Patient-Reported Qualitative Analysis of Chronic Refractory Cough.

Autor: Wright ML; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, The University of Utah, Salt Lake City.; Department of Communication Sciences and Disorders, The University of Utah, Salt Lake City., Fujiki RB; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin-Madison., Lunga T; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin-Madison.; Department of Communication Sciences and Disorders, University of Wisconsin-Madison., Thibeault SL; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin-Madison.; Department of Communication Sciences and Disorders, University of Wisconsin-Madison.
Jazyk: angličtina
Zdroj: American journal of speech-language pathology [Am J Speech Lang Pathol] 2022 Jul 12; Vol. 31 (4), pp. 1719-1725. Date of Electronic Publication: 2022 May 05.
DOI: 10.1044/2022_AJSLP-21-00364
Abstrakt: Purpose: Chronic cough has been shown to be associated with adverse effects on quality of life. There is a paucity of research characterizing quality-of-life factors associated with chronic refractory cough (CRC), a cough persisting > 8 weeks despite evaluation and treatment of possible etiologies. The purpose of this study was to elucidate the features of CRC from the patient's perspective, including presenting symptoms, past treatment methods, and quality-of-life factors.
Method: Prospective semistructured interviews were conducted, recorded, and transcribed for 20 patients diagnosed with CRC. Exclusion criteria included lung disease, smoking history, laryngeal cancer, and neurological disease. Grounded theory analysis was completed on transcribed interviews.
Results: Eighteen participants were women. Mean participant age was 53.5 years ( SD = 1.41), and average cough duration was 52 months ( SD = 71.6 months). Responses to 30 open-ended questions revealed four dominant themes with 24 subthemes.
Conclusions: CRC affects patient quality of life. Understanding patient perspective on CRC diagnosis and treatment helps providers better understand the physical and emotional toll CRC takes on patients. Findings suggest that providers should spend more time counseling patients regarding their treatment and diagnosis, as patients with CRC do not always fully understand their diagnosis and resort to self-blame.
Databáze: MEDLINE
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