Effects of Tracheostomy on Well‐being and Body‐Image Perceptions

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  • Dror Gilony
    Department of Otorhinolaryngology–Head and Neck Surgery Gertner Institute for Epidemiology and Health Policy Research The Chaim Sheba Medical Center Tel Hashomer and Sackler School of Medicine Tel‐Aviv University Tel‐Aviv Israel
  • Dalia Gilboa
    Department of Plastic Surgery and the Burn Unit Gertner Institute for Epidemiology and Health Policy Research The Chaim Sheba Medical Center Tel Hashomer and Sackler School of Medicine Tel‐Aviv University Tel‐Aviv Israel
  • Tzvia Blumstein
    The Women and Children's Health Research Unit Gertner Institute for Epidemiology and Health Policy Research The Chaim Sheba Medical Center Tel Hashomer and Sackler School of Medicine Tel‐Aviv University Tel‐Aviv Israel
  • Havi Murad
    Biostatistics Unit Gertner Institute for Epidemiology and Health Policy Research The Chaim Sheba Medical Center Tel Hashomer and Sackler School of Medicine Tel‐Aviv University Tel‐Aviv Israel
  • Yoav P. Talmi
    Department of Otorhinolaryngology–Head and Neck Surgery Gertner Institute for Epidemiology and Health Policy Research The Chaim Sheba Medical Center Tel Hashomer and Sackler School of Medicine Tel‐Aviv University Tel‐Aviv Israel
  • Jona Kronenberg
    Department of Otorhinolaryngology–Head and Neck Surgery Gertner Institute for Epidemiology and Health Policy Research The Chaim Sheba Medical Center Tel Hashomer and Sackler School of Medicine Tel‐Aviv University Tel‐Aviv Israel
  • Michael Wolf
    Department of Otorhinolaryngology–Head and Neck Surgery Gertner Institute for Epidemiology and Health Policy Research The Chaim Sheba Medical Center Tel Hashomer and Sackler School of Medicine Tel‐Aviv University Tel‐Aviv Israel

説明

<jats:sec><jats:title>OBJECTIVE</jats:title><jats:p>Quality of life after tracheostomy was addressed by measuring its impact on well being and body image perceptions.</jats:p></jats:sec><jats:sec><jats:title>STUDY DESIGN AND SETTING</jats:title><jats:p>A controlled study in a laryngotracheal clinic of a tertiary referral center. Three groups were studied: 24 cannulated, 19 decannulated, and 20 noncannulated patients. They filled up 3 conventional questionnaires.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>(1) Satisfaction‐with‐life scale: reduced scores were detected between cannulated and noncannulated patients. (2) Personality traits: neuroticism and extroversion: no differences were noted. (3) Body cathexis scale: both cannulated and decannulated patients scored less than noncannulated. In tracheostomy‐specific issues, decannulated patients scored better than cannulated patients.</jats:p></jats:sec><jats:sec><jats:title>CONCLUSIONS</jats:title><jats:p>Reduced scores after tracheostomy indicate an overall diminished quality of life. These changes correlate with personality traits. Decannulated patients exhibited only slight improvement indicating an incomplete psychosocial recovery.</jats:p></jats:sec><jats:sec><jats:title>SIGNIFICANCE</jats:title><jats:p>This is the first report on tracheostomy related quality of life in noncancer patients conducted with specific psychological questionnaires.</jats:p></jats:sec>

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