Journals / Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi / 2016 / Cilt: 19 - Sayı: 3

INABILITY TO SPEAK: A QUALITATIVE STUDY ON THE EXPERIENCES OF PATIENTS WHO UNDERWENT PARTIAL LARYNGECTOMY

Konuşamamak: Parsiyel Larenjektomi olan Hastaların Deneyimlerine İlişkin Kalitatif Bir Çalışma

Pages
182–188
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It was found out that patients used writing most in order to communicate with others but they did not find written communication effective to express them.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study aims to determine the experiences of patients with partial laryngectomy related inability to speak.
📊
Key Findings & Data:Methods: The study followed purposeful sampling and saturation principles in which 10 patients with partial laryngectomy were included.
💡
Conclusion & Impact:It was found out that patients used writing most in order to communicate with others but they did not find written communication effective to express them.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: This study aims to determine the experiences of patients with partial laryngectomy related inability to speak. Methods: The study followed purposeful sampling and saturation principles in which 10 patients with partial laryngectomy were included. The data were collected using "semi-structure interview method'' and the data were analyzed by thematic analysis. Results: Three themes were determined: perception of inability to speak, problems caused by inability to speak and communication methods. The patients explained that the inability to speak was like vanishing and that it caused them to experience loss of self-confidence. They explained that they again felt the happiness and joy of living when they began to speak again and that they felt themselves empowered. Problems caused by inability to speak were related to the difficulty to express physical needs, experience of negative feelings and social isolation. It was found out that patients used writing most in order to communicate with others but they did not find written communication effective to express them. Conclusions: After laryngectomy, patients perceived inability to verbally speak as an important loss. Inability to speak causes inability to express their needs, experience of negative feelings and social isolation among the patients. Written communication method, used most to communicate, falls short in many aspects.

Özet

Amaç: Çalışma parsiyel larenjektomi olan hastaların konuşamama nedeni ile yaşadıkları deneyimleri belirlemeyi amaçlamaktadır. Yöntem: Çalışmaya amaçlı örnekleme yöntemine ve doygunluk ilkelerini bağlı olarak 10 parsiyel larenjektomi olan hasta dâhil edildi. Veriler "yarı yapılandırılmış görüşme yöntemi" kullanılarak toplandı ve "tematik analize" göre analiz edildi. Bulgular: Konuşamama algısı, konuşamamanın neden olduğu problemler ve iletişim metotları olmak üzere üç tema belirlendi. Hastalar konuşamamanın yok olmak gibi olduğunu ve bu durumun öz güven kaybı yaşamalarına yol açtığını ifade ettiler. Tekrar konuşmaya başladıkları zaman ise hastalar mutluluk ve yeniden yaşama sevinci duyduklarını ve kendilerini güçlenmiş hissettiklerini ifade ettiler. Fiziksel ihtiyaçları açıklamada güçlük, negatif duygular yaşama ve sosyal izolasyon konuşamama nedeniyle yaşanılan problemlerdir. Hastaların iletişim için en çok yazmayı kullandıkları ancak yazarak iletişimi kendilerini ifade edebilmelerinde etkili bulmadıkları belirlendi. Sonuçlar: Larenjektomi sonrası hastalar sözel iletişim kuramamayı önemli bir kayıp olarak algılamaktadırlar. Konuşamama hastaların ihtiyaçlarını açıklayamamasına, negatif duygular yaşamalarına ve sosyal izolasyona neden olmaktadır. Yazarak iletişim en çok kullanılan iletişim metodu ancak iletişim için yeterli değildir.

🔖

Cite This Article

GÜNGÖRDÜ, N. D., ERTÜRK, M., GÜRSOY, A. (2022). INABILITY TO SPEAK: A QUALITATIVE STUDY ON THE EXPERIENCES OF PATIENTS WHO UNDERWENT PARTIAL LARYNGECTOMY. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, Cilt: 19 - Sayı: 3, 182–188. https://ajindex.com/articles/435697

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Abendstein H, Nordgren M, Boysen, M, Jannert, M, Silander, E, Ahlner-Elmqvist M, et al. Quality of life and head and neck cancer: A 5 year prospective study. Laryngoscope 2005;115(12):2183-92.
  2. Alasad J, Ahmad M. Communication with critically ill patients. Journal of Advanced Nursing 2005; 50(4): 356-62.
  3. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology 2006; 3(2): 77-101.
  4. Dickerson S, Stone V, Panchura C, Usiak D J. The meaning of communication: Experiences with augmentative communication devices. Rehabilitation Nursing 2002;27(6): 215- 20. Dropkin M J. Anxiety, coping strategies, and coping behaviors in patients undergoing head and neck cancer surgery. Cancer Nursing 2001;24(2): 143-8.
  5. Epstein R M, Franks P, Fiscella K, Shields C G, Meldrum S C, Kravitz R l, et al. Measuring patientcentered communication in patient-physician consultations: theoretical and practical issues. Soc Sci Med 2005; 61(7):1516-28.
  6. Evitts P M, Kasapoglu F, Demirci U, Miller JS. Communication adjustment of patients with a laryngectomy in Turkey: analysis by type of surgery and mode of speech. Psychology, Health & Medicine 2011;16(6): 650-660.
  7. Fletcher B S, Cohen M Z, Schumacher K, Lydiatt W. Blessing and a curse head and neck cancer survivors' experiences. Cancer Nursing 2012;35(2): 126- 32. Happ M B, Interpretation of nonvocal behaviors and the meaning of voicelessness in critical care. Soc Sci Med. 2000;50(9):1247-55.
  8. Happ M B, Roesch T, Kagan S H. Communication needs, methods, and perceived voice quality following head and neck surgery. Cancer Nursing 2004;27(1):1- 9. Hebel F, Mantsopoulos K, Bohr C. Assessing quality of life in patients after partial laryngectomy. Hippokratia 2014;18(2):156-61. Higginbottom G M. Sampling issues in gualitative research. Nurse Researcher. 2004;12(1):7-19.
  9. Howren M B, Christensen A J, Karnell L H, Funk G F. Health-related quality of life in head and neck cancer survivors: impact of pretreatment depressive symptoms. Health Psychol 2010;29(1):65-71.
  10. Katz M R, Irish J C, Devins G M, Rodin G M, Gullane P J. Psychosocial adjustment in head and neck cancer: the impact of disfigurement, gender and social support. Head and Neck 2003;25(2):103-12.
  11. Lorah E R, Tincani M, Dodge J, Gilroy S, Hickey A, Hantula D. Evaluating Picture Exchange and the iPad(TM) as a Speech Generating Device to Teach Communication to Young Children with Autism. J Dev Phys Disabil 2013;25(6):637-49.
  12. Otuzoglu M, Karahan A. Determining the effe