Motivation as a predictor of speech intelligibility after total laryngectomy

被引：3

作者：

Singer, Susanne ^{[1
,2
]}

Meyer, Alexandra ^{[2
]}

Fuchs, Michael ^{[3
]}

Schock, Juliane ^{[4
]}

Pabst, Friedemann ^{[5
]}

Vogel, Hans-Joachim ^{[6
]}

Oeken, Jens ^{[7
]}

Sandner, Annett ^{[8
]}

Koscielny, Sven ^{[9
]}

Hormes, Karl ^{[10
]}

Breitenstein, Kerstin ^{[11
]}

Dietz, Andreas ^{[3
]}

机构：

[1] Univ Wuppertal, Dept Hlth Psychol, D-42119 Wuppertal, Germany

[2] Univ Leipzig, Dept Med Psychol & Med Sociol, D-04109 Leipzig, Germany

[3] Univ Leipzig, Dept Otorhinolaryngol, D-04109 Leipzig, Germany

[4] Hosp Martha Maria, Dept Otorhinolaryngol, Halle, Germany

[5] Hosp Dresden Friedrichstadt, Dept Otorhinolaryngol, Dresden, Germany

[6] Hosp Elblandkliniken, Dept Otorhinolaryngol, Riesa, Germany

[7] Hosp Chemnitz, Dept Otorhinolaryngol, Chemnitz, Germany

[8] Univ Halle Wittenberg, Dept Otorhinolaryngol, D-06108 Halle, Germany

[9] Univ Jena, Dept Otorhinolaryngol, Jena, Germany

[10] Sonnenbergklinik, Bad Sooden Allendorf, Germany

[11] Helios Clin, Dept Otorhinolaryngol, Erfurt, Germany

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2013年 / 35卷 / 06期

关键词：

rehabilitation; quality of life; cancer; head and neck neoplasms; psychology; QUALITY-OF-LIFE; ORDINAL REGRESSION-MODELS; VOICE RESTORATION; ESOPHAGEAL SPEECH; CANCER-PATIENTS; EORTC QLQ-C30; REHABILITATION; COMMUNICATION; ADJUSTMENT; RELEVANCE;

D O I：

10.1002/hed.23043

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background It has often been argued that if patients' success with speech rehabilitation after laryngectomy is limited, it is the result of lacking motivation on their part. This project investigated the role of motivation in speech rehabilitation. Methods In a multicenter prospective cohort study, 141 laryngectomees were interviewed at the beginning of rehabilitation and 1 year after laryngectomy. Speech intelligibility was measured with a standardized test, and patients self-assessed their own motivation shortly after the surgery. Logistic regression, adjusted for several theory-based confounding factors, was used to assess the impact of motivation on speech intelligibility. Results Speech intelligibility 1 year after laryngectomy was not significantly associated with the level of motivation at the beginning of rehabilitation (odds ratio [OR], 1.3; 95% confidence interval [CI], 0.72.3; p = .43) after adjusting for the effect of potential confounders (implantation of a voice prosthesis, patient's cognitive abilities, frustration tolerance, physical functioning, and type of rehabilitation). Conclusions Motivation is not a strong predictor of speech intelligibility 1 year after laryngectomy. (c) 2012 Wiley Periodicals, Inc. Head Neck 35: 836-846, 2013

引用

页码：836 / 846

页数：11

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