Bibliographic research on nursing care in total laryngectomy

• Main Authors: Sara LEÓN-FERNÁNDEZ, José Luis PARDAL-REFOYO
• Format: Article
• Language: Spanish
• Published: Ediciones Universidad de Salamanca 2019-04-01
• Series: Revista ORL
• Subjects: total laryngectomy; laryngectomized patient; nursing care; evidence-based practice
• Online Access: https://revistas.usal.es/index.php/2444-7986/article/view/19366

Introduction: laryngeal cancer is in sixth place in relation to the cancer mortality in Spain in males. The total extirpation of the larynx is a frequent treatment option in stage III and IV carcinomas. Objective: To identify the best evidence in nursing care to the laryngectomized patient. Method: Systematic review in the period 2008-2018, following the established inclusion criteria. Results: 21 articles dealing with nursing care after total laryngectomy were included. Discussion: The fields of nursing action are currently 6 according to the literature found. There is disagreement in certain ways of addressing the needs altered. Conclusions: it is important to train the nursing staff to improve their emotional and educational support. Cures in a humid environment, early enteral nutrition and early oral feeding, the tracheoesophageal voice with voice prosthesis and the heat and humidity exchanger are the best ways to restore the altered needs according to the evidence found.