학술지
| 발행연도 | 2025/07/31 | ||
|---|---|---|---|
| 권 | 13 | 호 | 2 |
| 페이지 | 23-29(7) | ||
| 제목 | mproving the Quality of Life in Brain-Injured Patients with Tracheostomy: The Role of Enhanced Voicing Through the Speaking Valve | ||
| 저자 | ■Chang-Gok Woo MD, PhD1 , Hyo-Jong Kim MD, PhD2* | ||
| 교신저자 | Hyo-Jong Kim | ||
| 소속 | ■1 Department of Pathology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, 2*Department of Rehabilitation Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine | ||
| Abstract | This study aimed to evaluate the improvement in the health-related quality of life (HRQOL) of patients with brain injury following the application of a speaking valve to a tracheostomy tube. Methods: This prospective, randomized, sham-controlled, double-blind study included 64 patients with brain lesions who had undergone tracheostomy tube insertion between April 23, 2023, and March 24, 2024. They were randomly assigned to either the real-speaking valve group (experimental group) or the sham-speaking valve group (control group). The real- and sham-speaking valves were applied for an average of 286.9 and 285.9 min, respectively, over 2 weeks. HRQOL and depression were assessed using the Patient-Reported Outcomes Measurement Information System 10-Question Short Form (PROMIS-10) and the Patient Health Questionnaire-9 (PHQ-9), respectively. Scores were compared at baseline and after intervention. Results: Baseline measurements were comparable between the two groups. In the control group, no significant changes were observed in the t-scores for PROMIS-10 physical health (PH), mental health (MH), or PHQ-9. However, in the experimental group, the t-score for PROMIS-10 MH significantly improved from 6.66±2.46 to 8.94±3.97 (p<.001), and the PHQ-9 score decreased from 15.59±4.61 to 11.97±4.50 (p<.001), indicating substantial improvement in mental health and depression. Conclusion: The use of a speaking valve significantly improves mental health and reduces depression in brain-injured patients who are not on mechanical ventilation. These findings indicate that speaking valves may improve the HRQOL in this patient population. | ||
| 키워드 | Activities of daily living, Brain injury, Patient reported outcome measures, Quality of life, Tracheostomy | ||
| 첨부파일 #1 | 04_Chang-Gok_Woo,_Hyo-Jong_Kim(23-29).pdf | ||