Ghazali N, Kanatas A, Scott B, Lowe D, Zuydam A, Rogers S N
Merseyside Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, UK.
J Laryngol Otol. 2012 Aug;126(8):800-8. doi: 10.1017/S0022215112001107. Epub 2012 Jun 15.
The Patient Concerns Inventory is a holistic, self-reported screening tool for detecting unmet needs in head and neck cancer patients. This study aimed to assess its value in screening for self-perceived swallowing and speech concerns, and in facilitating multidisciplinary supportive care.
The Patient Concerns Inventory and the University of Washington Quality of Life questionnaire were completed by 204 post-treatment patients attending routine out-patient review clinics, and those with speech or swallowing issues were identified.
Swallowing and speech issues were respectively reported by 21 and 7 per cent of University of Washington questionnaire respondents and by 17 and 13 per cent of Patient Concerns Inventory respondents. The two surveys combined indicated that speech or swallowing issues arose in 39 per cent of consultations (n = 178), involving 48 per cent of patients (n = 97). Of these 97 patients, 74 were known to the speech and language therapist. The remaining 23 patients had their concerns discussed in the clinic; three were referred on, and were assessed by the speech and language therapist and given appropriate interventions.
The use of both surveys concurrently enabled all patients with swallowing or speech issues to discuss these concerns in the clinic and to access appropriate multidisciplinary interventions.
患者关注量表是一种全面的、自我报告的筛查工具，用于检测头颈癌患者未满足的需求。本研究旨在评估其在筛查自我感知的吞咽和言语问题以及促进多学科支持性护理方面的价值。
204名接受常规门诊复查的治疗后患者完成了患者关注量表和华盛顿大学生活质量问卷，并确定了存在言语或吞咽问题的患者。
华盛顿大学问卷的受访者中，分别有21%和7%报告了吞咽和言语问题，患者关注量表的受访者中这一比例分别为17%和13%。两项调查综合显示，39%的会诊（n = 178）中出现了言语或吞咽问题，涉及48%的患者（n = 97）。在这97名患者中，74名患者为言语治疗师所知。其余23名患者的问题在诊所进行了讨论；3名患者被转诊，由言语治疗师进行评估并给予适当干预。
同时使用这两项调查能够使所有有吞咽或言语问题的患者在诊所讨论这些问题，并获得适当的多学科干预。
