Adherencia cr¨®nica al humidificador de traqueostoma en pacientes laringectomizados

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• 作者：Gabriel Pedemonte-Sarrias ; Juan Carlos Villatoro-Sologaistoa ; Paulina Ale-Inostroza ; Montserrat L¨®pez-Vilas ; Xavier Le¨®n-Vintr¨® ; Miquel Quer-Agust¨ª
• 关键词：Laringectom&iacute ; a total ; Humidificador de traqueostoma ; Adherencia cró ; nica ; Pró ; tesis fonatoria ; Provox® ; HME
• 刊名：Acta Otorrinolaringol¨®gica Espa?ola
• 出版年：2013
• 出版时间：July-August, 2013
• 年：2013
• 卷：64
• 期：4
• 页码：247-252
• 全文大小：753 K

文摘

Introduction and objective

<p>Total laryngectomy leads to pulmonary problems such as excessive sputum production, forced expectoration and increased coughing. The use of a heat and moisture exchanger (Provoxp>?p> HME) reduces these symptoms. The aim of this study was to quantify chronic adherence to HME use in laryngectomized patients.

Methods

<p>A prospective study of 115 patients laryngectomized at our centre during 2005-2011 was performed.

Results

<p>Of the 115 patients, 90 (78.2 % ) used the HME consistently and 25 (21.8 % ) abandoned its use. The most common causes of desertion were adhesion problems due to mucus and skin irritation. Of the 30 patients with voice prostheses, 90 % of them used the HME system regularly. Voice prosthesis use (P=.05) and early indication in postoperative laryngectomy (P=.001) were factors significantly associated with chronic HME use.

Conclusions

<p>There is high adherence (78.2 % ) to heat and moisture exchanger (Provoxp>?p> HME) use in laryngectomized patients. Chronic HME use was higher in patients with voice prosthesis and the ones with early indication in postoperative period. The major causes of abandonment were related to problems with the adhesive.