Hearing and Communication with Elderly Cancer Outpatients Undergoing Chemotherapy
Objectives: To elucidate the state of communication associated with hearing in elderly cancer patients undergoing chemotherapy and to obtain suggestions for communication taking into consideration the state of hearing.Methods: This is a quantitative, descriptive study. We used an anonymous self-admi...
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| Published in | Journal of Japanese Society of Cancer Nursing Vol. 38; p. 38_128_ikeda |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of Cancer Nursing
26.09.2024
一般社団法人 日本がん看護学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-6423 2189-7565 |
| DOI | 10.18906/jjscn.38_128_ikeda |
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| Abstract | Objectives: To elucidate the state of communication associated with hearing in elderly cancer patients undergoing chemotherapy and to obtain suggestions for communication taking into consideration the state of hearing.Methods: This is a quantitative, descriptive study. We used an anonymous self-administered questionnaire and surveyed the medical records of elderly patients aged ≥65 years who were receiving chemotherapy on an outpatient basis for their state of hearing and communication with medical staff. After calculating the descriptive statistics of all items, difficulty hearing was classified into two groups, and communication was examined using the Mann-Whitney U test (a two-tailed p value of 0.05 was considered significant).Results: In the subject sample of 127 patients, the mean age was 74.6 ± 5.2 years, there were 76 men (59.8%), and the most common disease was lung cancer in 41 patients (32.3%). Sixty-eight patients (53.5%) experienced difficulty hearing when communicating with medical staff, 23 patients (33.8%) complained about this to medical staff and 25 patients (36.8%) had difficulty hearing which affected their treatment and care. Furthermore, 71 patients (55.9%) were satisfied with their communication with medical staff, and the level of satisfaction was significantly lower for the group with hearing difficulties than the group without hearing difficulties (p < 0.05).Discussion: It is important to evaluate the state of hearing of elderly patients before treatment initiation, as more than half of the patients experienced hearing difficulties in communicating with medical staff. Furthermore, the low level of satisfaction in communicating with medical staff indicates the need to improve communication methods and environment. |
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| AbstractList | Objectives: To elucidate the state of communication associated with hearing in elderly cancer patients undergoing chemotherapy and to obtain suggestions for communication taking into consideration the state of hearing.Methods: This is a quantitative, descriptive study. We used an anonymous self-administered questionnaire and surveyed the medical records of elderly patients aged ≥65 years who were receiving chemotherapy on an outpatient basis for their state of hearing and communication with medical staff. After calculating the descriptive statistics of all items, difficulty hearing was classified into two groups, and communication was examined using the Mann-Whitney U test (a two-tailed p value of 0.05 was considered significant).Results: In the subject sample of 127 patients, the mean age was 74.6 ± 5.2 years, there were 76 men (59.8%), and the most common disease was lung cancer in 41 patients (32.3%). Sixty-eight patients (53.5%) experienced difficulty hearing when communicating with medical staff, 23 patients (33.8%) complained about this to medical staff and 25 patients (36.8%) had difficulty hearing which affected their treatment and care. Furthermore, 71 patients (55.9%) were satisfied with their communication with medical staff, and the level of satisfaction was significantly lower for the group with hearing difficulties than the group without hearing difficulties (p < 0.05).Discussion: It is important to evaluate the state of hearing of elderly patients before treatment initiation, as more than half of the patients experienced hearing difficulties in communicating with medical staff. Furthermore, the low level of satisfaction in communicating with medical staff indicates the need to improve communication methods and environment.
