scholarly journals The analysis of the quality of life in laryngectomized patients

2004 ◽  
Vol 51 (1) ◽  
pp. 43-47 ◽  
Author(s):  
P. Stankovic ◽  
Vojko Djukic ◽  
Ljiljana Janosevic ◽  
Nenad Arsovic
Keyword(s):  
Quality Of Life ◽  
Family Environment ◽  
Total Laryngectomy ◽  
Multidisciplinary Approach ◽  
Malignant Disease ◽  
Surgical Intervention ◽  
Factors Affecting ◽  
Professional Business ◽  
History Of

Total laryngectomy, as extremely mutilating surgical intervention, results in drastic changes of the style and quality of life. The trauma of laryngectomy is huge, both to patients and their environment. The most pronounced changes of the quality of life of laryngectomized patients are seen at marital, familial, professional, business and communication aspects. Malignant disease and total laryngectomy significantly reduce working capacity, producing, besides professional, the economical difficulties. Psychological implications associated with total laryngectomy are the most severe, comprehensive ones and require multidisciplinary approach. The study analyzes the frequency and distribution of factors affecting the quality of life of laryngectomized patients (sex, age, psychic status, probable history of chronic diseases, impairment of hearing and social-family environment of patients). Significant improvement of the quality of life of laryngectomized patients is achieved by systemic, planned and multidisciplinary rehabilitation of patients as well as their immediate environment. The need for the association of laryngectomized patients is stressed.

Comparison of quality of life outcomes in laryngeal cancer patients following chemoradiation vs. total laryngectomy

2005 ◽  
Vol 132 (6) ◽  
pp. 948-953 ◽  
Author(s):  
Maria M. Lotempio ◽  
Kevin H. Wang ◽  
Ahmed Sadeghi ◽  
Mark D. Delacure ◽  
Guy F. Juillard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Laryngeal Cancer ◽  
Total Laryngectomy ◽  
Shoulder Function ◽  
Factors Affecting ◽  
Life Issues ◽  
Related Quality ◽  
Health Related ◽  
History Of

OBJECTIVE: To evaluate quality of life issues in patients with laryngeal cancer after treatment with either chemoradiation or total laryngectomy and radiation therapy. METHODS: Forty-nine patients with a history of stage II-IV laryngeal squamous cell carcinoma treated primarily with either chemoradiation or by total laryngectomy with postoperative radiation completed the University of Washington Quality of Life instrument, version 4. Patients were identified on a volunteer basis in an academic university head and neck clinic setting. Each patient completed the above instrument, and statistical analysis was performed by Wilcoxon and X 2 , tests. RESULTS: Instruments were completed by all 49 patients: 15 patients who underwent primary chemoradiation and 34 patients who underwent a total laryngectomy followed by radiation. Domains reported in both treatment groups without significant differences were appearance, activity, recreation, moods, taste, saliva, anxiety, and general questions. However, there were significant differences between the 2 groups in the domains of pain, swallowing, chewing, speech, and shoulder function. The laryngectomy patients reported greater impairment of speech ( P = 0.001), and shoulder function ( P = 0.018), whereas the chemoradiation patients suffered from greater pain, difficulty swallowing ( P = 0.061), and problems chewing ( P = 0.027). CONCLUSIONS: Most patients with laryngeal cancer, whether treated primarily with chemoradiation or total laryngectomy, reported excellent functional outcomes and health-related quality of life. Pain, swallowing, chewing, saliva, and shoulder function were recorded as significant factors affecting their daily quality of life.

scholarly journals Study of Social Support and Factors Affecting Efforts Improving The Quality of Life of Patients with Pulmonary Tuberculosis

2020 ◽  
Vol 3 (3) ◽  
pp. 1-14
Author(s):  
Pariyana Pariyana ◽  
Iche Andriyani Liberty ◽  
Muhammad Aziz
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Family Support ◽  
Community Support ◽  
Observational Research ◽  
Factors Affecting ◽  
Tuberculosis Patients ◽  
Pulmonary Tb ◽  
History Of

