Zhang Liqiang, Luan Xinyong, Pan Xinliang, Xie Guang, Xu Fenglei, Liu Dayu, Lei Dapeng
Department of Otorhinolaryngology, Qilu Hospital of Shandong University, Jinan 250012, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Feb;37(1):11-4.
To assess the quality of life and relevant factors following laryngectomy.
Quality of life was evaluated in 42 laryngeal cancer and hypopharyngeal cancer patients following laryngectomy and in 38 controls. The assessment included General Quality of Life Inventory, University of Washington Quality of Life Head and Neck Questionnaire and a study specific questionnaire.
The laryngectomized patients reported significant lower scores of quality of life than the controls in many aspects of physical health, psychological health and social function dimensions. For patients, the most important dimension affecting quality of life was psychological condition, and the others were physical function, social function, and economic condition in turn; while for the controls, they were of opposite order. The significant factors affecting quality of life in patients following total laryngectomy were their concern about prognosis, disfigurement, decannulation, employment, speech and breathing conditions. The most important factor affecting psychological condition was physical function, while psychological condition was the most important factor affecting social function. Items ranked in the top five included those related to physical function, economic condition, psychological condition, social situation and social communication.
More attention should be paid to research about quality of life. The quality of life of patients undergone laryngectomy is affected by many factors. Through the integration of psychological, clinical and social interventions, the quality of life of patients may have an overall improvement.
评估喉切除术后的生活质量及相关因素。
对42例喉癌和下咽癌患者喉切除术后的生活质量进行评估，并与38名对照组进行比较。评估内容包括一般生活质量量表、华盛顿大学生活质量头颈问卷以及一项特定研究问卷。
喉切除患者在身体健康、心理健康和社会功能维度的多个方面，其生活质量得分显著低于对照组。对患者而言，影响生活质量最重要的维度是心理状况，其次依次是身体功能、社会功能和经济状况；而对照组的顺序则相反。全喉切除术后患者生活质量的显著影响因素包括对预后、容貌毁损、拔管、就业、言语和呼吸状况的担忧。影响心理状况的最重要因素是身体功能，而心理状况是影响社会功能的最重要因素。排在前五位的项目包括与身体功能、经济状况、心理状况、社会状况和社会交往相关的项目。
应更加关注生活质量的研究。喉切除患者的生活质量受多种因素影响。通过心理、临床和社会干预的综合运用，患者的生活质量可能会得到全面改善。
