喉頭気管分離術後の QOL に関するアンケート調査報告

書誌事項

タイトル別名
  • Analysis of questionnaire on family-related QOL of pediatric patients following tracheal separation

この論文をさがす

抄録

  The quality of life after tracheal separation surgery was evaluated by analysis of a questionnaire answered by the families of pediatric patients with severe physical and mental disabilities. Operations were performed on 23 pediatric patients between February 2000 and July 2008, which included laryngotracheal separation (12 cases), tracheoesophageal diversion (one case), and tracheoesophageal diversion with tracheal closure (tracheal flap method) (10 cases). In four out of 17 cases, the tracheal separation was preceded by tracheotomy. Questionnaires were sent to 17 patients excluding six cases (three deaths, three lost to follow-up), and answers from all 17 patient families were analyzed. The frequency of oral and tracheal treatment for aspiration of saliva was markedly reduced after tracheal separation in all four cases that underwent preceding tracheotomy, and was also reduced in seven of 13 cases without preceding tracheotomy. Aspiration pneumonia and other respiratory disorders were well controlled after operation in almost all cases, which resulted in the reduction of hospitalizations in 11 out of 15 cases. Major complications after operation were granulations around the tracheal stoma, narrowing of the tracheal stoma, and tracheo-cutaneous fistula. In only one case of tracheo-cutaneous fistula, surgical reconstruction was needed, while in the other cases, all complications were recovered by conservative treatments. Tracheal separation improved the QOL of patients due to decrease in incidence of aspiration pneumonia and other respiratory disorders, and the QOL of patient families was improved by the reduced burden of nursing care. As a result, patient families were almost all satisfied with the result of the operation. These results suggest that, if the surgical adaptation is strictly selected, tracheal separation is one of the most effective operations for pediatric patients with severe physical and mental disabilities.

収録刊行物

被引用文献 (2)*注記

もっと見る

参考文献 (15)*注記

もっと見る

詳細情報

問題の指摘

ページトップへ