Study of Social Support and Factors Affecting EffortsImproving the Quality of Life for Patients with LungTuberculosis.Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. Decreasein the quality of life of tuberculosis patients can have a negative impact on the continuity of therapy which causes failureof therapy. The quality of life of pulmonary TB patients is important to be assessed in various aspects ranging from theaspects of physical well-being, psychology, social and environmental relations. The purpose of this study was to examinesocial support and influencing factors influencing efforts to improve the quality of life of pulmonary TB patients. This typeof research is observational research using cross sectional design. The study population was all pulmonary tuberculosispatients in Palembang City. This study received a total sample of 111 people. The quality of life was measured by theIndonesian WHOQOL-BREFF questionare instrument and the results were obtained by univariate, bivariate, andmultivariate analysis using the SPSS 22 program. Of the 111 study respondents, a good percentage of the quality of lifeof tuberculosis patients in Palembang City Health Center was 71.17% and the not good at 28.83%. There was nosignificant relationship between demographic characteristics (age, sex, body mass index, education level, employmentstatus, and marital status), blood pressure, history of diabetes, and history of smoking with quality of life. There is asignificant relationship between treatment duration. family support. friend support. and community support with thequality of life of tuberculosis patients (p value <0.05). Patients with tuberculosis with poor family support have theopportunity to have a poor quality of life of 86.18%.

scholarly journals The impact of man-made accidents and catastrophes in the stable functioning of industrial enterprises on the quality of life of the population and socio-economic development

2021 ◽  
Vol 296 ◽  
pp. 06004
Author(s):  
Lyudmila Kamdina ◽  
Olga Simchenko ◽  
Valery Grakhov ◽  
Alexander Suntsov ◽  
Evgeny Chazov
Keyword(s):  
Quality Of Life ◽  
Economic Development ◽  
Nuclear Industry ◽  
Anthropogenic Factors ◽  
Factors Affecting ◽  
Industrial Enterprises ◽  
History Of ◽  
Main Components ◽  
The Impact

The article considers the quality of life of population and the impact of man-made accidents and disasters during stable functioning of industrial enterprises. The author offered to take into account the influence of anthropogenic factors, the source of which is industrial production, provoking man-made accidents and catastrophes, when assessing the quality of life of population. To fully take into account the factors affecting the quality of life of population, a comprehensive methodology created by the Council for the Study of Productive Forces by order of the Ministry of Economic Development of the Russian Federation that contains 19 indicators for diagnosing the quality of life of the population of the region, grouped by seven main areas, was chosen. Changes in the system of indicators of the consolidated index of the quality of life of the population under the influence of man-made accidents and catastrophes in the context of 7 spheres are shown. As an example, the impact on the main components of the quality of life of the population of the largest man-made disaster in the history of mankind and the nuclear industry - the Chernobyl accident - is considered.

Family Environment, Sibling Relationship and Rivalry towards Quality of Life

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Rugayah Hashim ◽  
Hashim Ahmad
Keyword(s):  
Quality Of Life ◽  
Family Environment ◽  
Quantitative Research ◽  
Publishing House ◽  
Sibling Rivalry ◽  
Sibling Relationship ◽  
Family Quality Of Life ◽  
Research Approach ◽  
Economic Developments

Kinship, family composition and household dynamics among siblings are developed positively or negatively in early life right through adulthood. Hence, the purpose of this paper is highlight the importance of family environment in influencing sibling relationship, with emphasis on sibling rivalry. Determining the factors that contribute towards sibling competition is important in counselling and assisting individuals with family issues. From a quantitative research approach, the findings showed that sibling relationships are problematic and has led to jealousies and prejudices especially if parents take sides. Family ties depend on happy sibling interactions which indirectly affects socio-economic developments as social ills are resolved. In ameliorating these private and sensitive issues among family members, the holistic society will benefit psychologically and happiness as well as a better quality of life will be attained.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies, Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Sibling rivalry; family; quality of life; socio-economic impact

Patients With a History of Oronasal Fistula Repair Exhibit Lower Oral Health Measured With Patient-Centric Outcomes Measures

