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全喉切除术后的康复:在COVID-19期间远程提供的一种综合协议
Ylenia Longobardi1, Vezio Savoia2, Rosa Libero1
1Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia.
International journal of telerehabilitation
|December 4, 2023
概括
对于使用语音假体的喉切除患者进行远程语音康复,其结果与面对面治疗相似. 电话康复有效地支持语音获取,心理健康和生活质量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 喉腔切除术显著影响语音的产生和生活质量.
- 语音假体的使用是常见的后喉切除术用于语音恢复.
- 远程康复 (远程康复) 为传统的面对面治疗提供了一个潜在的替代方案.
研究的目的:
- 评估使用语音假肢的喉切除患者的综合远程治疗的有效性.
- 为了比较远程群体治疗的结果与先前研究的面对面群体治疗.
主要方法:
- 18名喉切除术患者接受了远程,以小组为基础的语言和心理治疗 (在线小组).
- 结果与17名接受了人身治疗 (人身组) 的患者的历史队列进行了比较.
- 标准化措施包括INFVo尺度,症状检查清单-90-修订 (SCL-90-R),WHOQOL-B,以及在喉癌问卷后意大利沟通经验自我评估.
主要成果:
- 在线和面对面的两组在INFVo,SCL-90-R (DEP,ANX,PHO,HOS区域) 和WHOQOL-B问卷中显示了可比的结果.
- 面对面的小组在喉癌问卷后的意大利沟通经验自我评估中取得了统计学上优异的结果.
- 电话康复提供了足够的语音获取,预防焦虑/抑郁,恢复生活质量.
结论:
- 综合式远程康复是喉切除术后语音护理的可行选择,在几个关键领域提供与亲临治疗相似的结果.
- 虽然面对面的治疗可以提高语音接受和对话技巧,但远程治疗有效地解决了语音获取,心理健康和整体生活质量问题.
- 电话康复证明了其在语音康复中提供必要支持和改善患者结果的能力.
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