年龄如何影响尾口重建手术中与健康相关的生活质量结果
Alexander Patfield1, James Wykes2,3, Rebecca Venchiarutti2,4
1Faculty of Medicine and Health, The University of New South Wales, Sydney, New South Wales, Australia.
ANZ journal of surgery
|December 29, 2023
概括
老年患者 (≥70岁) 接受了大巴重建,在言语和癌症担忧领域报告了更好的与健康相关的生活质量 (HRQOL). 其他HRQOL结果在老年和年轻年龄组之间是相似的.
科学领域:
- 口腔和牙面部外科手术
- 重建性手术是一种重建性手术.
- 生活质量研究 研究 生命质量研究
背景情况:
- 大下重建影响功能,美学和心理社会方面,可能降低与健康相关的生活质量 (HRQOL).
- 了解HRQOL结果的年龄相关差异对于优化这种复杂手术后的患者护理至关重要.
研究的目的:
- 为了比较高龄 (≥70岁) 和年轻 (<70岁) 患者在上部重建后的HRQOL结果.
- 确定HRQOL的特定领域,这些领域可能因患者群体的年龄而异.
主要方法:
- 一项涉及99名患者的横截面研究,这些患者在2008年11月至2021年1月期间接受了上 reconstruction.
- 患者填写了经过验证的问卷:FACE-Q头部和部癌症模块,医学博士. 安德森食症清单 (MDADI) 和语音障碍指数 (SHI).
主要成果:
- 老年患者 (≥70岁) 显示FACE-Q口语和癌症担忧得分有所改善,语音障碍指数得分更好.
- 在对放射治疗进行调整后,老年仍然与FACE-Q说话,微笑痛苦,担忧和SHI分数的更好结果有关.
- 年龄较高也与术后并发症和医学并发症的发病率较高有关.
结论:
- 接受大下重建的老年患者通常会经历更好的HRQOL,与言语和癌症有关的担忧.
- 尽管可能会增加并发症,但老年人与年轻人相比,在大多数其他测量领域的HRQOL并不差.
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