中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
27期
3444-3447
,共4页
薛贵芝%刘曼曼%孙芸%吕红梅%宋瑰琦
薛貴芝%劉曼曼%孫蕓%呂紅梅%宋瑰琦
설귀지%류만만%손예%려홍매%송괴기
喉切除术%食管发音训练%生活质量
喉切除術%食管髮音訓練%生活質量
후절제술%식관발음훈련%생활질량
Laryngectomy%Esophageal voice training%Quality of life
目的:探讨无喉患者进行食管发音训练对患者生存质量的影响。方法对2011年6月-2013年6月接受食管发音训练的46例无喉患者,分别在训练前和训练后3个月采用头颈肿瘤患者行为状态量表( PPS-HN)及头颈部癌生命质量测定量表( QLICP-HN)进行评价,比较食管发音训练对患者生存质量的影响。结果喉全切除手术严重影响患者术后行为状态及生存质量,食管发音训练前PPS-HN量表总分为(160.76±78.05),低于标准分300分,差异有统计学意义(t =12.10,P<0.05);训练后PPS-HN总分(217.28±57.66)分,QLICP-HN量表总分(143.09±22.16)分,均较训练前提高,差异有统计学意义(t值分别为6.64,7.62;P<0.05)。结论无喉患者术后行为状态及生存质量下降,通过术后食管发音训练可以提高生存质量。
目的:探討無喉患者進行食管髮音訓練對患者生存質量的影響。方法對2011年6月-2013年6月接受食管髮音訓練的46例無喉患者,分彆在訓練前和訓練後3箇月採用頭頸腫瘤患者行為狀態量錶( PPS-HN)及頭頸部癌生命質量測定量錶( QLICP-HN)進行評價,比較食管髮音訓練對患者生存質量的影響。結果喉全切除手術嚴重影響患者術後行為狀態及生存質量,食管髮音訓練前PPS-HN量錶總分為(160.76±78.05),低于標準分300分,差異有統計學意義(t =12.10,P<0.05);訓練後PPS-HN總分(217.28±57.66)分,QLICP-HN量錶總分(143.09±22.16)分,均較訓練前提高,差異有統計學意義(t值分彆為6.64,7.62;P<0.05)。結論無喉患者術後行為狀態及生存質量下降,通過術後食管髮音訓練可以提高生存質量。
목적:탐토무후환자진행식관발음훈련대환자생존질량적영향。방법대2011년6월-2013년6월접수식관발음훈련적46례무후환자,분별재훈련전화훈련후3개월채용두경종류환자행위상태량표( PPS-HN)급두경부암생명질량측정량표( QLICP-HN)진행평개,비교식관발음훈련대환자생존질량적영향。결과후전절제수술엄중영향환자술후행위상태급생존질량,식관발음훈련전PPS-HN량표총분위(160.76±78.05),저우표준분300분,차이유통계학의의(t =12.10,P<0.05);훈련후PPS-HN총분(217.28±57.66)분,QLICP-HN량표총분(143.09±22.16)분,균교훈련전제고,차이유통계학의의(t치분별위6.64,7.62;P<0.05)。결론무후환자술후행위상태급생존질량하강,통과술후식관발음훈련가이제고생존질량。
Objective To evaluate the curative effects of esophageal voice training on life quality of laryngectomees .Methods Between June 2011 and June 2013 , 46 patients in clinical department who underwent total laryngectomies were trained by esophageal voice rehabilitation successfully .The questionnaires of performance status scale for head and neck cancer patients ( PPS-HN ) and quality of life instruments for cancer patients-head and neck cancer ( PLICP-HN) were answered by them before esophageal voice training and 3 months after successful vocal rehabilitation .Results Total laryngectomy deteriorated the performance status and life quality in laryngectomees , the mean score of PPS-HN scale was (160.76 ±78.05) evidently lower than the standard score of 300,and the difference was statistically significant (t=12.10,P<0.05).After successful esophageal speech training , the mean scores of the laryngectomees were significantly improved both in PPS-HN (217.28 ±57.66) and PLICO-HN(143.09 ±22.16) than before , and the differences were statistically significant(t=6.64,7.62,respectively;P<0.05).Conclusions The performance status and life quality of laryngectomees decline obviously , which can be improved by esophageal voice training .