摘要
目的了解口腔癌术后患者言语功能的现况并分析影响术后言语功能的因素。方法2021年12月31日—2023年3月31日于上海交通大学医学院附属第九人民医院就诊且符合纳入标准的180名患者为研究对象,采用一般信息及临床资料调查表、言语障碍指数量表(SHI)、语音清晰度字表、医院焦虑抑郁情绪量表(HADS)、家庭关怀指数(FAI)问卷、社会支持评定量表(SSRS)进行调查分析。结果口腔癌术后存在言语障碍的比例为70%,语音清晰度降低的比例为61%。通过逐步线性回归分析结果显示:医院焦虑抑郁情绪抑郁分量表(HADSD,P=0.009)、FAI(P=0.004)、SSRS(P=0.039)及放射治疗(P=0.019)变量进入回归方程,是影响口腔癌术后SHI的主要因素(63.8%);T分期(P=0.001)、收入(P=0.007)、饮酒(P=0.001)、肿瘤部位(P=0.001)及SSRS变量(P=0.013)进入回归方程,是影响口腔癌术后语音清晰度的主要因素(55.3%)。结论超过半数的口腔癌术后患者存在不同程度的言语功能受损,应从影响言语功能的主观因素及客观因素两个方面对患者进行早期预防、早期评估和早期干预。
Objective This study aimed to investigate the status of speech function in postoperative patients with oral cancer and analyze the factors affecting speech function.Methods A total of 180 patients who were admitted Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine from December 31,2021 to March 31,2023 and met the inclusion criteria were selected as the study subjects.The general information and clinical data questionnaire,Speech Handicap Index(SHI),Speech Articulation Word Scale,Hospital Anxiety and Depression Scale(HADS),Family Apgar Index(FAI),and Social Support Rating Scale(SSRS)were used.Results After oral cancer surgery,the propor‐tion of speech disorder was 70%,and the proportion of speech articulation decreased by 61%.The results of step-by-step linear regression analysis showed that the Hospital Anxiety and Depression Scale-Depression(HADS-D;P=0.009),FAI(P=0.004),SSRS(P=0.039),and radiotherapy(P=0.019)scores entered the regression equation.The total variation in SHI score after oral cancer surgery was ex‐plained by 63.8%.T stage(P=0.001),income(P=0.007),alcohol consumption(P=0.001),tumor site(P=0.001),and SSRS(P=0.013)were included in the regres‐sion equation,accounting for 55.3%of the total variation in speech articulation after oral cancer surgery.Conclusion More than half of the patients with postoperative oral cancer have different degrees of impaired speech function,and early prevention,assessment,and intervention for patients should be performed with subjective and objective factors.
作者
吴媚
梁妍景
彭雪沛
陈卫宏
郭星铜
侯黎莉
Wu Mei;Liang Yanjing;Peng Xuepei;Chen Weihong;Guo Xingtong;Hou Lili(Shanghai Jiao Tong University School of Nursing,Shanghai 200025,China;School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Dept.of Nursing,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)
出处
《国际口腔医学杂志》
北大核心
2025年第1期42-49,共8页
International Journal of Stomatology
基金
上海申康医院发展中心市级医院诊疗技术推广及优化管理项目(SHDC22023238)。
关键词
口腔癌
术后
言语功能
现况调查
影响因素
oral cancer
postoperative
speech function
status survey
influencing factors
