological status of patients after total laryngectomy?. HNO, 2016,64(3):163–168
van Sluis KE, van der Molen L, van Son RJJH, et al. Objective and subjective voice outcomes after total laryngectomy: a systematic review. Eur Arch Otorhinolaryngol, 2018,275(1):11–26
McDonough K, Crimlisk J, Nicholas P, et al. Standardizing nurse training strategies to improve knowledge and self-efficacy with tracheostomy and laryngectomy care. Appl Nurs Res, 2016,32:212–216
Skirbekk H, Korsvold L, Finset A. To support and to be supported. A qualitative study of peer support centres in cancer care in Norway. Patient Educ Couns, 2018,101(4):711–716
Deek H, Hamilton S, Brown N, et al. Family-centred approaches to healthcare interventions in chronic diseases in adults: a quantitative systematic review. J Adv Nurs, 2016, 72(5):968–979
Guan CY, Liu YL, Huang H, et al. Outpatient experience of human caring scale (OEHC-Scale): improvement by Delphi method. Curr Med Sci, 2018,2(38):360–371
De Simone S, Planta A, Cicotto G. The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses’ turnover intention and patient satisfaction. Appl Nurs Res, 2018,39:130–140
Pamungkas RA, Chamroonsawasdi K, Vatanasomboon. A Systematic Review: Family Support Integrated with Diabetes Self-Management among Uncontrolled Type II Diabetes Mellitus Patients. Behav Sci, 2017,7(3) pii: E62
Bonsaksen T, Lerdal A, Heir T, et al. General self-efficacy in the Norwegian population: Differences and similarities between sociodemographic groups. Scand J Public Health, 2018:1709328291
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We are indebted to all the subjects who took part in this study, and the staff of the Otolaryngology Department of Union Hospital of Tongji Medical College, Huazhong University of Science and Technology.
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The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
This project was supported by the Nursing Foundation of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology (No. 02.03.2013-17).
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Chen, Q., Luo, J., Li, Jp. et al. Influence of Collective Esophageal Speech Training on Self-efficacy in Chinese Laryngectomees: A Pretest-posttest Group Study. CURR MED SCI 39, 810–815 (2019). https://doi.org/10.1007/s11596-019-2109-0
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DOI: https://doi.org/10.1007/s11596-019-2109-0