Patient Education Experience: Adherence to Prescribed Heat and Moisture Exchanger.
Purpose: After total laryngectomy, patients lose their natural humidification and heating capacity of the upper airway. Using heat and moisture exchangers (HMEs) with the highest possible humidification has been shown to improve the negative impact of this loss. However, many patients are not adheri...
| Publicado en: | Perspectives of the ASHA Special Interest Groups Vol. 11; no. 4; pp. 1256 - 1264 |
|---|---|
| Autores principales: | , , , , |
| Formato: | forms research tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Aug2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196165765&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196165765 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2381473X KTSD jtl: Perspectives of the ASHA Special Interest Groups issn: 2381473X maglogo: N pubinfo: dt: Aug2026 vid: 11 iid: 4 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 196165765 196165765 196165765 10.1044/2026_PERSP-25-00296 196165765 ppf: 1256 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Patient Education Experience: Adherence to Prescribed Heat and Moisture Exchanger. aug: au: Quinn, Megan Zinski-Loomer, Tanya Messing, Barbara Roth, Michaela Zolinski, Rhonda affil: Atos Medical Inc, New Berlin, WI sug: subj: Laryngectomy Rehabilitation Heat Humidity Respiration, Artificial Equipment and Supplies Respiratory Therapy Equipment and Supplies Utilization Patient Compliance Education Patient Education Support, Psychosocial Human Pilot Studies Questionnaires Pretest-Posttest Design Comparative Studies Descriptive Statistics Confidence Intervals ab: Purpose: After total laryngectomy, patients lose their natural humidification and heating capacity of the upper airway. Using heat and moisture exchangers (HMEs) with the highest possible humidification has been shown to improve the negative impact of this loss. However, many patients are not adhering to an optimal routine. This pilot aimed to determine whether personalized support and education can support these patients in establishing an optimal HME routine. Method: Forty-nine patients who currently did not utilize two HMEs per day (hereinafter, "HMEs/day") enrolled and completed a 30-day pilot program, in which patients utilized two HMEs/day while tracking key respiratory symptoms. Pre- and post-pilot questionnaires, a daily tracking tool, and a wrap-up questionnaire were completed by patients. Information was collected via telephone, e-mail, and/or postal service. One-on-one support was provided by the Atos Medical case management team. Results: Eighty-eight percent (43) of the patients in the pilot reported a positive change in at least one of the measurable domains. Overall, patients experienced positive changes in the measured domains, which included coughing, ease of breathing, mucus production, hours of sleep, and hours of uninterrupted sleep. Conclusions: This pilot reinforced the research-based evidence noting that consistent HME use (with highest humidification tolerated) improves respiratory symptoms. Further research is needed in a larger population base; however, this pilot showed promising results for future projects. Additionally, the tailored support provided to patients proved beneficial for patients utilizing two HMEs/day. pubtype: Academic Journal doctype: forms research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|