Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany.
Clin Otolaryngol. 2011 Aug;36(4):336-44. doi: 10.1111/j.1749-4486.2011.02355.x.
The aim of the study was the analysis of drinking behaviour in laryngectomised patients and its concomitants in quality of life and mental health.
Multi-centered cross-sectional study.
Two hundred and twenty-five laryngectomised patients were asked to participate in the study. One hundred and seventy nine patients (80%) were interviewed after laryngectomy at six different ENT clinics in Germany.
'Questionnaire of Health Behaviour' (FEG), 'Short Questionnaire of Alcohol Risk', Hospital Anxiety and Depression Scale (HADS), Hornheider Questionnaire (HFB), Visual Analogue Scales (VAS) and the Quality of Life Questionnaires of the European Organization of Research and Treatment of Cancer (EORTC) (EORTC QLQ-C30, EORTC QLQ-H & N35).
Alcohol dependence was found in 7% of the patients. Half of the respondents showed a constant consumption of alcohol with 6% of the patients who wanted to change their consumption. Patients with alcohol dependence indicated in comparison with non-dependent persons increased anxiety (p = 0.03), problems in coping with illness (p = 0.03), increased psychosocial care needs (p = 0.02), fatigue (p = 0.04), shortness of breath (p = 0.04), diarrhoea (p = 0.02) and a worse emotional functioning level (p = 0.03). Alcohol intake was independent of tumour stage (p = 0.48), employment status (p = 0.54), social class (p = 0.82), the time interval since laryngectomy (p = 0.64) and type of voice substitute (p = 0.76). The quality of life and mental state were independent of the amount of alcohol consumed.
The results show that alcohol dependence is associated with adverse psychosocial and medical consequences, which require treatment. Socio-demographic and medical parameters do not allow any conclusions to alcoholism risk. Therefore, an individual exploration of the patients' drinking behaviour is needed, which could prepare the ground to specific treatment.
本研究旨在分析喉切除患者的饮酒行为及其对生活质量和心理健康的影响。
多中心横断面研究。
共有 225 名喉切除患者被邀请参与研究。其中 179 名（80%）患者在德国 6 家不同的耳鼻喉科诊所接受喉切除手术后接受了访谈。
“健康行为问卷”（FEG）、“酒精风险简短问卷”、医院焦虑抑郁量表（HADS）、Hornheider 问卷（HFB）、视觉模拟量表（VAS）和欧洲癌症研究与治疗组织（EORTC）的生活质量问卷（EORTC QLQ-C30、EORTC QLQ-H & N35）。
发现 7%的患者存在酒精依赖。半数受访者表示经常饮酒，其中 6%的患者希望改变饮酒习惯。与非依赖者相比，酒精依赖患者的焦虑程度更高（p=0.03）、应对疾病的问题更多（p=0.03）、社会心理护理需求增加（p=0.02）、疲劳感更明显（p=0.04）、呼吸急促（p=0.04）、腹泻（p=0.02），情绪功能水平更差（p=0.03）。饮酒量与肿瘤分期（p=0.48）、就业状况（p=0.54）、社会阶层（p=0.82）、喉切除后时间间隔（p=0.64）和嗓音替代类型（p=0.76）无关。生活质量和心理状态与饮酒量无关。
结果表明，酒精依赖与不良的社会心理和医疗后果相关，需要治疗。社会人口学和医学参数无法确定酒精中毒风险。因此，需要对患者的饮酒行为进行个体化探索，为特定治疗奠定基础。
