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全喉切除患者的声音症状、吞咽困难风险、生活质量和心理健康:一项自我认知研究

Voice symptoms, dysphagia risk, quality of life, and mental health in total laryngectomized patients: a self-perception study.

作者信息

Pereira João Vitor Barbosa, Rossi Vaneli Colombo, Chone Carlos Takahiro, Constantini Ana Carolina

机构信息

Universidade Estadual de Campinas, Departamento de Desenvolvimento Humano e Reabilitação, Campinas, SP, Brazil.

Universidade Estadual de Campinas, Departamento de Desenvolvimento Humano e Reabilitação, Campinas, SP, Brazil.

出版信息

Braz J Otorhinolaryngol. 2025 Jun 25;91(5):101657. doi: 10.1016/j.bjorl.2025.101657.

DOI:10.1016/j.bjorl.2025.101657
PMID:40570728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12246838/
Abstract

OBJECTIVES

To establish the sociodemographic profile, identify and relate the presence of voice symptoms, risk for dysphagia, and self-perceived emotional distress, and measure the quality of life of a group of total laryngectomized patients.

METHOD

This is a descriptive, quantitative, cross-sectional study. Subjects aged 18-years and older, of both sexes, who had undergone total laryngectomy. The sample composition was non-probabilistic. A questionnaire was used to obtain sociodemographic data. The perception of voice symptoms was assessed by the Voice Symptom Scale (VoiSS) and the risk of dysphagia was screened using the Eating Assessment Tool (EAT-10). Mental health aspects were measured using the Self-Reporting Questionnaire (SRQ-20) and data on general health, treatment and illness were collected using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30).

RESULTS

12 participants were recruited; mostly male, average age of 64-years. All participants presented voice symptoms and 33% were screened with self-perceived emotional distress and 66.7% progressed with risk for dysphagia; all of them had undergone at least radiotherapy during the treatment.

CONCLUSION

All subjects in the sample had voice symptoms. Risk of dysphagia emerged as a determining factor in the quality of life and mental health of study participants, and was also related to concomitant voice symptoms. In this sample, participants with a high prevalence of voice signs and symptoms were at greater risk of emotional distress.

摘要

目的

建立全喉切除患者群体的社会人口学特征,识别并关联嗓音症状的存在、吞咽困难风险和自我感知的情绪困扰,并测量其生活质量。

方法

这是一项描述性、定量、横断面研究。研究对象为年龄在18岁及以上、接受过全喉切除术的男女患者。样本构成采用非概率抽样。使用问卷获取社会人口学数据。通过嗓音症状量表(VoiSS)评估嗓音症状感知,并使用饮食评估工具(EAT-10)筛查吞咽困难风险。使用自评问卷(SRQ-20)测量心理健康状况,并使用欧洲癌症研究与治疗组织生活质量问卷核心30(EORTC QLQ-C30)收集一般健康、治疗和疾病方面的数据。

结果

招募了12名参与者;大多数为男性,平均年龄64岁。所有参与者均有嗓音症状,33%的人存在自我感知的情绪困扰,66.7%的人有吞咽困难风险;他们在治疗期间均至少接受过放疗。

结论

样本中的所有受试者均有嗓音症状。吞咽困难风险成为研究参与者生活质量和心理健康的决定性因素,并且也与伴随的嗓音症状相关。在这个样本中,嗓音体征和症状患病率高的参与者存在更大的情绪困扰风险。

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