背景语音和吞咽障碍可对患者的生活质量产生深远的社会心理影响。这项研究的重点是使用预先验证的调查,称为语音障碍的语音障碍指数10(VHI)和吞咽障碍的吞咽困难指数(DHI)评估全喉切除术(TLP)后对患者的心理社会致残影响。方法这是一项回顾性队列研究,共21例患者。该研究于2017年至2022年在阿卜杜勒阿齐兹国王大学医院进行。Cronbach的α值用于评估内部一致性可靠性。DHI之间的关系,VHI,人口统计学和临床变量进行相关分析。P值<0.05被认为具有统计学意义,所有的测试都是双面的。结果Cronbach的α系数满足VHI和DHI的总分及其子量表得分的内部一致性可靠性。对于DHI,总分和情绪分量表获得大于0.9的α,表明内部一致性优异,而身体和功能α评分均显示良好的内部一致性(分别为α=0.888和α=0.863)。对于VHI,VHI的总分和物理分量表具有优异的内部一致性(分别为α=0.957和α=0.937),功能和情绪分量表具有良好的内部一致性(分别为α=0.865和α=0.894)。DHI总分,以及功能子量表得分,在自我报告的吞咽困难严重程度方面(分别为p=0.033,p=0.025)。中重度组(69.00±19.17)平均总分较高,而根据自我报告的吞咽困难严重程度,重度个体的亚表平均评分较高。自我报告的吞咽困难严重程度如下:正常(n=3,14.3%),轻度(n=4,19%),中等(n=8,38.1%),严重(n=6,28.6%)。结论VHI和DHI可以评估由语音和吞咽障碍引起的残疾,VHI和DHI已被统计学验证为评估吞咽困难和发音障碍对生活质量影响的可靠工具。喉切除术后患者的平均DHI和VHI总体和功能子量表评分较高。然而,这项研究未能确定DHI和VHI指数患者的临床和人口统计学特征之间的任何关系.
Background Voice and swallowing disorders can create a profound psychosocial impact on the patient\'s quality of life. The focus of this study is to assess the psychosocial disabling effects on patients after total laryngectomy (TLP) using pre-validated surveys called the Voice Handicap Index 10 (VHI) for voice disorders and the Dysphagia Handicap Index (DHI) for swallowing disorders. Methodology This is a retrospective cohort study that was done on a total of 21 patients. The study was conducted at King Abdulaziz University Hospital between 2017 and 2022. The Cronbach\'s alpha value was used to evaluate internal consistency reliability. The relationship between DHI, VHI, and demographic and clinical variables was analyzed by correlation analysis. A p-value of <0.05 was considered statistically significant, and all the tests were two-sided. Results The Cronbach\'s alpha coefficient satisfied the internal consistency reliability for VHI and DHI for both total and their subscale scores. For DHI, the total score and emotional subscale obtained an alpha of greater than 0.9, indicating excellent internal consistency, whereas both physical and functional alpha scores indicated good internal consistency (α = 0.888 and α = 0.863, respectively). For VHI, the total score and physical subscale of the VHI had excellent internal consistency (α = 0.957 and α = 0.937, respectively), while the functional and emotional subscales had good internal consistency (α = 0.865 and α = 0.894, respectively). The total DHI scores, as well as the functional subscale scores, were significant (p = 0.033, p = 0.025, respectively) in terms of self-reported dysphagia severity. A moderately severe group (69.00 ± 19.17) had higher mean total scores, whereas severe individuals had higher subscale mean scores according to self-reported dysphagia severity. Self-reported dysphagia severity was as follows: normal (n = 3, 14.3%), mild (n = 4, 19%), moderate (n = 8, 38.1%), and severe (n = 6, 28.6%). Conclusions The disability caused by voice and swallowing disorders can be evaluated by VHI and DHI which have been statistically validated as reliable tools to assess the effects of dysphagia and dysphonia on quality of life. Patients after laryngectomy have higher mean DHI and VHI overall and functional subscale scores. However, this study failed to establish any relationship between clinical and demographical characteristics of the patients with DHI and VHI index.