Quality of life improves with return of voice in tracheostomy patients in intensive care : An observational study

Copyright © 2016 Elsevier Inc. All rights reserved..

PURPOSE: To measure patient-reported change of mood, communication-related quality of life, and general health status with return of voice among mechanically ventilated tracheostomy patients admitted to the intensive care unit (ICU).

MATERIALS AND METHODS: A prospective observational study in a tertiary ICU was conducted. Communication-related quality of life was measured daily using the Visual Analogue Self-Esteem Scale. General health status was measured weekly using the EuroQol-5D.

RESULTS: Aspects of communication self-esteem that significantly improved with the return of voice were ability to be understood by others (P = .006) and cheerfulness (P = .04), both with a median difference from before to after return of voice of 1 on the 5-point scale. Return of voice was not associated with a significant improvement in confidence, sense of outgoingness, anger, sense of being trapped, optimism, or frustration. Reported general health status did not significantly improve.

CONCLUSIONS: Return of voice was associated with significant improvement in patient reported self-esteem, particularly in being understood by others and in cheerfulness. Improved self-esteem may also improve quality of life; however, further research is needed to confirm this relationship. Early restoration of voice should be investigated as a way to improve the experience of ICU for tracheostomy patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Journal of critical care - 33(2016) vom: 05. Juni, Seite 186-91

Sprache:

Englisch

Beteiligte Personen:

Freeman-Sanderson, Amy L [VerfasserIn]
Togher, Leanne [VerfasserIn]
Elkins, Mark R [VerfasserIn]
Phipps, Paul R [VerfasserIn]

Links:

Volltext

Themen:

Communication
Intensive care
Journal Article
Observational Study
Quality of life
Randomized Controlled Trial
Respiration—artificial
Speech-language pathology
Tracheostomy

Anmerkungen:

Date Completed 18.09.2017

Date Revised 02.12.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jcrc.2016.01.012

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM258365897