title: Effect of the patient-to-patient communication model on dysphagia caused by total laryngectomy.
abstract: OBJECTIVE
  The study aimed to evaluate the effect of a patient-to-patient communication model on dysphagia in laryngeal cancer patients after total laryngectomy.
  
  
  METHODS
  Sixty-five patients who had undergone total laryngectomy were randomly divided into three groups: a routine communication group, a patient communication group (that received the patient-to-patient communication model) and a physician communication group. Questionnaires were used to compare quality of life and swallowing problems among all patient groups.
  
  
  RESULTS
  The main factors causing dysphagia in total laryngectomy patients were related to fear and mental health. The patient communication group had improved visual analogue scale scores at one week after starting to eat. Quality of life in swallowing disorders questionnaire scores were significantly higher in the patient communication and physician communication groups than in the routine communication group. In addition, swallowing problems were much more severe in patients educated to high school level and above than in others.
  
  
  CONCLUSIONS
  The patient-to-patient communication model can be used to resolve swallowing problems caused by psychological factors in total laryngectomy patients.
authors.affiliation: Department of Otolaryngology,Head and Neck Surgery,Second Affiliated Hospital,Harbin Medical University,China.
authors.forename: L
authors.initials: L
authors.lastname: Tian
authors.affiliation: Department of Otolaryngology,Head and Neck Surgery,Second Affiliated Hospital,Harbin Medical University,China.
authors.forename: R
authors.initials: R
authors.lastname: An
authors.affiliation: Department of Otolaryngology,Head and Neck Surgery,Second Affiliated Hospital,Harbin Medical University,China.
authors.forename: J
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Otolaryngology,Head and Neck Surgery,Second Affiliated Hospital,Harbin Medical University,China.
authors.forename: Y
authors.initials: Y
authors.lastname: Sun
authors.affiliation: Department of Otolaryngology,Head and Neck Surgery,Second Affiliated Hospital,Harbin Medical University,China.
authors.forename: R
authors.initials: R
authors.lastname: Zhao
authors.affiliation: Department of Otolaryngology,Head and Neck Surgery,Second Affiliated Hospital,Harbin Medical University,China.
authors.forename: M
authors.initials: M
authors.lastname: Liu
mesh_terms: D000368:Aged; D003142:Communication; D003680:Deglutition Disorders / Q000209:etiology / Q000523:psychology* / Q000534:rehabilitation; D004522:Educational Status; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007822:Laryngeal Neoplasms / Q000523:psychology* / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D011788:Quality of Life; D011897:Random Allocation; D011795:Surveys and Questionnaires
keywords: Communication; Deglutition Disorders; Laryngeal Neoplasms; Laryngectomy; Quality of Life