Summers Lizz
City, University of London, Northampton Square, London, UK.
Curr Opin Otolaryngol Head Neck Surg. 2017 Jun;25(3):188-194. doi: 10.1097/MOO.0000000000000361.
This review is intended to give an up-to-date overview of key developments in the evidence base relating specifically to the social and quality of life (QOL) impact of using a voice prosthesis, with reflections on the impact on clinical practice.
Recent studies have shed light on the role of social support on psychological adjustment after laryngectomy, developing the existing evidence base on psychological sequelae. Investigations into the relationship between voice intensity/intelligibility and voice handicap/QOL may suggest a relationship for some patients, and current tools for measuring these constructs are evaluated. Recent qualitative research on the lived experience and social impact of using a voice prosthesis is presented.
Little research is currently available exploring the impact of using a voice prosthesis on social participation, which is reflected in the dearth of participation-focused interventions for laryngectomy patients. Further research on the lived experience of tracheoesophageal speech is required to understand this phenomenon and develop appropriate interventions for enhancing communication, participation and QOL with a voice prosthesis after laryngectomy.
本综述旨在对与使用语音假体的社会及生活质量（QOL）影响相关的证据基础的关键进展进行最新概述，并思考其对临床实践的影响。
近期研究揭示了社会支持在喉切除术后心理调适方面的作用，拓展了关于心理后遗症的现有证据基础。对语音强度/可懂度与语音障碍/QOL之间关系的调查可能表明，部分患者存在某种关联，同时对当前测量这些指标的工具进行了评估。还介绍了近期关于使用语音假体的生活体验及社会影响的定性研究。
目前探索使用语音假体对社会参与影响的研究较少，这反映在针对喉切除患者的以参与为重点的干预措施匮乏上。需要对食管气管语音的生活体验进行进一步研究，以了解这一现象，并制定适当的干预措施，以改善喉切除术后使用语音假体时的沟通、参与和生活质量。
