Effect of swallowing training on swallowing function and quality of life in patients with head and neck cancer after radiotherapy: a Meta-analysis
10.3760/cma.j.cn115682-20220206-00542
- VernacularTitle:吞咽训练对头颈肿瘤放疗后患者吞咽功能及生活质量影响的Meta分析
- Author:
Xiaobo REN
1
;
Fang NAN
;
Zirong TIAN
;
Fei LI
Author Information
1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科，北京 100730
- Keywords:
Head and neck neoplasms;
Swallowing training;
Swallowing function;
Radiation therapy;
Quality of life;
Meta analysis
- From:
Chinese Journal of Modern Nursing
2022;28(29):4038-4045
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of swallowing training on swallowing function and quality of life in patients with head and neck cancer after radiotherapy.Methods:Cochrane Library, CINAHL, PubMed, Embase, Web of Science, Sinomed, CNKI, Wanfang and VIP databases were searched by computer for randomized controlled trials related to effects of swallowing training on swallowing function and quality of life of patients with head and neck cancer after radiotherapy. The publication time of the literatures was from the establishment of the database to December 10, 2021.The first two authors of this article independently screened the literature, and the methodological quality of the literature was evaluated using the risk of bias assessment tool recommended by the Cochrane Quality Evaluation Manual 5.1.0. RevMan 5.3 software was used for data analysis of related indicators of swallowing function and quality of life.Results:Finally, 12 articles with a total of 701 patients were included. Meta-analysis of the effect of swallowing training on the swallowing function of patients with head and neck tumors after radiotherapy showed that swallowing training in patients with head and neck tumors after radiotherapy can effectively improve swallowing function: Kubota Water Swallowing Test ( RR=1.82, 95% CI: 1.51-2.19, P<0.000 01) , Videofluoroscopic Swallowing Study ( RR=1.91, 95% CI: 1.34-2.72, P=0.000 4) , Standardized Swallowing Assessment ( MD=-6.47, 95% CI: -8.42--4.52, P<0.000 01) , Functional Oral Intake Scale ( MD=1.50, 95% CI: 1.16-1.84, P<0.000 01) . Meta-analysis of the effect of swallowing training on the quality of life of patients with head and neck cancer after radiotherapy showed that there was heterogeneity among studies and the heterogeneity was high. Conclusions:Swallowing training can effectively improve the swallowing function of patients with head and neck cancer after radiotherapy, but whether the quality of life is improved still needs more evidence to further confirm.
