全喉切除术和一期气管食管穿刺术印度患者声音相关生活质量的验证与评估
Validation and assessment of voice-related quality of life in Indian patients undergoing total laryngectomy and primary tracheoesophageal puncture.
作者信息
Deshpande Mandar S, Kakade Anagha C, Chaukar Devendra A, Gore Vinod T, Pai Prathamesh S, Chaturvedi Pankaj, D'Cruz Anil K
机构信息
Department of Surgical Oncology, Head and Neck Services, Tata Memorial Hospital, Parel, Mumbai 400012, India.
出版信息
Head Neck. 2009 Jan;31(1):37-44. doi: 10.1002/hed.20922.
BACKGROUND
Voice-related quality of life (V-RQOL) has never been studied in Indian patients. This study was planned to validate and assess V-RQOL in patients using tracheoesophageal puncture (TEP).
METHODS
A cross-sectional study was undertaken to validate V-RQOL questionnaire by testing reliability, validity, and responsiveness. V-RQOL was assessed in patients undergoing total laryngectomy with primary TEP.
RESULTS
One hundred thirty-two patients filled 188 questionnaires. Analysis was carried out on 122 patients. Reliability and validity of questionnaire were tested by Cronbach's alpha (.84-.91) and item-scale correlation (.67-.86). Median V-RQOL-Total score was 76.2 indicating excellent V-RQOL. Higher scores were observed in patients less than 50 years (82.5 vs 72.5, p = .08). There was no effect of time interval between laryngectomy and assessment of questionnaire on the V-RQOL scores.
CONCLUSION
V-RQOL questionnaire can be used reliably to assess V-RQOL, which is found to be excellent in Indian patients undergoing TEP.
背景
在印度患者中，从未对嗓音相关生活质量（V-RQOL）进行过研究。本研究旨在验证并评估采用气管食管穿刺（TEP）的患者的V-RQOL。
方法
开展一项横断面研究，通过测试信度、效度和反应度来验证V-RQOL问卷。对接受全喉切除术并进行一期TEP的患者进行V-RQOL评估。
结果
132名患者填写了188份问卷。对122名患者进行了分析。通过克朗巴哈系数（0.84 - 0.91）和项目-量表相关性（0.67 - 0.86）对问卷的信度和效度进行了测试。V-RQOL总分中位数为76.2，表明V-RQOL极佳。年龄小于50岁的患者得分更高（82.5对72.5，p = 0.08）。喉切除术后至问卷评估的时间间隔对V-RQOL评分没有影响。
结论
V-RQOL问卷可可靠地用于评估V-RQOL，在接受TEP的印度患者中，V-RQOL极佳。
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