Rodrigues Romulo da Silva, Silva Victória Paes Leme da, Santos Leticia Cristina de Jesus Dos, Zica Guilherme Maia, Brendim Mariana Pinheiro
Departamento de Fonoaudiologia, Universidade Federal do Rio de Janeiro - UFRJ - Rio de Janeiro (RJ), Brasil.
Programa de Pós-graduação em Distúrbios da Comunicação Humana, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.
Codas. 2025 Oct 17;37(5):e20240282. doi: 10.1590/2317-1782/e20240282pt. eCollection 2025.
To compare self-assessment of voice handicap, sleep quality, and quality of life related to coughing and swallowing before and after using a heat and moisture exchange filter in total laryngectomized patients.
This was a prospective longitudinal study whose participants completed the Voice Handicap Index (VHI), Pittsburgh Sleep Quality Index (PSQI), Leicester Cough Questionnaire (LCQ), and MD Anderson Dysphagia Inventory (MDADI) at three times: (T1) before starting to use the heat and moisture exchange filter, (T2) 2 weeks after using it, and (T3) 4 weeks after using it.
14 participants (12 men) with a mean age of 66.4 ± 5.8 years. The medians of the total VHI score at T1, T2, and T3 were, respectively, 65.5 (47.5-86.3), 55.5 (39.5-71.3), and 44.5 (39-72), p=0.085. The medians of the PSQI score at T1, T2, and T3 were, respectively, 6.5 (4.25-11.8), 4.5 (2.25-10.8), and 3.0 (2.0-5.75), p=0.010. The medians of the total MDADI score at T1, T2, and T3 were, respectively, 78.6 (69.1-92.7), 76.3 (73.3-92.6), and 85.7 (72.7-94), p=0.571. The medians of the total LCQ score at T1, T2, and T3 were, respectively, 16.7 (13.1-18.5), 19.1 (17.4-19.4), and 19.0 (17.3-19.9), p=0.002.
The total laryngectomized patients participating in this study self-assessed an improvement in the emotional domain of voice handicap, sleep quality, and cough-related quality of life after 2 weeks of using a heat and moisture exchange filter. They also maintained the perception of improvement after 4 weeks of using the device.
比较全喉切除患者使用热湿交换过滤器前后嗓音障碍、睡眠质量以及与咳嗽和吞咽相关的生活质量的自我评估情况。
这是一项前瞻性纵向研究，参与者在三个时间点完成嗓音障碍指数（VHI）、匹兹堡睡眠质量指数（PSQI）、莱斯特咳嗽问卷（LCQ）和MD安德森吞咽障碍量表（MDADI）：（T1）开始使用热湿交换过滤器前；（T2）使用后2周；（T3）使用后4周。
14名参与者（12名男性），平均年龄66.4±5.8岁。T1、T2和T3时VHI总分的中位数分别为65.5（47.5 - 86.3）、55.5（39.5 - 71.3）和44.5（39 - 72），p = 0.085。T1、T2和T3时PSQI评分的中位数分别为6.5（4.25 - 11.8）、4.5（2.25 - 10.8）和3.0（2.0 - 5.75），p = 0.010。T1、T2和T3时MDADI总分的中位数分别为78.6（69.1 - 92.7）、76.3（73.3 - 92.6）和85.7（72.7 - 94），p = 0.571。T1、T2和T3时LCQ总分的中位数分别为16.7（13.1 - 18.5）、19.1（17.4 - 19.4）和19.0（17.3 - 19.9），p = 0.002。
参与本研究的全喉切除患者在使用热湿交换过滤器2周后自我评估嗓音障碍的情感领域、睡眠质量以及与咳嗽相关的生活质量有所改善。在使用该设备4周后，他们仍保持改善的感觉。
