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Exploration of a remote swallowing training model after laryngeal cancer surgery: Non-randomized concurrent controlled trial

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机构: [1] Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China [2]School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
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关键词: Telerehabilitation dysphagia swallowing cancer postoperative

摘要:
Background: Patients with supraglottic laryngeal carcinoma need to receive swallowing rehabilitation training. During the COVID-19 pandemic, patients do not have the conditions to visit the hospital for follow up frequently, so it is imperative to explore a new remote rehabilitation training model based on network conditions. Objective: To explore the effect of remote rehabilitation training mode on improving postoperative swallowing function in patients with supraglottic laryngeal carcinoma. Methods: Patients undergoing remote rehabilitation and video rehabilitation after surgical treatment for supraglottic laryngeal cancer, 16 each, were collected, and swallowing function at the start of transoral feeding was assessed as a baseline to compare swallowing function and the occurrence of complications at different stages of training. Results: Patients in the remote group began to show significant improvement in subjective swallowing function from the second week (P < .001). In terms of objective swallowing function, although the remote group did not show a significant (P = .66) advantage initially, it was also significantly better than the control group in the fourth week (P<.001). These effects are even more impressive in patients undergoing open surgery (P<.001). When completed the rehabilitation phase, patients in the remote group had a better nutritional status (P = .03), especially postlaser surgery patients (P = .02). Conclusions: The remote rehabilitation training model has an improving effect on patients with supraglottic laryngeal cancer postoperative swallowing disorder, which provides a theoretical basis for the design and improvement of the future remote rehabilitation training model. This study suggests that this training model should be incorporated into the daily postoperative management of patients with laryngeal cancer to improve the efficiency of patients' recovery, provide patients with real-time medical information, and relieve patients' anxiety, thus reducing the need for repeated visits and improving patients' postoperative quality of life.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 卫生保健与服务
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 卫生保健与服务
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出版当年[2023]版:
Q1 HEALTH CARE SCIENCES & SERVICES
最新[2024]版:
Q2 HEALTH CARE SCIENCES & SERVICES

影响因子: 最新[2024版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版] 出版后一年[2024版]

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第一作者机构: [1] Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
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通讯机构: [1] Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
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