| 魏 炜,张乃嵩.喉全切除患者术后生活质量分析[J].中国肿瘤,2012,21(8):615-618. |
| 喉全切除患者术后生活质量分析 |
| An Analysis of the Postoperative Quality of Life in Patients Undergoing Total Laryngectomy |
| 投稿时间：2012-03-01 |
| DOI： |
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| 中文关键词: 喉肿瘤 喉全切除术 生活质量 |
| 英文关键词:laryngeal neoplasms total laryngectomy quality of life |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］ 探讨喉全切除患者术后生活质量变化及其影响因素。［方法］ 采用密歇根大学头颈肿瘤患者生活质量量表（HNQOL）对106例喉全切除患者进行问卷调查，从言语、躯体及心理功能3个方面分析患者生活质量。［结果］ 喉全切除术后患者在言语功能、躯体功能及心理功能方面需2年才能恢复到比较稳定的状态；影响喉全切除患者生活质量的相关因素依次为交流能力、心理问题、嗅觉能力、痰液情况、外貌情况、经济收入、躯体疼痛感。［结论］ 喉全切除患者术后真正达到康复一般需要2年以上，在此期间应积极采取干预措施帮助其尽快康复。喉全切除患者术后生活质量受多方面因素影响，应积极通过临床治疗、心理治疗及社会干预的综合作用以提高其生活质量。 |
| 英文摘要: |
| Abstract: ［Purpose］ To explore the variation of quality of life (QOL) in the patients undergoing total laryngectomy and its influencing factors. ［Methods］ One hundred and six patients undergoing total laryngectomy were interviewed with questionnaire form from University of Michigan Head and Neck Cancer QOL (HNQOL). Patients’ QOL was analyzed in terms of communion ability, body function and psychological condition. ［Results］ Patients undergoing total laryngectomy recovered to stability status on communion ability, body function and psychological condition, which required a period of 2 years after operation. The influencing factors of QOL were communion ability, psychological condition, olfaction sensation, sputum condition, appearance, economic income, and body pains. ［Conclusions］ Patients undergoing total laryngectomy recover completely which generally requires a period of 2 years after operation. Intervention strategies should be adopted to promote resume. The QOL after total laryngectomy is impacted by many factors therefore active strategies should be adopted to improve the QOL, such as clinical therapy, psycotherapy and social intervention. |
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