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[Satisfaction of dysphonic patients with psychosomatic assessment and intervention]
S Pülz1, A Schützenberger, E Grässel
1Abteilung für Phoniatrie und Pädaudiologie an der Hals-Nasen-Ohren-Klinik, Universitätsklinikum Erlangen, Bohlenplatz 21, 91054, Erlangen, Deutschland.
Background:
Comorbid physical and psychological complaints are more common in patients with dysphonia than in the general population. In a prospective randomized study the effects of structured psychosomatic diagnostics and verbal intervention on the satisfaction of patients with dysphonia were investigated.
Materials And Methods:
A total of 54 dysphonic patients (33 women, 21 men, age 51.1+/-16.4 years) with dysphonia (organic n=36, functional n=18) were examined and their subjective experiences were collected by the following psychometric questionnaires: voice-related quality of life (VRQOL), hospital anxiety and depression scale (HADS-D) and the "Giessener Beschwerdebogen" (Giessen questionnaire on physical complaints GBB). Patients were randomized into 2 groups: group 1 (n=27) filled in the questionnaires and the answers were reviewed within the medical consultation. This was followed by an interview on patient satisfaction. In the control group 2 (n=27) a medical examination and consultation were carried out and then questioned on patient satisfaction. The psychometric questionnaires were completed by the patients shortly before leaving the department.
Results:
The study group 1 was significantly more satisfied than group 2 on different statistic levels according to the items compared.
Conclusions:
Patients suffering from dysphonia are positively influenced with respect to patient satisfaction by a structured psychosomatic diagnostic and intervention.
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