Development of self-directed TE shunt speech training program

2021 Fiscal Year Final Research Report

• Project/Area Number: 19K10927
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Tottori University
• Principal Investigator: MIYOSHI Masayuki 鳥取大学, 医学部, 助教 (60632966)
• Project Period (FY): 2019-04-01 – 2022-03-31
• Keywords: 代用発声 / QOL / 発声トレーニング

Outline of Final Research Achievements

Patients with advanced head and neck cancer undergo total laryngectomy, in which the vocal cords are removed, and the loss of vocal function significantly affects the patient's quality of life. The purpose of this study was to develop a vocal self-training program to improve QOL for patients who use shunt and esophageal speech as substitute vocalizations. In this study, it was found that esophageal speech is divided into three phases: the preparatory phase for air intake, the air intake phase, and the air discharge phase. In particular, it became clear that each part of the body-the back, nose, oral cavity, tracheal foramen, neck, and abdomen-undergoes detailed body movements during each step, and that continuous movement enables vocalization.

Free Research Field

臨床看護学

Academic Significance and Societal Importance of the Research Achievements

これまでの発声トレーニングプログラムは、個人練習で習得することを目的とした学術的な発声練習方法を示している教材等がなかった。本研究成果において、発声セルフトレーニングプログラムが構成されたことにより、高齢者における練習会場への移動負担が減り、発声を習得できる人が増加することが考えられる。本研究のトレーニングプログラムは、患者のトレーニングへの動機付け、習慣化を促進し、健康寿命を延ばし、それに伴い老人医療費削減に貢献する。