2020 ◽  
pp. 105566562098133
Author(s):  
Alyssa Fritz ◽  
Diana S. Jodeh ◽  
Fatima Qamar ◽  
James J. Cray ◽  
S. Alex Rottgers
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Cleft Palate ◽  
Fistula Repair ◽  
Old Patients ◽  
Oronasal Fistula ◽  
Patient Reported ◽  
History Of ◽  
The Impact

Introduction: Oronasal fistulae following palatoplasty may affect patients’ quality of life by impacting their ability to eat, speak, and maintain oral hygiene. We aimed to quantify the impact of previous oronasal fistula repair on patients’ quality of life using patient-reported outcome psychometric tools. Methods: A cross-sectional study of 8- to 9-year-old patients with cleft palate and/or lip was completed. Patients who had a cleft team clinic between September 2018 and August 2019 were recruited. Participants were divided into 2 groups (no fistula, prior fistula repair). Differences in the individual CLEFT-Q and Child Oral Health Impact Profile-Short Form 19 (COHIP-SF 19) Oral Health scores between the 2 groups were evaluated using a multivariate analysis controlling for Veau classification and syndromic diagnosis. Results: Sixty patients with a history of cleft palate were included. Forty-two (70%) patients had an associated cleft lip. Thirty-two (53.3%) patients had no history of fistula and 28 (46.7%) patients had undergone a fistula repair. CLEFT-Q Dental, Jaw, and Speech Function were all higher in patients without a history of a fistula repair; however, none of these differences were statistically significant. The COHIP-SF 19 Oral Health score demonstrated a significantly lower score in the fistula group, indicating poorer oral health ( P = .05). Conclusions: One would expect that successful repair of a fistula would result in improved function and patient satisfaction, but the consistent trend toward lower CLEFT-Q scores and significantly increased COHIP-SF 19 Oral Health scores in our study group suggests that residual effects linger and that the morbidity of a fistula may not be completely treated with a secondary correction.

Effect of Augmentative Technology on Communication and Quality of Life After Tracheostomy or Total Laryngectomy

2021 ◽  
pp. 019459982110137
Author(s):  
Catherine T. Haring ◽  
Janice L. Farlow ◽  
Marie Leginza ◽  
Kaitlin Vance ◽  
Anna Blakely ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Laryngectomy ◽  
Electronic Communication ◽  
Well Being ◽  
Chi Square ◽  
Communication Device ◽  
Patient Reported ◽  
Communication Devices ◽  
Related Quality

Objective Surgical procedures that render patients acutely aphonic can cause them to experience significant anxiety and distress. We queried patient perceptions after tracheostomy or laryngectomy and investigated whether introducing augmentative technology was associated with improvement in patient-reported outcomes. Methods Participants included hospitalized patients who acutely lost the ability to speak due to tracheostomy or total laryngectomy from April 2018 to December 2019. We distributed questions regarding the patient communication experience and relevant questions from the validated V-RQOL questionnaire (Voice-Related Quality of Life). Patients were offered a tablet with the electronic communication application Verbally. Pre- and postintervention groups were compared with chi-square analyses. Results Surveys were completed by 35 patients (n = 18, preintervention; n = 17, postintervention). Prior to using augmentative technology, 89% of patients who were aphonic reported difficulty communicating, specifically noting breathing or suctioning (56%), treatment and discharge plans (78%), or immediate needs, such as pain and using the bathroom (39%). Communication difficulties caused anxiety (55%), depression (44%), or frustration (62%), and 92% of patients were interested in using an electronic communication device. Patients reported less trouble communicating after the intervention versus before (53% vs 89%, P = .03), including less difficulty communicating about treatment or discharge plans (35% vs 78%, P < .01). V-RQOL scores were unchanged. Discussion Acute loss of phonation arising from surgery can be highly distressing for patients, and use of augmentative technology may alleviate some of these challenges by improving communication. Further studies are needed to identify what additional strategies may improve overall well-being. Implications for Practice Electronic communication devices may benefit patients with acute aphonia.

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