本文選題：生活質(zhì)量 + 喉全切除　； 參考：《安徽醫(yī)科大學》2011年碩士論文

【摘要】：目的評估安徽省行喉全切除術(shù)后患者的生活質(zhì)量(quality of life,QOL)及喉功能康復現(xiàn)狀,分析不同背景患者的康復差異,討論其相關(guān)影響因素,并提出相應(yīng)對策。 方法采用生活質(zhì)量綜合評定問卷和喉全切除后喉功能康復情況調(diào)查表對我省75例行喉全切除術(shù)的患者和60例健康人的生活質(zhì)量的各個方面及喉功能情況進行回顧性調(diào)查研究并評分。同時將75例行喉全切除術(shù)的患者按年齡、學歷、居住環(huán)境等不同背景進行分組,比對其生活質(zhì)量及喉功能康復情況。采用Excel2003進行數(shù)據(jù)錄入、數(shù)據(jù)匯總,計算各因子分和總分,使用SPSS13.0完成統(tǒng)計學分析。 結(jié)果①喉全切除術(shù)后患者的生活質(zhì)量,在軀體、心理、社會功能方面顯著差于健康人。喉功能方面,吞咽及呼吸功能較健康人略差,語言功能很差。本組75位喉全切除患者中,有39人語言功能幾乎完全喪失,只能通過寫字、打手勢、唇語等輔助方式交流;其余的36人中,只有13人能夠基本通過語言與別人進行正常交流,另23人能夠發(fā)出含混不清的短音節(jié)并配合寫字、打手勢等方式與人交流。在能夠發(fā)音的36人中, 29人為食管發(fā)音,4人通過發(fā)音重建手術(shù)發(fā)音,3人使用人工喉發(fā)音。29名使用食管發(fā)音的患者中,24人未經(jīng)專人培訓,自行練習學會發(fā)音;5人經(jīng)過專人培訓學會發(fā)音。②60歲以下,高中以上文憑,長住城鎮(zhèn)的行喉全切除術(shù)患者的術(shù)后生活質(zhì)量,在經(jīng)濟生活及工作娛樂等方面優(yōu)于60歲以上,高中以下文憑,長住農(nóng)村的患者;在心理功能維度,前者顯著差于后者。在喉功能方面,60歲以下,高中以上文憑,長住城鎮(zhèn)患者的康復現(xiàn)狀相對較好。 結(jié)論安徽省行喉全切除術(shù)后患者的生活質(zhì)量較差;喉功能康復現(xiàn)狀不佳,特別是語言康復現(xiàn)狀很差。不同背景的患者生活質(zhì)量及喉功能康復情況亦有明顯差異。應(yīng)充分認識到我省喉全切除術(shù)后患者的生活質(zhì)量和喉功能康復現(xiàn)狀以及各種影響因素,盡早通過臨床干預、社會支持、家庭理解和照顧、患者自身的積極應(yīng)對以及個體化康復指導,使其生活質(zhì)量以及喉功能康復現(xiàn)狀得到進一步改善。
[Abstract]:Objective to evaluate the quality of life (QOL) and laryngeal rehabilitation status of patients undergoing total laryngectomy in Anhui Province, analyze the difference of rehabilitation among patients with different backgrounds, discuss the related factors and put forward corresponding countermeasures. Methods the quality of life (QOL) and laryngeal function rehabilitation after total laryngectomy were reviewed in 75 patients with total laryngectomy and 60 healthy persons in our province. Sexual investigation and evaluation. At the same time, 75 patients with total laryngectomy were grouped according to their age, educational background and living environment to compare their quality of life and laryngeal function rehabilitation. Excel2003 is used for data entry, data collection, calculation of each factor score and total score, using SPSS13.0 to complete statistical analysis. Results 1 the quality of life of patients after total laryngectomy was worse than that of healthy persons in physical, psychological and social functions. Throat function, swallowing and respiratory function is slightly worse than healthy people, language function is very poor. Of the 75 patients with total laryngectomy, 39 had almost complete loss of language function and could only communicate by writing, gestures, lips, etc. Of the remaining 36 patients, only 13 people were able to communicate normally with others basically through language. Another 23 people were able to communicate with people with ambiguous short syllables and writing and gestures. Of the 36 people who were able to pronounce, 29 were for esophageal pronunciation, 4 were for surgery for pronunciation reconstruction, 3 were using artificial larynx. 24 of 29 patients with esophageal pronunciation were not trained. Five people who practiced and learned to pronounce themselves were trained by a special person to learn how to pronounce .260 years old, diploma in senior high school or above, quality of life of patients undergoing total laryngectomy in towns and cities after operation, and better than 60 years old in economic life, work and entertainment, etc. Diploma below high school, long-lived rural patients; in the psychological function dimension, the former is worse than the latter. In laryngeal function under 60 years old, high school diploma, long-term urban patients rehabilitation status is relatively good. Conclusion the quality of life of patients after total laryngectomy in Anhui Province is poor, and the current situation of laryngeal function rehabilitation, especially speech rehabilitation, is poor. There were also significant differences in quality of life and laryngeal function rehabilitation among patients with different backgrounds. We should fully recognize the present situation of quality of life and laryngeal function rehabilitation after total laryngectomy in our province, as well as the various influencing factors, and adopt clinical intervention, social support, family understanding and care as soon as possible, Patients' quality of life and laryngeal function rehabilitation were further improved by positive coping and individualized rehabilitation guidance.
【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R739.65

【參考文獻】

相關(guān)期刊論文 前10條

1 任正心,覃綱,樊建剛,趙瑋瑋;喉癌喉切除術(shù)的喉功能重建——附109例報道[J];耳鼻咽喉頭頸外科;2002年04期

2 周子寧;金國威;魏煒;石繼紅;徐開旭;李少誠;;中晚期喉癌患者術(shù)后發(fā)音生存質(zhì)量評估[J];中國耳鼻咽喉頭頸外科;2006年03期

3 劉業(yè)海;黃志剛;;重視喉全切除術(shù)后言語康復[J];中國耳鼻咽喉頭頸外科;2009年10期

4 呂春梅，屠規(guī)益，唐平章，賀永東，張玉芳，王進夫;全喉切除術(shù)后上消化道發(fā)聲訓練[J];耳鼻咽喉頭頸外科;1996年03期

5 蔣立新;喉切除重建“會厭”防止發(fā)聲口的誤咽[J];臨床耳鼻咽喉科雜志;2002年05期

6 吳曉鐘;謝景華;高雄輝;梁賜芳;;電子人工喉臨床研究應(yīng)用新進展[J];臨床耳鼻咽喉科雜志;2006年06期

7 趙銘;劉善廷;孟昭忠;;環(huán)狀軟骨上次全喉切除術(shù)在中晚期喉癌手術(shù)中的應(yīng)用[J];臨床耳鼻咽喉科雜志;2006年12期

8 胡昌辰;王斌全;皇甫輝;劉濤;夏立軍;周麗媛;;315例外科治療喉癌患者的生存分析[J];臨床耳鼻咽喉頭頸外科雜志;2007年10期

9 詹漢章;明偉;曹永茂;周濤;楊強;;應(yīng)用頸前帶蒂頸闊肌皮瓣在喉部分切除中重建喉功能[J];臨床耳鼻咽喉頭頸外科雜志;2008年06期

10 張作禮，唐功元，金國威，，張炎基;喉切除患者嗅覺功能的探討[J];臨床耳鼻咽喉科雜志;1995年01期

本文編號：1952463