Needs Assessment In Patients Surgically Treated For Head And Neck Cancer – A Randomized Controlled Trial

Abstract

\n Purpose:Investigate whether a head and neck cancer specific needs assessment tool integrated in nursing rehabilitation consultations early in the post-surgical period would improve quality of life and symptom burden in patients surgically treated. Further, to assess the feasibility of carrying out needs assessments during consultations. Methods:92 surgically treated head and neck cancer patients at the Department of Otolaryngology, Head and Neck Surgery and Audiology, Copenhagen University Hospital, Denmark were enrolled. A two-arm randomized controlled trial design was used. Both arms received nursing rehabilitation consultations before discharge, approximately two weeks and two months post-operative. Patients in the intervention group had their needs assessed using an assessment tool.Primary outcome was quality of life. Secondary outcomes were symptom burden and referrals for multi-disciplinary rehabilitation follow-up. Results:No significant differences were found in quality of life or symptom burden. However, notable more patients in the intervention group were referred for rehabilitation. Conclusion:The intervention suggests that important needs were identified and addressed, especially emotional and existential needs, which were accommodated through referrals and professional advice. Nursing rehabilitation consultations using a needs assessment instrument may ensure that patient preferences and priorities are incorporated in their care. Trial RegistrationClinicalTrials.com (NCT03443258). Date of registration: May 31st, 2018