Dysphagia Following a Total Laryngectomy: The Effect on Quality of Life, Functioning, and Psychological Well-Being
Tóm tắt
The aim of this study was to investigate the effect that dysphagia has on quality of life (QoL), functioning, and psychological well-being of people who have undergone a total laryngectomy. A questionnaire battery was sent to all members (N = 197) of the Laryngectomee Association of NSW, Australia. QoL and functioning were assessed using the World Health Organisation Quality of Life-Bref (WHOQoL-Bref) and the University of Washington QoL (UW-QoL) measures. Psychological well-being was measured using the Depression Anxiety and Stress Scale (DASS). One hundred ten questionnaires (56%) were completed and returned. There were no significant differences in QoL, as measured by the WHOQoL-Bref, between those laryngectomees with and without dysphagia. Laryngectomees with dysphagia, however, had significantly impaired functioning and markedly reduced social participation as measured by the UW-QoL. Significantly higher levels of depression and anxiety were also documented in those laryngectomees who had dysphagia. Dysphagia may not necessarily determine QoL following a total laryngectomy. However, it may have a negative impact on functioning and on psychological well-being.
Tài liệu tham khảo
Murphy BA, Ridner S, Wells N, Dietrich M. Quality of life research in head and neck cancer: a review of the current state of the science. Crit Rev Oncol Hematol. 2007;62(3):251–67. doi:10.1016/j.critrevonc.2006.07.005.
Morton RP, Izzard ME. Quality of life outcomes in head and neck cancer patients. World J Surg. 2003;27(7):884–9. doi:10.1007/s00268-003-7117-2.
WHO-QoL Group. The development of the World Health Organization Quality of Life Instrument (The WHO-QoL). In: Orley J, Kuyken W, editors. Quality of life assessment: international perspectives. Heidelberg: Springer Verlag; 1994. p. 43.
Campbell BH, Marbella A, Layde PM. Quality of life and recurrence concern in survivors of head and neck cancer. Laryngoscope. 2000;110(6):895–906. doi:10.1097/00005537-200006000-00003.
ICF World Health Organisation, International Classification of Functioning Disability and Health. In: Towards a common language for functioning, disability and health. Geneva: WHO, 2002. p. 11.
List MA, Bilir SP. Functional outcomes in head and neck cancer. Semin Radiat Oncol. 2004;14(2):178–89. doi:10.1053/j.semradonc.2003.12.008.
Holloway RL, Hellewell JL, Marbella AM, Layde PM, Myers KB, Campbell BH. Psychological effects in long-term head and neck cancer survivors. Head Neck. 2005;27:281–8. doi:10.1002/hed.20147.
Weymuller EA, Yueh B, Deleyiannis FW, Kunz AL, Alsarraf R, Coltera MD. Quality of life in head and neck cancer. Laryngoscope. 2000;110(3):4–7. doi:10.1097/00005537-200003002-00002.
List MA, Siston A, Haraf D, Schumm P, Kies M, Stenson K, et al. Quality of life and performance in advanced head and neck cancer patients on concomitant chemoradiotherapy: a prospective examination. J Clin Oncol. 1999;17(3):1020–8.
Armstrong E, Isman K, Dooley P, Brine D, Riley N, Dentice R, et al. An investigation into the quality of life of individuals after laryngectomy. Head Neck. 2001;23:16–24. doi:10.1002/1097-0347(200101)23:1<16::AID-HED3>3.0.CO;2-4.
Nguyen NP, Mottz CC, Frank C, Vos P, Smith HJ, Karlsson U, et al. Dysphagia following chemoradiation for locally advanced head and neck cancer. Ann Oncol. 2004;15(3):383–8. doi:10.1093/annonc/mdh101.
Ward EC, Bishop B, Frisby J, Stevens M. Swallowing outcomes following laryngectomy and pharyngolaryngectomy. Arch Otolaryngol Head Neck Surg. 2002;128:181–6.
Cheesman AD. Surgical management of the patient. In: Edels Y, editor. Laryngectomy: diagnosis to rehabilitation. London: Croom Helm; 1983. p. 42–3.
Maclean J, Cotton S, Perry A. Postlaryngectomy: it’s hard to swallow. An Australian study of prevalence and self-reports of swallowing function after undergoing a total laryngectomy. Dysphagia. 2009;24.
Balfe DM. Dysphagia after laryngeal surgery: radiologic assessment. Dysphagia. 1990;5:20–34. doi:10.1007/BF02407390.
Lowe D, Rogers S. University of Washington Quality of Life Questionnaire (UW-QoL v.4). Guidance for scoring and presentation. Available at http://www.bahno.org.uk/docs/UW-QOL-BAHNO-update.doc. Accessed May 25, 2008.
Rogers SN, Gwanne S, Lowe D, Humphris G, Yueh B, Weymuller E. The addition of mood and anxiety domains to the University of Washington quality of life scale. Head Neck. 2002;24:521–9. doi:10.1002/hed.10106.
Nunnally JC, Bernstein IH. Psychometric theory. New York: McGraw-Hill; 1994. p. 92–4.
Lovibond SH, Lovibond PF. Manual for the Depression, Anxiety, Stress Scales. 2nd ed. Sydney: Psychological Foundation; 1995.
Murphy B, Hermann H, Hawthorne G, Pinzone T, Evert H. Australian WHOQOL Instruments: user’s manual and interpretation guide. Melbourne, Australia: Australian WHOQOL Field Study Centre; 2000.
Cohen J. Statistical power analysis for behavioural sciences. 2nd ed. Hillsdale, NJ: Erlbaum Associates; 1988.
Lazarus CL, Logemann JA, Pauloski BR, Colangelo LA, Kahrilas PJ, Mittal B, et al. Swallowing disorders in head and neck cancer patients treated with radiotherapy and adjuvant chemotherapy. Laryngoscope. 1996;106(9):1157–66. doi:10.1097/00005537-199609000-00021.