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首页> 外文期刊>BMC Cancer >Self evaluation of communication experiences after laryngeal cancer – A longitudinal questionnaire study in patients with laryngeal cancer
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Self evaluation of communication experiences after laryngeal cancer – A longitudinal questionnaire study in patients with laryngeal cancer

机译：喉癌患者交流经历的自我评估-喉癌患者的纵向问卷调查

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Background Aim of this longitudinal study was to investigate the sensitivity to change of the Swedish Self Evaluation of Communication Experiences after Laryngeal Cancer questionnaire (the S-SECEL), addressing communication dysfunction in patients treated for laryngeal cancer. Previous studies have highlighted the need for more specific questionnaires for this purpose. Methods 100 patients with Tis-T4 laryngeal cancer were included prior to treatment onset. Patients answered four questionnaires at six occasions during one year; the S-SECEL, the European Organisation for Research and Treatment of Cancer (EORTC) Core Quality of Life Core Questionnaire (QLQ-C30) supplemented by the Head and Neck cancer module (QLQ-H&N35) and the Hospital Anxiety and Depression (HAD) scale. In addition, performance status was assessed. Differences within groups were tested with the Wilcoxon paired signed ranks test and between-group analyses were carried out using the Mann-Whitney U test. Magnitude of group differences was analyzed by means of effect sizes. Results The S-SECEL was well accepted with a response rate of 76%. Communication dysfunction increased at 1 month, followed by a continuous decrease throughout the year. Changes were statistically significant at most measurement, demonstrating the sensitivity of the S-SECEL to changes in communication over time. The S-SECEL and the EORTC QLQ-C30 with the QLQ-H&N35 demonstrated similar results; however the S-SECEL was more sensitive regarding communication dysfunction. The largest changes were found in the most diagnose specific items concerning voice and speech. Conclusion The S-SECEL was investigated in the largest Scandinavian longitudinal study concerning health-related quality of life (HRQL) in laryngeal cancer patients. The questionnaire was responsive to change and showed convergent results when compared to established HRQL questionnaires. Our findings also indicate that the S-SECEL could be a more suitable instrument than the EORTC QLQ-C30 with QLQ-H&N35 when measuring communication experiences in patients with laryngeal cancer; it is more sensitive, shorter and can be used on an individual basis. As a routine screening instrument the S-SECEL could be a valuable tool for identifying patients at risk for psychosocial problems and to help plan rehabilitation. It is therefore recommended for clinical use in evaluation of communication dysfunction for all patients with laryngeal cancer irrespective of treatment.
机译：背景技术这项纵向研究的目的是调查喉癌调查表（S-SECEL）后瑞典人对交流经历自我评估的变化敏感性，以解决喉癌患者的交流功能障碍。先前的研究强调了为此目的需要更具体的调查表。方法100例Tis-T4喉癌患者在治疗开始前入选。在一年中，患者共六次回答了四份问卷。 S-SECEL，欧洲癌症研究和治疗组织（EORTC）核心生活质量核心问卷（QLQ-C30），并辅以头颈癌模块（QLQ-H＆N35）和医院焦虑症和抑郁症（HAD）规模。此外，评估了绩效状态。组间差异用Wilcoxon配对符号秩检验进行检验，组间分析采用Mann-Whitney U检验进行。通过效应大小分析组差异的大小。结果S-SECEL被广泛接受，回应率为76％。沟通功能障碍在1个月时有所增加，然后在全年持续下降。在大多数测量中，变化具有统计学意义，证明了S-SECEL对通信随时间变化的敏感性。 S-SECEL和带有QLQ-H＆N35的EORTC QLQ-C30表现出相似的结果。但是，S-SECEL对于通讯功能障碍更为敏感。在诊断最多的有关语音和语音的特定项目中发现了最大的变化。结论在有关肺癌患者健康相关生活质量（HRQL）的最大的斯堪的纳维亚纵向研究中，对S-SECEL进行了研究。与已建立的HRQL问卷相比，该问卷对变化敏感，并显示出收敛的结果。我们的发现还表明，在测量喉癌患者的交流经历时，S-SECEL可能比EORTC QLQ-C30和QLQ-H＆N35更合适。它更灵敏，更短并且可以单独使用。作为常规筛查工具，S-SECEL可能是鉴定有心理社会问题风险的患者并帮助计划康复的宝贵工具。因此，建议在临床上评估所有喉癌患者的沟通功能障碍，无论其治疗如何。

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