The Influence of the 'Patient-to-Patient Model' on Swallowing Problems in Patients with Supraglottic Laryngeal Cancer

作者：Zheng Yan; Liu Ming; Li Minghua; Zhang Jiarui; Ge Jingchun; Sun Yanan; Tian Linli^*

来源：ORL-Journal for Oto-Rhino-Laryngology Head and Neck Surgery, 2014, 76(3): 171-177.

DOI：10.1159/000365092

• Supraglottic laryngeal cancer
• Patient-to-patient model
• Swallowing problems
• Quality of life

Aims: To evaluate the patient-to-patient model and swallowing problems in Chinese patients with supraglottic laryngeal cancer (SLC), and to find a solution to help SLC patients with swallowing problems. Methods: Eighty-nine patients who had undergone operation for horizontal partial laryngectomy were chosen and divided randomly into two groups. The European Organization for Research and Treatment of Cancer (EORTC), Swallow Quality-of-Life (SWAL-QOL) and Visual Analogue Scale (VAS) questionnaires were used to measure the quality of life and swallowing situation of those patients. Results: At 0.5 and 1 months after eating, the scores of the EORTC QLQ-C30 and SWAL-QOL of the participant group were significantly higher than those of the nonparticipant group (p < 0.05). One week after eating, the VAS score for swallowing improved significantly from 4.9 to 7.9 in the participant group. However, in the nonparticipant group, the VAS score showed no obvious change (from 4.5 to 4.1). Conclusions: We concluded that the patient-to-patient model may be utilized in clinical cases to solve swallowing problems of SLC patients, and infered that swallowing problems mainly appeared in 60 to 70-year-olds, and 1 week after eating was a critical time point of communication.

• 出版日期2014
• 单位哈尔滨医科大学