Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Centre Mainz, Mainz, Germany.
University Cancer Centre Mainz, Mainz, Germany.
Head Neck. 2019 Apr;41(4):1070-1079. doi: 10.1002/hed.25540. Epub 2018 Dec 12.
The purpose of this study was to assess the use and outcome of rehabilitation after total laryngectomy in Germany.
We enrolled patients who were scheduled for total laryngectomy, approached them again after surgery, after 3 months and 1 year. Patients completed questionnaires and were interviewed.
Of 309 participants, 14% had not received any rehabilitation. Reasons for nonuse were primarily ongoing treatment and poor health. Users of rehabilitation had 4 times the odds of attaining any ability to speak compared to nonusers (odds ratio 3.8, P = .02). The main aim of rehabilitation from the perspective of the users was speech rehabilitation, mentioned by 71% before starting rehabilitation. This was also what most users (27%) found the most helpful part of rehabilitation.
Patients are interested in attending rehabilitation. They especially want to improve their speech capacity, which indeed is better among users of rehabilitation than in those without.
本研究旨在评估德国全喉切除术后康复的应用和效果。
我们招募了计划接受全喉切除术的患者，在手术后、术后 3 个月和 1 年后再次联系他们。患者完成了问卷调查并接受了访谈。
在 309 名参与者中，14%的人未接受任何康复治疗。不使用康复治疗的主要原因是正在进行治疗和健康状况不佳。与未使用者相比，使用康复治疗的患者获得任何言语能力的几率是其 4 倍（优势比 3.8，P = .02）。从使用者的角度来看，康复的主要目的是言语康复，71%的人在开始康复前就提到了这一点。这也是大多数使用者（27%）认为康复最有帮助的部分。
患者有兴趣参加康复治疗。他们特别希望提高自己的言语能力，而使用者的言语能力确实比未使用者更好。
