The consequences of head and neck cancer (HNC) treatment have great impact on patients' lives. Despite the importance of preparing patients for the period after discharge, patients frequently experience a lack of information. Aims of the study were to develop a nurse-led educational intervention to provide information during a discharge interview and to investigate the effects of the intervention on informational needs and satisfaction with information in HNC patients.
Er bestaat een nauwe samenhang tussen de reuk- en smaakperceptie.Veel chemosensorische stoornissen die leiden tot eengestoorde smaak zijn in feite reukstoornissen. Aandacht vragendeoorzaken van chemosensorische stoornissen zijn veroudering, hetgebruik van medicamenten, natuurlijke eiwitten, het mondbrandsyndroom,nervustrauma’s, beluchtingsproblemen ter hoogte vanhet reukzintuig, beschadiging van het reukepitheel en oncologischeaandoeningen of de behandeling daarvan. Een chemosensorischestoornis heeft gevolgen voor het genot van voedingsmiddelenen het psychisch welbevinden, kan leiden tot gewichtsverlies ofgewichtstoename en tot te weinig inname van vitaminen en mineralen.De behandeling van een chemosensorische stoornis kanbestaan uit medicatie, een chirurgische correctie, verbetering vande mondgezondheid, reukrevalidatie en voedingsadviezen.
PURPOSE: The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB).METHODS: Data from two cross-sectional studies on correlates of PA in HNC survivors were pooled. Both studies used self-reports to assess PA and social-cognitive correlates. Potential correlates were collected via self-report or medical records. Univariable and multivariable multilevel linear mixed-effects models were built to identify correlates of PA intention and PA behavior (Z scores). Structural equation model analyses were conducted to study the full TPB model in one analysis, taking into account relevant covariates.RESULTS: In total, 416 HNC survivors were surveyed. Their mean (SD) age was 66.6 (9.4) years; 64% were men, and 78% were diagnosed with laryngeal cancer. The structural equation model showed that PA intention was significantly higher in HNC survivors with a history of exercising, who had a more positive attitude, subjective norm, and perceived behavioral control. Patients with higher PA intention, higher PBC, a lower age, and without unintentional weight loss or comorbidities had higher PA behavior. The model explained 22.9% of the variance in PA intention and 16.1% of the variance in PA behavior.CONCLUSIONS: Despite significant pathways of the TPB model, the large proportion variance in PA intention and behavior remaining unexplained suggests the need for better PA behavior (change) models to guide the development of PA promotion programs, particularly for the elderly. Such programs should be tailored to comorbidities and nutritional status.
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