Naslov
Postoperative monitoring of cognitive functions after laryngectomy

Autori
Kukolj, Marina ; Tot, Marina ; Čičak, Katarina ; Kopić, Antonija ; Ferenčak, Blaženka

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Book of Abstract 7th Croatian Neuroscience Congress / - , 2019, 77-77

Skup
7th Croatian Neuroscience Congress

Mjesto i datum
Zadar, Hrvatska, 12.09.2019. - 15.09.2019

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
cognitive functions, laryngectomy, postoperative monitoring

Sažetak
Depending on its stage and localization, laryngeal cancer, apart from issues with respiration, phonation and swallowing, can also cause cognitive impairment. The impairment of cognitive functions is usually followed by the loss of emotional control and changes regarding social relations and motivation. The primary aim in functional surgery of laryngeal cancer is disease control, while the secondary goal is to preserve the basic laryngeal functions. The postoperative period brings challenging adaptation tasks to patients. The aim of this study was to evaluate the ability to acquire new skills and capabilities, including nasogastric feeding and endotracheal cannula care, as well as achieving self- sufficiency in the postoperative period following laryngectomy by monitoring the cognitive status, mood affective disorders and the functional status, including the use of the Glasgow Coma Scale (GCS). This study used database of 88 patients (cT3N0M0/cT3N1M0/cT3N2M0) who had laringectomy at Department of ENT in period 1/2015-1/2019. Patients were divided into groups according to age: group A (80-86), group B (70-79), group C (60-69), group D (50-59) and group E (40-45). The inability to acquire new skills was recorded in 75% of group A and 20% of group B . Within group C, 8.7% of patients experienced postoperative delirium (POD), which delayed the start of patient education 4-6 days. The required time to achieve independence after the start of patient education was 7-10 days, with multiple repetitions and demonstrations of the instructions required and reviews of the learned. The time required to adopt new skills in group D and group E was 1-2 days. Loss of laryngeal function consequently caused psychosocial changes in the postoperative period in most of the patients, where age and POD were limiting factors that had significant effects on cognitive functions and the quality of life after surgery.

Izvorni jezik
Engleski

Znanstvena područja
Biologija, Kliničke medicinske znanosti, Kognitivna znanost (prirodne, tehničke, biomedicina i zdravstvo, društvene i humanističke znanosti)

POVEZANOST RADA