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Impact on patients of the coronovirus disease 2019 pandemic and postponement of cochlear implant surgery: a qualitative study

Part of: JLO Coronavirus Collection

Published online by Cambridge University Press:  18 August 2021

R Abrar ,
I A Bruce ,
M O'Driscoll ,
S Freeman ,
U Martinez de Estibariz  and
E Stapleton
R Abrar*
Affiliation:
Department of Otolaryngology, The Richard Ramsden Centre for Hearing Implants, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
I A Bruce
Affiliation:
Department of Otolaryngology, The Richard Ramsden Centre for Hearing Implants, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK Division of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
M O'Driscoll
Affiliation:
Department of Otolaryngology, The Richard Ramsden Centre for Hearing Implants, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
S Freeman
Affiliation:
Department of Otolaryngology, The Richard Ramsden Centre for Hearing Implants, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
U Martinez de Estibariz
Affiliation:
Department of Otolaryngology, The Richard Ramsden Centre for Hearing Implants, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
E Stapleton
Affiliation:
Department of Otolaryngology, The Richard Ramsden Centre for Hearing Implants, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
*
Author for correspondence: Dr Rohma Abrar, The Richard Ramsden Centre for Hearing Implants, Peter Mount Building, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK E-mail: rohma.abrar@doctors.org.uk
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Abstract

Objective

This study aimed to explore the impact of the coronavirus disease 2019 pandemic and postponement of elective surgical procedures for profoundly deaf patients awaiting cochlear implantation.

Method

Open-ended questionnaires were sent to all adult patients awaiting cochlear implantation surgery. Qualitative analysis was performed using a grounded theory approach.

Results

Participants described a primarily negative impact on wellbeing from the surgery delay, expressing feelings of isolation or loneliness. Low mood, depression or hopelessness were commonly expressed by elderly participants; frustration and anxiety were described by young adults. Participants described a negative impact on their general daily life, describing difficulties communicating with facemasks and struggles with reliance on telephone communication because of social distancing. Despite these significant psychosocial challenges, only a minority described adaptive coping strategies.

Discussion

Profoundly deaf patients may be at greater psychosocial risk because of unique challenges from their hearing disability. Our findings can be used to develop evidence-driven strategies to improve communication, wellbeing and quality of life.

Keywords

Cochlear ImplantationCovid-19PandemicsPsychologyQuality Of LifeQualitative ResearchCommunication

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 10 , October 2021 , pp. 918 - 925
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr R Abrar takes responsibility for the integrity of the content of the paper

