论文部分内容阅读
目的:探讨咽成形术后患者语音治疗完成情况及其主要影响因素。方法 :对292例咽成形术后患者(男154例,女138例,平均年龄14.57岁),进行电话随访,直接与患者或其家长接触,以标准调查问卷问答后,汇总答案,计算回访率、失访率、完成率、中断率,并总结影响患者术后语音治疗完成情况的因素。结果:本次电话随访失访率为21.57%,最终完成语音训练患者占已联系患者的52.84%,占总样本量的41.44%,其余患者因各种原因未进行语音治疗或中断治疗;造成咽成形术后回访困难的因素主要有距离、经济、时间、心理、家长受教育程度、儿童配合能力等;尤其年龄较大患儿,由于发音习惯已经养成,训练疗程更长,多因抵触、自卑等情绪中断治疗。结论:咽成形术后语音训练回访率低,中断率高,其原因复杂,临床上应针对这些因素对患者家庭进行个性化宣教。
Objective: To investigate the completion of speech therapy in patients after pharyngoplasty and its main influencing factors. Methods: A total of 292 patients (154 males and 138 females, average age 14.57 years) with pharyngeal angioplasty were followed up by phone and contacted directly with the patients or their parents. After questionnaires were answered by standard questionnaires, the answers were collected and the rate of visit was calculated , The rate of loss to follow up, the completion rate and the interruption rate, and summarizes the factors affecting the completion of postoperative voice therapy. Results: The rate of follow-up of this phone call was 21.57%. The final voice training accounted for 52.84% of the patients who had been contacted, accounting for 41.44% of the total samples. The remaining patients did not receive voice therapy or interruption treatment due to various reasons; Reposted elsewhere in the paper for more information. Postoperative complications of angioplasty mainly include distance, economy, time, psychology, parental education and children’s ability to cooperate. Especially in older children, due to pronunciation habit has been developed, training courses longer, Inferiority and other emotional interrupt treatment. Conclusion: The frequency of speech training after pharyngeal angioplasty has a low follow-up rate and high disruption rate. The reasons are complex. Individuals should be individually targeted for these factors in clinical practice.