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26.07.2018 | Original Article

Content analysis of rehabilitation goals for patients following non-surgical head and neck cancer treatment

verfasst von: Molly K. Barnhart, Elizabeth C. Ward, Bena Cartmill, Rebecca Nund, Rachelle A. Robinson, Sophie J. Chandler, Robert I. Smee

Erschienen in: Supportive Care in Cancer | Ausgabe 2/2019

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Abstract

Purpose

Following head and neck cancer (HNC) treatment, individuals experience an array of side effects which can impact on physical, emotional, and practical aspects of their lives. Responsive, supportive rehabilitation services are therefore essential to address ongoing survivorship needs. This study examined the nature of patient-reported goals from acute to long-term post-treatment, to inform design/delivery of future rehabilitation services.

Methods

Using a cross-sectional cohort design, 91 patients between 2 weeks and 5 years of post non-surgical HNC treatment (acute n = 29; sub-acute n = 28; long-term n = 34), provided their top four rehabilitation goals considering any aspect of their lives. Content analysis was used to categorise responses at each time point.

Results

Three core categories of patient goals were identified relating to: (1) treatment side effects (TSE), (2) overall health (OH), and (3) living life (LL). TSE goals were a priority during the acute and sub-acute phases, with less focus long-term. LL goals were prevalent across all time points, though increased in the long-term. Approximately a third of all goals at each time point related to OH.

Conclusions

A variety of rehabilitation goals were identified, and the focus shifted over time. These data highlight the importance of changing the focus of rehabilitation as patients’ priorities vary over time. Early multidisciplinary care from allied health services is crucial to provide support with managing side effects and returning to daily activities. In the long-term, greater input from services to address health, nutrition, leisure, and fitness goals may be more beneficial.

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Titel: Content analysis of rehabilitation goals for patients following non-surgical head and neck cancer treatment
verfasst von: Molly K. Barnhart
Elizabeth C. Ward
Bena Cartmill
Rebecca Nund
Rachelle A. Robinson
Sophie J. Chandler
Robert I. Smee
Publikationsdatum: 26.07.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 2/2019
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-018-4364-1

Springer Medizin

Content analysis of rehabilitation goals for patients following non-surgical head and neck cancer treatment