Amy L Freeman-Sanderson1, Leanne Togher2, Mark R Elkins3, Paul R Phipps4. 1. Speech Pathology Department, Royal Prince Alfred Hospital, Camperdown, Australia; Speech Pathology, Faculty of Health Sciences, University of Sydney, Sydney, Australia. Electronic address: Amy.freeman-sanderson@sswahs.nsw.gov.au. 2. Speech Pathology, Faculty of Health Sciences, University of Sydney, Sydney, Australia. 3. Sydney Medical School, University of Sydney, Sydney, Australia; Centre for Education & Workforce Development, Sydney Local Health District, Sydney, Australia. 4. Department of Intensive Care Medicine, Royal Prince Alfred Hospital, Camperdown, Australia.
Abstract
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.
RCT Entities:
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.
Authors: Christopher Ull; Christina Weckwerth; Uwe Hamsen; Oliver Jansen; Aileen Spieckermann; Thomas Armin Schildhauer; Robert Gaschler; Christian Waydhas Journal: Eur J Trauma Emerg Surg Date: 2022-10-13 Impact factor: 2.374
Authors: Louise Rose; Anna-Liisa Sutt; Andre Carlos Amaral; Dean A Fergusson; Orla M Smith; Craig M Dale Journal: Cochrane Database Syst Rev Date: 2021-10-12
Authors: Amy Freeman-Sanderson; Elizabeth C Ward; Anna Miles; Irene de Pedro Netto; Sallyanne Duncan; Yoko Inamoto; Jackie McRae; Natasha Pillay; Stacey A Skoretz; Margaret Walshe; Martin B Brodsky Journal: Arch Phys Med Rehabil Date: 2020-11-07 Impact factor: 3.966