RESUMEN
ABSTRACT Purpose: the aim of this study was to analyze the relationship between patient-reported swallowing disorders and common mental disorders after total laryngectomy. Methods: fourteen patients of both genders and aged 66 ± 8.63 years were assessed after total laryngectomy. They were all asked about the perception of swallowing disorders and answered the Self-Reporting Questionnaire. Patients with swallowing complaints also answered the MD Anderson Dysphagia Inventory. The mean difference between groups was evaluated using the Mann-Whitney test, with a significance level of 5%. Results: the median of Self-Reporting Questionnaire total score was 3.00 [interquartile range: 0.00-5.00] and did not reflect the presence of common mental disorders. Five volunteers (35.7%) self-reported swallowing disorders and had a worse, although not significant (p = 0.15), performance on the Self-Reporting Questionnaire. The MD Anderson Dysphagia Inventory indicated a limitation in the quality of life, with a greater impact of swallowing disorders in the emotional domain [median = 53.30; interquartile range: 33.30-74.95]. Conclusion: common mental disorders are not related to patient-reported swallowing disorders following total laryngectomy. However, patients with swallowing complaints had a negative impact on their quality of life, especially in the emotional domain.
RESUMEN
Objetivo: Investigar a influência da disfagia na qualidade de vida de pacientes com câncer em cuidados paliativos. Métodos: Realizou-se um estudo de campo, exploratório descritivo, com abordagem quantitativa. Para analise dos dados foram utilizados os testes Qui-quadrado, o software estatístico R (v2.11.0) e considerada significância menor a 5%. Resultados: Foram incluídos 35 pacientes, com prevalência do gênero feminino (77%), idade média de 45 anos e diagnóstico de câncer de mama (37%) e de pulmão (14%). Nesse estudo observou que sintomas relacionados às alterações na deglutição estiveram presentes: na consistência líquida e sólida, a tosse (20,0% e 8,6% respectivamente), na pastosa estase em cavidade oral (8,6%) e tempo prolongado de alimentação (8,6%). As alterações na deglutição influenciaram na qualidade de vida dos pacientes (37%), com associação do escape de alimento, estase, ruído e tosse. Conclusão: A ocorrência da disfagia declina a qualidade de vida de pacientes com câncer em cuidados paliativos
Objective: The study's main purpose has been to investigate the dysphagia influence towards the quality of life of cancer patients undergoing palliative care. Methods: It is a descriptive-exploratory field study with a quantitative approach. The Chi-square test and the R statistical software (v2.11.0) were used, and significance lower than 5% was considered. Results: A total of 35 patients were included, most subjects were female (77%), 45.69 (±12.35) years old on average and diagnosed with breast (37%) and lung (14%) cancers. It was observed that some symptoms associated to changes in swallowing were more present, as follows: in liquid and solid consistency, cough (20.0% and 8.6% respectively), in pasty, stasis in oral cavity (8.6%) and prolonged feeding time (8.6%). Changes in swallowing influenced patients' quality of life (37%), associated with escape of food, stasis, noise and cough. Conclusion: The occurrence of dysphagia impairs the quality of life of cancer patients undergoing palliative care
Objetivo: Investigar la influencia de la disfagia en la calidad de vida de los pacientes con cáncer en cuidados paliativos. Métodos: Se realizó un estudio exploratorio de campo descriptivo con un enfoque cuantitativo. Fueron utilizados la prueba Chi-cuadrado, el software estadístico R (v2.11.0) y considerada significación menor que a 5%. Resultados: Fueron incluidos 35 pacientes, con prevalencia del género femenino (77%), edad media de 45 años y diagnóstico de cáncer de mama (37) y de pulmón (14%). En este estudio se observó que algunos síntomas relacionados a las alteraciones en la deglución estuvieron más presentes: en la consistencia líquida y sólida, la tos (20,0% y 8,6% respectivamente), en la pastosa estasis en cavidad oral (8,6%) y tiempo prolongado de alimentación (8,6%). Las alteraciones en la deglución influenciaron en la calidad de vida de los pacientes (37%), con asociación del escape de alimento, estasis, ruido y tose. Conclusión: La ocurrencia de la disfagia declina la calidad de vida de pacientes con cáncer en cuidados paliativos