Departamento de Fonoaudiologia, Universidade Federal do Espírito Santo - UFES - Vitória (ES), Brasil.
Hospital Universitário Cassiano Antônio Moraes - EBSERH - Vitória (ES), Brasil.
Codas. 2023 Aug 7;35(5):e20220099. doi: 10.1590/2317-1782/20232022099pt. eCollection 2023.
To correlate the dysphagia quality of life and symptoms of anxiety and depression before and after thyroidectomy.
Observational, longitudinal, prospective, and experimental study. Twenty patients participated, with a mean age of 54 years, prevalence of females (n=17; 85%) and partial thyroidectomy (n=14; 70%). All subjects underwent laryngeal visual examination and answered the MD Anderson Dysphagia Questionnaire (MDADI) and the Hospital Anxiety and Depression Scale (HADS) in three different moments: preoperatively, immediately postoperatively (maximum one week) and three months after surgery.
There was a significant difference in dysphagia quality of life for the physical and total domains in the three different moments. Regarding anxiety and depression, a statistically significant difference was observed between the scores in all domains, with a greater difference observed between the preoperative period and after 1 week. Higher values were observed in the preoperative period for mild anxiety traits, being more frequent in relation to depression, with a reduction after 1 week and an increase after three months of surgery. There was no significant correlation between the MDADI and HADS protocols.
Patients undergoing thyroidectomy self-report better quality of life in dysphagia and reduced anxiety/depression scores after three months of surgery. There was no correlation between anxiety, depression and quality of life in dysphagia at the moments evaluated.
探讨甲状腺切除术前、后吞咽困难生活质量与焦虑、抑郁症状的相关性。
观察性、纵向、前瞻性、实验研究。20 名患者参与研究，平均年龄 54 岁，女性患病率（n=17；85%）和部分甲状腺切除术（n=14；70%）。所有患者均接受了喉部视觉检查，并在三个不同时间点回答了 MD 安德森吞咽困难问卷（MDADI）和医院焦虑抑郁量表（HADS）：术前、术后即刻（最长一周）和术后三个月。
在三个不同时间点，吞咽困难的生活质量在生理和总分两个方面均有显著差异。关于焦虑和抑郁，所有领域的评分均存在统计学差异，术前和术后 1 周之间的差异更大。术前轻度焦虑特征的评分较高，与抑郁相比更为常见，术后 1 周后减轻，术后 3 个月后增加。MDADI 和 HADS 方案之间无显著相关性。
甲状腺切除术患者术后 3 个月自我报告的吞咽困难生活质量更好，焦虑/抑郁评分降低。在评估的时间点，焦虑、抑郁与吞咽困难的生活质量之间无相关性。
