Department of Otorhinolaryngology, Faculty of Medicine Carl Gustav Carus, Smell & Taste Clinic, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany.
Monell Chemical Senses Center, Philadelphia, PA, USA.
Eur Arch Otorhinolaryngol. 2024 Dec;281(12):6423-6430. doi: 10.1007/s00405-024-08911-7. Epub 2024 Aug 23.
Olfactory training (OT) is an effective and affordable option in the treatment of olfactory dysfunction. Despite significant progress in the field in recent years, some factors influencing OT participation remain unclear.
Based on an anonymous online survey orchestrated by AbScent.org the present study enrolled 450 participants and divided them into OT (n = 161) and No OT (n = 289) groups based on their OT participation. Participants also provided information on demographics, medical history, quality of life, OT duration for those who engaged in OT, and the reasons for non-participation in OT among those who did not.
Patients who had greater loss of quality of life participated more in OT. Similarly, more participation was observed in patients who noticed an improvement in their ability to smell. Notably, most of the sample engaged in OT trained less than four weeks (73%). In the No OT group, the primary barrier to OT participation was the unawareness of OT treatment (37%) and these barriers differed by age, where older people expressed interest but were unaware of OT treatment, while younger individuals exhibited more cautiousness about its effectiveness.
Lower quality of life drives active OT participation. Limited training periods and unawareness of OT serve as potential barriers to olfactory recovery. Clinicians should actively promote the background of OT and underscore the significance of adhering to the "prescribed" training regimen.
嗅觉训练(OT)是治疗嗅觉功能障碍的一种有效且经济实惠的选择。尽管近年来该领域取得了重大进展,但一些影响 OT 参与的因素仍不清楚。
本研究基于 AbScent.org 组织的匿名在线调查,共招募了 450 名参与者,并根据他们是否参与 OT 将其分为 OT 组(n=161)和非 OT 组(n=289)。参与者还提供了人口统计学、病史、生活质量、参与 OT 者的 OT 持续时间以及未参与 OT 者未参与 OT 的原因等信息。
生活质量下降较大的患者更积极地参与 OT。同样,那些注意到自己嗅觉能力有所改善的患者也更愿意参与 OT。值得注意的是,大多数样本的 OT 训练时间不足四周(73%)。在非 OT 组中,参与 OT 的主要障碍是对 OT 治疗缺乏认识(37%),这些障碍因年龄而异,老年人表示有兴趣但对 OT 治疗不了解,而年轻人对其疗效则更为谨慎。
较低的生活质量促使患者积极参与 OT。有限的训练时间和对 OT 的不了解可能成为嗅觉恢复的潜在障碍。临床医生应积极宣传 OT 的背景,并强调坚持“规定”的训练方案的重要性。