食管发音训练对无喉患者生存质量的影响  

Effect of esophageal voice training on patients’ life quality without laryngeal

作　　者：薛贵芝[1] 刘曼曼[1] 孙芸[1] 吕红梅[1] 宋瑰琦[2] 

机构地区：[1]安徽省立医院耳鼻咽喉头颈外科,合肥230001 [2]安徽省立医院护理部,合肥230001

出　　处：《中华现代护理杂志》2014年第27期3444-3447,共4页Chinese Journal of Modern Nursing

基　　金：安徽省2012年度科技厅科技计划项目（120104021120）

摘　　要：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。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 .

关 键 词：喉切除术 食管发音训练 生活质量 

分 类 号：R473.73[医药卫生—护理学]