Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-Ku, N15W7, Sapporo 0608638, Hokkaido, Japan.
Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-Ku, N15W7, Sapporo 0608638, Hokkaido, Japan.
Auris Nasus Larynx. 2022 Feb;49(1):53-57. doi: 10.1016/j.anl.2021.04.007. Epub 2021 May 4.
The aim of the present study was to evaluate the psychological condition of patients with non-cured facial nerve palsy and to investigate whether their psychological condition is correlated with the degree of facial nerve palsy, synkinesis or quality of life.
Thirty patients with non-cured facial nerve palsy were enrolled in this study. Psychological conditions were evaluated by questionnaires including State-Trait Anxiety Inventory and Self-rating Depression Scale.
Of the thirty patients with non-cured facial nerve palsy, 17 (56.7%) and 15 patients (50.0%) felt anxiety and depression, respectively. Although there were no significant correlations between their psychological condition and the degree of facial nerve palsy or that of sequelae, significant correlations were observed between psychological condition and the degree of QOL, especially in terms of social function.
Disabilities associated with facial nerve palsy may be overlooked when evaluation is performed by physician-graded instruments alone. To resolve this problem, patients with non-cured facial nerve palsy should be evaluated by not only physician-graded tools but also patient-based assessment tools.
本研究旨在评估未愈面神经麻痹患者的心理状况，并探讨其心理状况是否与面神经麻痹程度、联带运动或生活质量有关。
本研究纳入 30 例未愈面神经麻痹患者。通过状态-特质焦虑量表和自评抑郁量表等问卷评估心理状况。
30 例未愈面神经麻痹患者中，分别有 17 例（56.7%）和 15 例（50.0%）感到焦虑和抑郁。尽管患者的心理状况与面神经麻痹程度或后遗症程度之间无显著相关性，但与生活质量的严重程度，特别是社会功能方面存在显著相关性。
仅使用医生分级工具进行评估时，可能会忽略与面神经麻痹相关的残疾。为了解决这个问题，不仅应使用医生分级工具，还应使用基于患者的评估工具来评估未愈面神经麻痹患者。
