Voice-related quality of life and emotional symptoms before and after thyroidectomy
Qualidade de vida em voz e sintomas emocionais pré e pós-tireoidectomia
Gustavo Batista de Oliveira; Thais Jejesky de Oliveira; Marco Homero de Sá Santos; Ricardo Mai Rocha; Michelle Ferreira Guimarães; Elma Heitmann Mares Azevedo
Abstract
Purpose: To correlate voice-related quality of life, anxiety, and depression symptoms pre- and post-thyroidectomy. Methods: Observational, longitudinal, prospective, and quantitative study. Twenty patients participated in the study, with a mean age of 54 years, who underwent thyroidectomy, laryngeal visual examination, and the Voice-Related Quality of Life and Hospital Anxiety and Depression Scale questionnaires at different times: preoperative, 1 week and 3 months post-thyroidectomy, with a higher prevalence of females (85%; n=17) and partial thyroidectomy (70%; n=14). Results: There was no statistical difference in voice quality of life between the moments, but lower preoperative scores were observed, especially in the physical domain. We observed a slight trace of anxiety in the preoperative period, with a reduction after 1 week and an increase after 3 months. There was a moderate negative correlation between the physical domain of QVV and the anxiety subscale and the total HADS score after 1 week and between the total domain of QVV with the total HADS score after 1 week, weak negative correlation between the total domain of QVV and the HADS anxiety subscale after 1 week and the total HADS score after 3 months. