在住院烧伤人口中与自我报告的声音变化相关的因素:烧伤模型系统国家数据库研究
Kaitlyn L Chacon1, Edward Santos1, Kara McMullen2
1Department of Physical Medicine and Rehabilitation, Schoen Adams Research Institute, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA 02129, USA.
烧伤幸存者经常经历长期的声音变化 (失声) 由于急性护理,如输管和气管切除术. 这些声音问题在受伤后多年仍然存在,影响了沟通.
科学领域:
- 医学研究 医学研究
- 烧伤护理 烧伤护理
- 语音语言病理学 语言病理学
背景情况:
- 语音对于沟通和社会互动至关重要.
- 急性烧伤护理经常涉及输管,机械通风和气管切除术.
- 烧伤后的长期声音变化 (失声症) 尚不清楚.
研究的目的:
- 调查烧伤患者长期自我报告的声音变化.
- 确定急性烧伤护理干预措施对语音质量的影响.
- 分析声音变化的持续性随着时间的推移.
主要方法:
- 对一个多中心纵向数据库 (2015-2023) 的分析.
- 检查在出院时和受伤后的6,12,24,60个月内自我报告的声音变化.
- 统计分析包括回归以确定相关因素.
主要成果:
- 16.4%的人在出院时报告了声音变化,持续到60个月 (11.6-12.7%).
- 与声音变化相关的因素包括火焰烧伤,吸入伤害,气管切除术和机械通风持续时间.
- 使用呼吸机超过21天或进行气管切除术的个人在12个月后更有可能报告语音变化.
结论:
- 急性烧伤护理干预措施,如输管和气管切除术,显著影响长期的语音质量.
- 在烧伤幸存者中,声音变化是普遍和持久的.
- 需要进一步的研究来解决燃烧护理的长期声音效应.
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