目的：研究目的は，外来がん薬物療法を受ける高齢がん患者のきこえときこえの問題にともなうコミュニケーションの実態を明らかにし，きこえの状態に配慮したコミュニケーションへの示唆を得ることである．方法：量的記述的研究デザインである．外来がん薬物療法を受ける65歳以上の高齢がん患者を対象に，きこえの状態および医療者とのコミュニケーションについて無記名自記式質問紙と診療録による調査を行った．全項目の記述統計を算出後，きこえの問題の経験の有無で2群に分類し，コミュニケーションの満足度をMann-Whitney U検定で検討した（有意水準は両側5％）．結果：対象者127名の平均年齢は74.6±5.2歳，男性76名（59.8％），疾患は肺がん41名（32.3％）が最も多かった．医療者とのコミュニケーションで，きこえの問題を経験した者は68名（53.5％），そのことを医療者に訴えた者は23名（33.8％），きこえの問題により治療や療養生活に影響がある者は25名（36.8％）であった．医療者とのコミュニケーションに満足しているのは71名（55.9％）であり，きこえの問題の経験あり群は経験なし群よりも満足度が有意に低かった（p＜.05）．考察：医療者とのコミュニケーションで半数を超える者がきこえの問題を経験していたことから，治療開始前に高齢者のきこえの状態を評価する必要がある．また，医療者とのコミュニケーションへの満足度も低かったことから，コミュニケーション方法や環境を改善する必要がある． Objectives: To elucidate the state of communication associated with hearing in elderly cancer patients undergoing chemotherapy and to obtain suggestions for communication taking into consideration the state of hearing.Methods: This is a quantitative, descriptive study. We used an anonymous self-administered questionnaire and surveyed the medical records of elderly patients aged ≥65 years who were receiving chemotherapy on an outpatient basis for their state of hearing and communication with medical staff. After calculating the descriptive statistics of all items, difficulty hearing was classified into two groups, and communication was examined using the Mann-Whitney U test (a two-tailed p value of 0.05 was considered significant).Results: In the subject sample of 127 patients, the mean age was 74.6 ± 5.2 years, there were 76 men (59.8%), and the most common disease was lung cancer in 41 patients (32.3%). Sixty-eight patients (53.5%) experienced difficulty hearing when communicating with medical staff, 23 patients (33.8%) complained about this to medical staff and 25 patients (36.8%) had difficulty hearing which affected their treatment and care. Furthermore, 71 patients (55.9%) were satisfied with their communication with medical staff, and the level of satisfaction was significantly lower for the group with hearing difficulties than the group without hearing difficulties (p < 0.05).Discussion: It is important to evaluate the state of hearing of elderly patients before treatment initiation, as more than half of the patients experienced hearing difficulties in communicating with medical staff. Furthermore, the low level of satisfaction in communicating with medical staff indicates the need to improve communication methods and environment. |
| Author | Arao, Harue Tamura, Saori Ikeda, Kanako |
| Author_FL | 田村 沙織 荒尾 晴惠 池田 香菜子 |
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| References | 7) Makary CA, Shin J, Kujawa SG, et al. Age-related primary cochlear neuronal degeneration in human temporal bones. Journal of the Association for Research in Otolaryngology. 12 (6), 711-717 (2011 6) 増田正次. 高齢者の難聴. 日本老年医学会雑誌. 51 (1), 1-10 (2014 11) Cohen JM, Blustein J, Weinstein BE, et al. Studies of physician-patient communication with older patients: how often is hearing loss considered? A systematic literature review. Journal of the American Geriatrics Society. 65 (8), 1642-1649 (2017 19) 島田広美, 川上和美, 岡本美代子, 他. 都市在住高齢者のヘルスリテラシーの実態. 医療看護研究. 18 (1), 63-74 (2021 16) Takai Y, Yamamoto-Mitani N, Ko A. Prevalence of and factors related to pain among elderly Japanese residents in long-term healthcare facilities. Geriatrics & Gerontology International. 14 (2), 481-489 (2014 14) Helfer KS, Freyman RL. Aging and speech-on-speech masking. Ear and hearing. 29 (1), 87-98 (2008 2) Matsuno Y, Atsumi Y, Shimizu A, et al. Replication stress triggers microsatellite destabilization and hypermutation leading to clonal expansion in vitro . Nature Communications. 10 (1), 3925 (2019 1) 厚生労働省. 平成31年 (令和元年) 全国がん登録 罹患数・率 報告. 厚生労働省. 2022-5-27. https://www.mhlw.go.jp/content/10900000/001231391.pdf, (参照2024-7-29 9) Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. Journal of patient safety, 17 (3), e155-e160 (2021 10) 森田恵子, 長田久雄. 高齢難聴患者が看護師に期待するコミュニケーション KJ法による正常聴力者との対比. 老年看護学. 22 (1), 41-50 (2017 4) Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. Canadian Medical Association Journal, 178 (12), 1555-1562 (2008 17) Bastiaens H, Van Royen P, Pavlic DR, et al. Older people’s preferences for involvement in their own care: a qualitative study in primary health care in 11 European countries. Patient Education and Counseling. 68 (1), 33-42 (2007 5) Rostoft S, van den Bos F, Pedersen R, et al. Shared decision-making in older patients with cancer - What does the patient want?. Journal of Geriatric Oncology. 12 (3), 339-342 (2021 15) Fook L, Morgan R, Sharma P, et al. The impact of hearing on communication. Postgraduate Medical Journal. 76 (892), 92-95 (2000 18) Smith S, Manan NSIA., Toner S, et al. Age-related hearing loss and provider-patient communication across primary and secondary care settings: a cross-sectional study. Age and Ageing, 49 (5), 873-877 (2020 20) 西村忠己, 吉田悠加, 細井裕司. 