How do voice restoration methods affect the psychological status of patients after total laryngectomy?
HNO
; 64(3): 163-8, 2016 Mar.
Article
en En
| MEDLINE
| ID: mdl-26923487
ABSTRACT
OBJECTIVE:
This study investigated the relationship between psychological well-being and different voice rehabilitation methods in total laryngectomy patients.METHODS:
The study enrolled 96 patients who underwent total laryngectomy. The patients were divided into three groups according to the voice rehabilitation method used esophageal speech (24 patients); a tracheoesophageal fistula and Provox 2 voice prosthesis (57 patients); or an electrolarynx (15 patients). The participants were asked to complete the Turkish version of the Voice Handicap Index-10 (VHI-10) to assess voice problems. They were also asked to complete the Turkish version of the Perceived Stress Scale (PSS), and the Hospital Anxiety and Depression Scale (HADS). The test scores of the three groups were compared statistically.RESULTS:
Patients who used esophageal speech had a mean VHI-10 score of 10.25 ± 3.22 versus 19.42 ± 5.56 and 17.60 ± 1.92 for the tracheoesophageal fistula and Provox 2 and electrolarynx groups respectively, reflecting better perception of their voice. They also had a PSS score of 11.38 ± 3.92, indicating that they felt less stressed in comparison with the tracheoesophageal fistula and Provox 2 and electrolarynx groups, which scored 18.84 ± 5.50 and 16.20 ± 3.49 respectively. The HADS scores of the groups were not different, indicating that the patients' anxiety and depression status did not vary.CONCLUSION:
Patients who used esophageal speech perceived less stress and were less handicapped by their voice.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Estrés Psicológico
/
Trastornos de la Voz
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Laringectomía
/
Laringe Artificial
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Female
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Humans
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Male
/
Middle aged
/
Pregnancy
País/Región como asunto:
Asia
Idioma:
En
Revista:
HNO
Año:
2016
Tipo del documento:
Article
País de afiliación:
Turquía