Larenjektomiden Sonra Hasta İletişimi: Görsel İletişim Rehberi Kullanılan Pilot Çalışma

Öz

Amaç: Çalışmanın amacı görsel iletişim rehberinin etkinliğini belirlemekti. Gereç ve Yöntem: Araştırma kalitatif ve kantitatif araştırma metodlarını içeren karma yöntemle yapıldı. Çalışmada parsiyel larenjektomi olan 14 hasta ve 20 sağlık personeli yer aldı. Bulgular: Hastalar görsel iletişim rehberini kendilerini ifade etmede yardımcı olduğunu belirttiler. Ayrıca, rehberdeki konuların uygun bir şekilde ele alındığını bildirdiler ve rehberi kullanışlı buldular. Ancak hastaların yarısı resimleri yeterli bulmadı. Hem sağlık personeli hem de hastalar rehberdeki resimleri açık ve kolay anlaşılabilir, resimlerin rengini ve boyutunu ve yazıların tipini uygun buldu. Sağlık profesyonelleri rehberin kullanışlı olduğunu ve iletişimde zaman kazandırdığı ancak hastaların psikolojik sorunlarını paylaşması için yeterli resim içermediği görüşündeydi. Kalitatif verilerin analizinden sonra, dört ana tema belirlendi. Bunlar: konuşamama deneyimi, hızlı ve kolay iletişim, güven ve olumlu ve olumsuz görüşlerdir. Sonuç: Görsel iletişim rehberinin parsiyel larenjektomi olan hastaların iletişimi için yararlı ve kullanılabilir olabileceği sonucuna varıldı.

Anahtar Kelimeler

• Görsel iletişim rehberi,hemşirelik,larenjektomi,sözsüz iletişim

Patient Communication Following Laryngectomy: A Pilot Study Using Visual Communication Guide

Öz

Aim: The aim of this study was to determine the efficacy of the visual communication guide. Materil and Methods: This research was carried out with the mixed method, integrating qualitative and quantitative research methods. Fourteen partial laryngectomy patients and 20 healthcare professionals took part in this study. Results: The patients stated that the visual communication guide helped them to express themselves. They also stated that the issues in the guide were handled appropriately, and they found the guide useful. However, half of the patients found the images inadequate. At the same time, healthcare professionals and patients found the images in the guide clear and easy to understand, and the colors and sizes of the images and fonts adequate. The healthcare professionals thought that the guide was convenient and saved time in communication but it did not contain enough images for patients to share their psychological issues. After analysis of the qualitative data, four main themes were determined. These were: the experience of being unable to speak, quick and easy communication, confidence, and positive and negative opinions. Conclusion: It was concluded that the visual communication guide can be effective and useful for the communication of patients who have undergone partial laryngectomy.

Anahtar Kelimeler

• Laryngectomy,nonverbal communication,nursing,visual communication guide.

Kaynakça

1. 1. Globocan 2012. Estimated cancer incidence, mortality and prevalence worlwide in 2012. URL: http:// globocan.iarc.fr/Pages/fact_sheets_population.aspx.
2. 2. Singer S, Merbach M, Dietz A, Schwarz R. Psychosocial determinants of successful voice rehabilitation after laryngectomy. Journal of the Chinese Medical Association. 2007; 70 (10): 407- 423.
3. 3. Taş A, Yağız R, Karasalihoğlu A R, Koten M, Adal M K, Uzun C. Assessment of quality of life in patients with laryngeal cancer after surgical treatment. Journal of Ear, Nose, and Throat 2004; 12 (3-4): 84-90.
4. 4. Alasad J, Ahmad M. Communication with critically ill patients. Journal of Advanced Nursing 2005; 50 (4): 356-362.
5. 5. Happ M B. Communicating with mechanically ventilated patients: State of the science. AACN Clinical Issues 2001; 12 (2): 247-258.
6. 6. Happ M B. Interpretation of nonvocal behaviors and the meaning of voicelessness in critical care. Social Science & Medicine 2000; 50: 1247-1255.
7. 7. Appel-Hardin S. Communicating with intubated patients. Critical Care Nurse 1984; 6: 26-27.
8. 8. Stovsky B, Rudy E, Dragonette P. Comparison of two types of communication methods used after cardiac surgery with patients with endotracheal tubes. Heart and Lung 1988; 17: 281-289.

9. 9. Patak L, Gawlinski A, Berg J, Elizabeth A. Communication boards in critical care: Patients’ views. Applied Nursing Research 2006; 19: 182-190.
10. 10. Soo J, Aldridge S, French J, Alison M. Development of dual language information cards as a tool for communication between radiation therapists and cantonese-speaking patients undergoing radiation treatments for head and neck cancer. Journal of Medical Imaging and Radiation Sciences 2008; 39 (1): 16-22.
11. 11. Otuzoğlu M, Karahan A. Determining the effectiveness of illustrated communication material for communication with intubated patients at an intensive care unit. International Journal of Nursing Practice 2014; 20: 490–498.
12. 12. Patak L, Gawlinski A, Fung I, Doering L, Berg J. Patients’ reports of health care practitioner interventions that are related to communication during mechanical ventilation. Applied Nursing Research 2004; 19: 182-190.
13. 13. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology 2006; 3: 77-101.
14. 14. Papadas T, Charokopos N, Karamouzis M V, Pierakeas C, Symeonidi M, Economou G, Goumas P. Rehabilitation after laryngectomy: a practical approach and guidelines for patients. Journal of Cancer Education 2002; 17 (1): 37-39.
15. 15. Fletcher B S, Cohen M Z, Schumacher K, Lydiatt W. Blessing and a curse head and neck cancer survivors’ experiences. Cancer Nursing 2012; 35 (2): 126-132.
16. 16. Usher K, Monkley D. Effective communication in an intensive care setting: Nurse’s stories. Contemporary Nurse: A Journal for the Australian Nursing Profession 2001; 10 (1-2): 91-101.
17. 17. Dickerson S S, Stone V I, Panchura C, Usiak D J. The meaning of communication: Experiences with augmentative communication devices. Rehabilitation Nursing 2002; 27: 215-220.
18. 18. Stein-Parbury J, McKinley S S. Patients’ experiences of being in an intensive care unit: A select literature review. American Journal of Critical Care 2000; 9: 20-27.
19. 19. Wojnicki-Johansson G. Communication between nurse and patient during ventilator treatment: patient reports and RN evaluations. Intensive and Critical Care Nursing 2001; 17 (1): 29- 39.
20. 20. Hweidi I M. Jordanian patients’ perception of stressors in critical care units: A questionnaire survey. International Journal of Nursing Studies 2007; 44 (2): 227- 235.
21. 21. Magnus V S, Turkington L. Communication interaction in ICU- Patient and staff experiences and perceptions. Intensive and Critical Care Nursing 2006; 22: 167-180.