增强面功能结果:计划基于行为的声音康复计划理论,用于接受声带多角切除术的患者
Li Wu1, Xian-Mei Li, Yun-Long Zhang
1Department of Otorhinolaryngology, The First Affiliated Hospital of Yangtze University, Jingzhou, China.
The Journal of craniofacial surgery
|March 28, 2025
概括
这项研究开发了一项基于计划行为理论 (TPB) 的语音培训计划,用于声带多角瘤患者. 基于TPB的程序显著改善了语音恢复,并减少了手术后的语音障碍.
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
- 健康心理学 心理健康心理学
背景情况:
- 声带多角切除可以导致语音障碍,需要有效的术后语音训练.
- 计划行为理论 (TPB) 提供了一个理解和修改健康行为的框架,包括语音使用.
- 开发基于证据的语音培训计划对于优化喉手术后患者康复至关重要.
研究的目的:
- 开发一个术后语音培训管理计划,用于声带多角切除患者,以计划行为理论 (TPB) 为基础.
- 评估这个基于 TPB 的语音培训计划的初步有效性.
主要方法:
- 一个系统的开发过程,包括文献审查,小组讨论和Delphi专家咨询,用于创建基于TPB的程序.
- 82名接受声带多角切除术的患者被分为对照组 (例行训练) 和观察组 (基于TPB的训练).
- 测量结果包括客观的声学语音分数,语音障碍指数 (VHI) 和声带恢复状态.
主要成果:
- 基于TPB的程序开发表明了高专家共识和可靠性.
- 与对照组相比,观察组的患者表现出明显改善的客观声学语音分数和声带恢复.
- 观察组的语音障碍指数 (VHI) 得分明显较低,表明语音相关残疾减少.
结论:
- 基于TPB的术后语音培训管理计划在科学上是合理的,并且对声带多重切切患者在临床上有效.
- 该计划有效地增强了声带的恢复,并缓解了手术后的声音障碍.
- 这项研究为面外科手术患者的护理干预提供了新的见解,特别是在语音康复方面.
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