Psychosocial determinants of successful voice rehabilitation after laryngectomy.
Psychosocial determinants of successful voice rehabilitation after laryngectomy.
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DOI：
10.1016/s1726-4901(08)70030-3
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发表时间：
2007-10-01
期刊：
影响因子：
--
通讯作者：
Schwarz, Reinhold
中科院分区：
文献类型：
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作者：
Singer, Susanne;Merbach, Martin;Schwarz, Reinhold
本研究概述了与喉切除术后发声康复结果相关的因素的出版物。进行了系统的文献综述。对 56 篇手稿的调查参数、参与者人数、使用的研究设计、评估工具和结果进行了分析。人们认为有助于声音康复成功的因素有很多，其中与成功相关的心理社会属性与医疗和治疗相关的特征一样经常被提及。研究结果大多不一致。然而，可以得出的结论是，积极的沟通行为、就业状况、喉部言语类型和一般身体状况与康复结果相关，而饮酒则不然。需要更全面的前瞻性研究，使用经过验证和标准化的工具来分析心理社会因素的影响。需要大量样本来计算所有可能相关的因素及其相互作用。如果康复失败，临床医生应该小心，不要认为患者“没有动力”；相反，他们应该鼓励他们积极沟通并参加社交活动。
This study gives an overview of publications on factors that are associated with the outcome of voice rehabilitation after laryngectomy. A systematic literature review was conducted. Fifty-six manuscripts were analyzed regarding the parameters investigated, the number of participants included, the study designs used, the assessment instruments, and the results. A broad range of factors were considered to contribute to successful voice rehabilitation, whereby psychosocial attributes related to success are mentioned as often as medical and treatment-related characteristics. The results of the studies are mostly inconsistent. It can be concluded, however, that active communication behavior, employment status, type of alaryngeal speech and the general physical condition are associated with rehabilitation outcomes, whereas alcohol consumption is not. More comprehensive prospective studies are needed which analyze the impact of psychosocial factors with validated and standardized instruments. A large sample size would be necessary to calculate all possibly relevant factors and their interaction. Clinicians should be careful about considering their patients to be "unmotivated" if the rehabilitation fails; instead, they should encourage them to communicate actively and take part in social activities.