Khafif Avi, Posen Jennie, Yagil Yaron, Beiser Michael, Gil Ziv, Ben-Yosef Rami, Landsberg Roee, Fliss Dan M
Department of Otolaryngology--Head and Neck Surgery, Tel-Aviv Sourasky Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Head Neck. 2007 Oct;29(10):932-9. doi: 10.1002/hed.20635.
This study was designed to evaluate the quality of life (QOL) of patients older than 75 years undergoing major head and neck surgery.
Three groups of patients were included: elderly patients (>75, n = 35) and younger patients (65 to 75 years, n = 30) undergoing major head and neck surgery and healthy controls (>75, n = 40). Measurements were made using the SF-12 health survey, the University of Washington QOL questionnaire, and measurements of the "sense of burden" on the caregiver.
With the SF-12, the role physical, role emotional, and bodily pain were decreased by the surgical intervention, while physical function was affected by age alone. With the UW-QOL Questionnaire, overall QOL was preserved. "Appearance" and "Leisure" subscales were affected by the surgical intervention and old age. "Chewing" and "Activity" were decreased by the surgical intervention in the older patients, and "Speech" was affected by the surgical intervention alone. The "sense of burden" was alleviated by surgery in the elderly patients.
Several QOL domains are decreased in elderly patients undergoing major head and neck surgery.
本研究旨在评估接受头颈大手术的75岁以上患者的生活质量（QOL）。
纳入三组患者：接受头颈大手术的老年患者（>75岁，n = 35）、年轻患者（65至75岁，n = 30）以及健康对照组（>75岁，n = 40）。使用SF - 12健康调查、华盛顿大学生活质量问卷以及对照顾者“负担感”的测量进行评估。
使用SF - 12量表时，手术干预使角色身体功能、角色情感功能和身体疼痛得分降低，而身体功能仅受年龄影响。使用华盛顿大学生活质量问卷时，总体生活质量得以保留。“外貌”和“休闲”子量表受手术干预和年龄影响。老年患者中，手术干预使“咀嚼”和“活动”得分降低，“言语”仅受手术干预影响。手术减轻了老年患者的“负担感”。
接受头颈大手术的老年患者的几个生活质量领域有所下降。
