Dysphagia Following a Total Laryngectomy: The Effect on Quality of Life, Functioning, and Psychological Well-Being
Dysphagia Following a Total Laryngectomy: The Effect on Quality of Life, Functioning, and Psychological Well-Being
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DOI：
10.1007/s00455-009-9209-0
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发表时间：
2009-09-01
期刊：
影响因子：
2.6
通讯作者：
Perry, Alison
中科院分区：
文献类型：
--
作者：
Maclean, Julia;Cotton, Susan;Perry, Alison
本研究的目的是调查吞咽困难对接受全喉切除术的患者的生活质量（QoL）、功能和心理健康的影响。向澳大利亚新南威尔士州喉切除者协会的所有成员（N = 197）发送了一组调查问卷。使用世界卫生组织生活质量-Bref（WHOQoL-Bref）和华盛顿大学生活质量（UW-QoL）指标评估生活质量和功能。采用抑郁、焦虑和压力量表（DASS）测量心理健康状况。110份问卷（56%）完成并返回。有和没有吞咽困难的喉切除者之间的生活质量没有显着差异，作为测量的WHOQoL-Bref。然而，喉切除术与吞咽困难，有显着受损的功能和显着减少社会参与的UW-QoL测量。在那些有吞咽困难的喉切除者中，抑郁和焦虑的水平也明显较高。吞咽困难可能不一定决定全喉切除术后的生活质量。然而，它可能对功能和心理健康产生负面影响。
The aim of this study was to investigate the effect that dysphagia has on quality of life (QoL), functioning, and psychological well-being of people who have undergone a total laryngectomy. A questionnaire battery was sent to all members (N = 197) of the Laryngectomee Association of NSW, Australia. QoL and functioning were assessed using the World Health Organisation Quality of Life-Bref (WHOQoL-Bref) and the University of Washington QoL (UW-QoL) measures. Psychological well-being was measured using the Depression Anxiety and Stress Scale (DASS). One hundred ten questionnaires (56%) were completed and returned. There were no significant differences in QoL, as measured by the WHOQoL-Bref, between those laryngectomees with and without dysphagia. Laryngectomees with dysphagia, however, had significantly impaired functioning and markedly reduced social participation as measured by the UW-QoL. Significantly higher levels of depression and anxiety were also documented in those laryngectomees who had dysphagia. Dysphagia may not necessarily determine QoL following a total laryngectomy. However, it may have a negative impact on functioning and on psychological well-being.