The Impact of Impaired Swallowing Related Quality of Life of Head and Neck Cancer Survivors at Tikur Anbessa Specialized Referral Hospital, Addis Ababa, Ethiopia: 2019 G.C (Mixed Method Study)
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Date
2019-06
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Addis Ababa University
Abstract
Introduction: Different research and international clinical guidelines deals about the importance of addressing and supporting the Quality of Life needs of individuals with impaired swallowing. However, data support that the presence of swallowing impairment related Quality of Life has not directly addressed in the reviewed studies in Ethiopia.
Objective: This study was conducted to assess factors that affect swallowing related quality of life and it is impacts in head and neck cancer survivors.
Methods: To achieve the objective of this study 102 patients were enrolled in cross sectional study, of whom 7 were purposively selected for in depth interviews of qualitative study. Thestudy was conducted from March to April 2019 G.C at the oncology center of Tikur Anbessa Specialized Referral Hospital, Addis Ababa, Ethiopia. The pre coded data was entered in to
EpiData version 4.4.3.1 then exported to Statistical Package for the Social Sciences version 24 for further cleaning, and analysis. The mean comparison analysis and multiple linear regression were calculated. P ≤ 0.05 took as cut of value to be significant and 95% level of confidence was constructed. For qualitative study purposive sampling technique was used. The data collection process facilitated by using semi structured Amharic interview guide,
SONY tape record and filed note. After transcription and translation, data was analyzed manually using Colaizzi's 6 steps of phenomenological analysis. The trustworthiness of a qualitative study ensured by Transferability, credibility, confirmability, and dependability
Result: In mean comparisons analysis, factors which showed a mean significant difference ina MDADI subscale were sex, marital status, working condition, medical expenses, tumor site,tumor T stage, and treatment modality. Furthermore, in multiple linear regression analysis tumor site which was oral cavity/ oropharyngeal carcinoma and medical expenses were a
predictor of impaired swallowing related quality of life. Moreover, in qualitative study four themes were identified such as Daily activity, Emotional, Functional, and physical impairments.
Conclusion and recommendation: In this study finding, swallowing related quality of life in head and neck cancer patients was strictly affected by different factors and it had an impact in their life, so measurement should be taken to improve it.
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Keywords
Quality of Life, Head and Neck Cancer, dysphagia, swallowing quality of life.