Quality of life and depression in patients undergoing total and partial laryngectomy

Quality of life and depression in patients undergoing total and partial laryngectomy
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DOI：
10.1590/s1807-59322005000200010
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发表时间：
2005-04-01
期刊：
Clinics
影响因子：
2.7
通讯作者：
Barros, Ana Paula Brandão
Barros, Ana Paula Brandão
中科院分区：
医学4区
文献类型：
--
作者：
Braz, Daniella Scalet Amorin;Ribas, Marta Maria;Barros, Ana Paula Brandão

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目的：头颈部癌症（主要是喉癌）的手术治疗会导致后遗症，并可能改变患者的生活质量。本研究的目的是探讨喉切除术对生活质量的影响，关于功能，身体，心理和social aspects.METHODS：14例患者进行全喉切除术和16例进行垂直部分喉切除术。生活质量评价采用欧洲癌症研究与治疗组织（EORTC）的生活质量核心问卷（QLQ-C30）和头颈部问卷（H&N35），抑郁筛查采用Beck抑郁量表。在全喉切除术组，报告的不良反应是恶化，社会和情感功能嗅觉和味觉改变（85.6%）、咳嗽（71.3%）、言语困难（100%）和吞咽困难（64.3%）。大多数患者（85.5%）认为他们的生活质量是合理的。在部分喉切除术组中，报告的不良反应为情绪功能恶化（71.4%）、言语困难（100%）和吞咽困难（31.3%）。然而，大多数患者认为他们的生活质量高于一般average.CONCLUSION：尽管是不同的手术，两组经历了类似的困难，但在不同的水平。接受全喉切除术的患者生活质量较差。
PURPOSE: The surgical treatment of head and neck cancer, primarily laryngeal cancer, causes sequelae and can change the patient's quality of life. The purpose of this study was to investigate the impact of laryngectomy on the quality of life regarding the functional, physical, psychological, and social aspects.METHODS: Fourteen patients underwent total laryngectomy and 16 underwent vertical partial laryngectomy. The Quality of Life Core Questionnaire (QLQ-C30) and Head and Neck (H&N35) questionnaire from the European Organization for Research and Treatment of Cancer (EORTC) were used for quality of life evaluation, while the Beck Depression Inventory questionnaire was used for the depression screen.RESULTS: In the total laryngectomy group, reported adverse effects were worsened, social and emotional function (21.3%), olfaction and taste changes (85.6%), cough (71.3%), speech difficulty (100%), and dysphagia (64.3%). Most of the patients (85.5%) judged their quality of life to be reasonable. In the partial laryngectomy group, reported adverse effects were worsened, emotional function (71.4%), speech difficulty (100%), and dysphagia (31.3%). However, most of the patients judged their quality of life to be above the general average.CONCLUSION: Despite being different surgeries, both groups experienced similar difficulties but at different levels. The quality of life was judged worse in the patients who underwent total laryngectomy.