高齢者の補聴器装用希望者の聞こえに関する自己評価と家族評価. Audiology Japan. 51 (2), 123-129 (2008 8) Uchida Y, Sugiura S, Nakashima T, et al. Estimates of the size of the hearing-impaired elderly population in Japan and 10-year incidence of hearing loss by age, based on data from the National Institute for Longevity Sciences-longitudinal study of aging (NILS-LSA). Nihon Ronen Igakkai Zasshi. 49 (2), 222-227 (2012 3) Hurria A, Mohile S, Gajra A, et al. Validation of a prediction tool for chemotherapy toxicity in older adults with cancer. Journal of Clinical Oncology. 34 (20), 2366-2371 (2016 13) Lu LLM, Henn P, O’Tuathaigh C, et al. Patient-healthcare provider communication and age-related hearing loss: a qualitative study of patients’ perspectives. Irish Journal of Medical Science. 193 (1), 277-284 (2024 12) 鈴木恵子, 岡本牧人, 原由紀, 他. 補聴効果評価のための質問紙の作成. Audiology Japan. 45 (1), 89-101 (2002 |
| References_xml | – reference: 5) Rostoft S, van den Bos F, Pedersen R, et al. Shared decision-making in older patients with cancer - What does the patient want?. Journal of Geriatric Oncology. 12 (3), 339-342 (2021) – reference: 6) 増田正次. 高齢者の難聴. 日本老年医学会雑誌. 51 (1), 1-10 (2014) – reference: 7) Makary CA, Shin J, Kujawa SG, et al. Age-related primary cochlear neuronal degeneration in human temporal bones. Journal of the Association for Research in Otolaryngology. 12 (6), 711-717 (2011) – reference: 1) 厚生労働省. 平成31年 (令和元年) 全国がん登録 罹患数・率 報告. 厚生労働省. 2022-5-27. https://www.mhlw.go.jp/content/10900000/001231391.pdf, (参照2024-7-29) – reference: 11) Cohen JM, Blustein J, Weinstein BE, et al. Studies of physician-patient communication with older patients: how often is hearing loss considered? A systematic literature review. Journal of the American Geriatrics Society. 65 (8), 1642-1649 (2017) – reference: 8) Uchida Y, Sugiura S, Nakashima T, et al. Estimates of the size of the hearing-impaired elderly population in Japan and 10-year incidence of hearing loss by age, based on data from the National Institute for Longevity Sciences-longitudinal study of aging (NILS-LSA). Nihon Ronen Igakkai Zasshi. 49 (2), 222-227 (2012) – reference: 9) Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. Journal of patient safety, 17 (3), e155-e160 (2021) – reference: 17) Bastiaens H, Van Royen P, Pavlic DR, et al. Older people’s preferences for involvement in their own care: a qualitative study in primary health care in 11 European countries. Patient Education and Counseling. 68 (1), 33-42 (2007) – reference: 16) Takai Y, Yamamoto-Mitani N, Ko A. Prevalence of and factors related to pain among elderly Japanese residents in long-term healthcare facilities. Geriatrics & Gerontology International. 14 (2), 481-489 (2014) – reference: 3) Hurria A, Mohile S, Gajra A, et al. Validation of a prediction tool for chemotherapy toxicity in older adults with cancer. Journal of Clinical Oncology. 34 (20), 2366-2371 (2016) – reference: 14) Helfer KS, Freyman RL. Aging and speech-on-speech masking. Ear and hearing. 29 (1), 87-98 (2008) – reference: 10) 森田恵子, 長田久雄. 高齢難聴患者が看護師に期待するコミュニケーション KJ法による正常聴力者との対比. 老年看護学. 22 (1), 41-50 (2017) – reference: 4) Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. Canadian Medical Association Journal, 178 (12), 1555-1562 (2008) – reference: 18) Smith S, Manan NSIA., Toner S, et al. Age-related hearing loss and provider-patient communication across primary and secondary care settings: a cross-sectional study. Age and Ageing, 49 (5), 873-877 (2020) – reference: 15) Fook L, Morgan R, Sharma P, et al. The impact of hearing on communication. Postgraduate Medical Journal. 76 (892), 92-95 (2000) – reference: 2) Matsuno Y, Atsumi Y, Shimizu A, et al. Replication stress triggers microsatellite destabilization and hypermutation leading to clonal expansion in vitro . Nature Communications. 10 (1), 3925 (2019) – reference: 12) 鈴木恵子, 岡本牧人, 原由紀, 他. 補聴効果評価のための質問紙の作成. Audiology Japan. 45 (1), 89-101 (2002) – reference: 20) 西村忠己, 吉田悠加, 細井裕司. 高齢者の補聴器装用希望者の聞こえに関する自己評価と家族評価. Audiology Japan. 51 (2), 123-129 (2008) – reference: 13) Lu LLM, Henn P, O’Tuathaigh C, et al. Patient-healthcare provider communication and age-related hearing loss: a qualitative study of patients’ perspectives. Irish Journal of Medical Science. 193 (1), 277-284 (2024) – reference: 19) 島田広美, 川上和美, 岡本美代子, 他. 都市在住高齢者のヘルスリテラシーの実態. 医療看護研究. 18 (1), 63-74 (2021) |
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| SubjectTerms | cancer chemotherapy communication elderly hearing がん コミュニケーション 聴覚 薬物療法 高齢 |
| Title | Hearing and Communication with Elderly Cancer Outpatients Undergoing Chemotherapy |
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