Japanese

Title	頭頚部がん喉頭摘出術後長期経過者におけるQOL関連因子の検討
Subtitle	原著
Authors	三浦裕幸*1,2, 加藤拓彦*2, 田中真*2, 澄川幸志*3
Authors (kana)
Organization	*1弘前大学医学部附属病院リハビリテーション部, *2弘前大学大学院保健学研究科総合リハビリテーション科学領域, *3福島県立医科大学保健科学部作業療法学科
Journal	The Japanese Journal of Rehabilitation Medicine
Volume	60
Number	5
Page	436-445
Year/Month	2023 / 5
Article	原著
Publisher	日本リハビリテーション医学会
Abstract	「要旨」「目的」 : 頭頚部がん喉頭摘出者 (喉摘者) の状況を機能, 活動, 参加, 環境などから調査し, quality of life (QOL) 関連因子を検討する. 「方法」 : 対象は, 日本喉摘者団体所属の喉摘者とした. 調査項目は, 基本属性, QOL, サルコペニア, 頚部・上肢機能, 上肢関連activities of daily living (ADL) などとした. 統計解析は, 相関分析後に多重ロジスティック回帰分析を行い, QOL関連因子を検討した. 「結果」 : 有効回答者数は272人であり, 年齢の中央値は74.0歳, 喉頭摘出術後経過期間の中央値は8.7年, 喉頭摘出術後就労継続者は94人であった. QOL関連因子には, 上肢関連ADL, サルコペニア, 頚部・上肢機能が抽出された. 「結論」 : 喉摘者のQOL関連因子は, 頚部・上肢機能, 上肢関連ADL, サルコペニアであり, QOL向上にはこれらに対するリハビリテーション治療が重要と考えられた.
Practice	医療技術
Keywords	がん, 悪性腫瘍 (cancer, malignant tumor), 生活の質 (quality of life), 日常生活活動 (activities of daily living), 上肢機能 (upper limb function)

English

Title	Quality of Life-Related Factors in Patients with Long-Term Disease after Laryngectomy for Head and Neck Cancer
Subtitle
Authors	Hiroyuki Miura*1,2, Takuhiko Kato*2, Makoto Tanaka*2, Koshi Sumigawa*3
Authors (kana)
Organization	*1Department of Rehabilitation, Hirosaki University Hospital, *2Department of Comprehensive Rehabilitation Science, Hirosaki University Graduate School of Health Sciences, *3Department of Occupational Therapy, School of Health Sciences, Fukushima Medical University
Journal	The Japanese Journal of Rehabilitation Medicine
Volume	60
Number	5
Page	436-445
Year/Month	2023 / 5
Article	Original article
Publisher	The Japanese Association of Rehabilitation Medicine
Abstract	[Abstract] [Objective :] To research studies on patients with head and neck cancer who underwent laryngectomy (patients with laryngectomy) in terms of function, activity, participation, and environment, and examine quality of life (QOL) -related factors. [Methods :] The participants were patients who underwent laryngectomy and belonged to the Japanese Laryngectomy Clubs. We investigated basic attributes, QOL, sarcopenia, neck and upper limb function, and upper limb-related activities of daily living (ULADL). Statistical analysis was performed using multiple logistic regression analysis after correlation analysis to investigate QOL-related factors. [Results :] The number of valid responders was 272 patients, median age was 74.0 years, median postoperative follow-up was 8.7 years, and 94 were still employed after surgery. Multiple logistic regression analysis results revealed that factors related to QOL included ULADL, sarcopenia, and neck and upper limb function. [Conclusions :] The QOL-related factors of laryngectomy were neck and upper limb function, ULADL, and sarcopenia. Rehabilitation for these factors is considered important in improving QOL.
Practice	Medical technology
Keywords	cancer, malignant tumor, quality of life, activities of daily living, upper limb function

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