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Srpski arhiv za celokupno lekarstvo
2018, vol. 146, br. 11-12, str. 657-662
jezik rada: engleski
vrsta rada: originalan članak
doi:10.2298/SARH180926071K


Kvalitet života laringektomisanih bolesnika u Srbiji
aKlinički centar Srbije, Klinika za otorinolaringologiju i maksilofacijalnu hirurgiju, Beograd + Univerzitet u Beogradu, Medicinski fakultet
bUniverzitet u Beogradu, Medicinski fakultet + Klinički centar Srbije, Klinika za kardiologiju, Beograd
cKlinički centar Srbije, Klinika za otorinolaringologiju i maksilofacijalnu hirurgiju, Beograd
dUniverzitet u Beogradu, Stomatološki fakultet, Klinika za maksilofacijalnu hirurgiju

e-adresa: drcole71.at@gmail.com

Sažetak

Uvod/Cilj Totalna laringektomija, kao veoma mutilantna operacija, dovodi do drastičnih promena u kvalitetu života. Cilj ove studije je da istraži faktore od značaja za kvalitet života laringektomisanih bolesnika i da proceni karakteristike ezofagusnog glasa i govora. Metode Istraživanje je sprovedeno u Klinici za otorinolaringologiju i maksilofacijalnu hirurgiju Kliničkog centra Srbije u Beogradu, u periodu od marta 2012. do marta 2015. godine. Ispitivanjem je bilo obuhvaćeno 223 bolesnika kojima je zbog verifikovanog karcinoma larinksa učinjena totalna laringektomija i sprovedena fonijatrijska rehabilitacija kod 168 laringektomisanih bolesnika. Rezultati Kvalitet života laringektomisanih bolesnika kod kojih je sprovedena fonijatrijska rehabilitacija je značajno bolji od onih koji nisu imali fonijatrijsku rehabilitaciju. Intenzivnom fonijatrijskom rehabilitacijom je uspostavljen ezofagusni glas i govor kod 86,3% laringektomisanih bolesnika, koji je registrovan objektivnom akustičkom analizom. Rehabilitovani laringektomisani bolesnici imaju značajno niže prisustvo hendikepa zbog glasa (VHI: 19,57 ± 7,35) i značajno niže izražene simptome depresije i anksioznosti (PHQ-9: 3,8 ± 4,2; GAD-7: 3,4 ± 4,2). Kronbahov α koeficijent je bio iznad 0,7 na tri skale upitnika EORTC QLQ-C30: fizičko funkcionisanje, emocionalno funkcionisanje i umor, kao i kod pet skala QLQ-H&N43 upitnika: bol u glavi/vratu, problemi sa gutanjem, problemi sa govorom, problemi pri jelu i slika o sebi. Zaključak Značajno poboljšanje kvaliteta života laringektomisanih bolesnika postiže se multidisciplinarnom rehabilitacijom. Fonijatrijska rehabilitacija, koja se sprovodi planski i sistematično, predstavlja najekonomičniji način rehabilitacije laringektomisanih bolesnika.

Ključne reči

kvalitet života; totalna laringektomija; ezofagusni glas i govor; fonijatrijska rehabilitacija

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