References

Soreide, K, Hallet, J, Matthews, JB, Schnitzbauer, AA, Line, PD, Lai, PBS et al. Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services. British J Surg 2020;107:1250–61CrossRefGoogle ScholarPubMed
Bhangu, A, Lawani, I, Ng-Kamstra, JS, Wang, Y, Chan, A, Futaba, K et al. Global guidance for surgical care during the COVID-19 pandemic. British J Surg 2020;107:1097–103Google Scholar
Royal College of Surgeons of England. Clinical guide to surgical prioritisation during the coronavirus pandemic. In: https://www.rcseng.ac.uk/coronavirus/surgical-prioritisation-guidance/ [2 July 2020]Google Scholar
The Royal National Institute for Deaf People. Hearing matters. In: https://www.actiononhearingloss.org.uk/how-we-help/information-and-resources/publications/research-reports/hearing-matters-report/ [11 May 2020]Google Scholar
Lotfi, Y, Mehrkian, S, Moossavi, A, Faghih-Zadeh, S. Quality of life improvement in hearing-impaired elderly people after wearing a hearing aid. Arch Iran Med 2009;12:365–70Google Scholar
Kamil, RJ, Lin, FR. The effects of hearing impairment in older adults on communication partners: a systematic review. J American Acad Audiol 2015;26:155–82Google ScholarPubMed
Amieva, H, Ouvrard, C, Meillon, C, Rullier, L, Dartigues, JF. Death, depression, disability, and dementia associated with self-reported hearing problems: a 25-year study. J Gerontol A Biol Sci Med Sci 2018;73:1383–9CrossRefGoogle ScholarPubMed
Rapport, F, Hughes, SE, Boisvert, I, McMahon, CM, Braithwaite, J, Faris, M et al. Adults’ cochlear implant journeys through care: a qualitative study. BMC Health Serv Res 2020;20:457CrossRefGoogle ScholarPubMed
Francis, HW, Chee, N, Yeagle, J, Cheng, A, Niparko, JK. Impact of cochlear implants on the functional health status of older adults. Laryngoscope 2002;112:1482–8CrossRefGoogle ScholarPubMed
The Federation of Surgical Specialty Associations. Clinical guide to surgical prioritisation during the coronavirus pandemic. In: https://fssa.org.uk/covid-19_documents.aspx [5 May 2021]Google Scholar
Shanafelt, T, Ripp, J, Trockel, M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA 2020;323:2133–4CrossRefGoogle ScholarPubMed
Brown, TS, Bedard, NA, Rojas, EO, Anthony, CA, Schwarzkopf, R, Barnes, CL et al. The effect of the COVID-19 pandemic on electively scheduled hip and knee arthroplasty patients in the United States. J Arthroplasty 2020;35:S49–55CrossRefGoogle ScholarPubMed
Greco, F, Altieri, VM, Esperto, F, Mirone, V, Scarpa, RM. Impact of COVID-19 pandemic on health-related quality of life in uro-oncologic patients: what should we wait for? Clin Genitourin Cancer 2020;19:e63–8CrossRefGoogle Scholar
Kaiser, R, Svoboda, N, Waldauf, P, Netuka, D. The economic and psychological impact of cancellations of elective spinal surgeries in the COVID-19 era. Br J Neurosurg 2020:1868404. Epub 2021 Jan 18Google Scholar
Devitt, P. Qualitative Research and Evaluation Methods, 3rd edn. Thousand Oaks (CA): Sage Publications, 2003Google Scholar
Sbaraini, A, Carter, SM, Evans, R, Blinkhorn, A. How to do a grounded theory study: a worked example of a study of dental practices. BMC Med Res Methodol 2011;11:128CrossRefGoogle Scholar
Groarke, JM, Berry, E, Graham-Wisener, L, McKenna-Plumley, PE, McGlinchey, E, Armour, C. Loneliness in the UK during the COVID-19 pandemic: cross-sectional results from the COVID-19 Psychological Wellbeing Study. PLoS One 2020;15:e0239698CrossRefGoogle ScholarPubMed
Beutel, ME, Klein, EM, Brähler, E, Reiner, I, Jünger, C, Michal, M et al. Loneliness in the general population: prevalence, determinants and relations to mental health. BMC Psychiatry 2017;17:97CrossRefGoogle ScholarPubMed
Joiner, TE, Rudd, MD. Disentangling the interrelations between hopelessness, loneliness, and suicidal ideation. Suicide Life Threat Behav 1996;26:19–26Google ScholarPubMed
Ivarsson, B, Kimblad, PO, Sjöberg, T, Larsson, S. Patient reactions to cancelled or postponed heart operations. J Nurs Manag 2002;10:75–81CrossRefGoogle ScholarPubMed
Tait, AR, Voepel-Lewis, T, Munro, HM, Gutstein, HB, Reynolds, PI. Cancellation of pediatric outpatient surgery: economic and emotional implications for patients and their families. J Clin Anesth 1997;9:213–9CrossRefGoogle ScholarPubMed
Wong, DJN, Harris, SK, Moonesinghe, SR, Moonesinghe, SR, Wong, DJN, Harris, SK et al. Cancelled operations: a 7-day cohort study of planned adult inpatient surgery in 245 UK National Health Service hospitals. Br J Anaesth 2018;121:730–8CrossRefGoogle ScholarPubMed
Zhou, Y, Macgeorge, EL, Myrick, JG. Mental health and its predictors during the early months of the covid-19 pandemic experience in the United States. Int J Environ Res Public Health 2020;17:1–19CrossRefGoogle ScholarPubMed
Babore, A, Lombardi, L, Viceconti, ML, Pignataro, S, Marino, V, Crudele, M et al. Psychological effects of the COVID-2019 pandemic: perceived stress and coping strategies among healthcare professionals. Psychiatry Res 2020;293:113366CrossRefGoogle ScholarPubMed
Yeung, DYL, Fung, HH. Age differences in coping and emotional responses toward SARS: a longitudinal study of Hong Kong Chinese. Aging Ment Health 2007;11:579–87CrossRefGoogle ScholarPubMed
Chew, QH, Wei, KC, Vasoo, S, Chua, HC, Sim, K. Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic. Singapore Med J 2020;61:350–6CrossRefGoogle ScholarPubMed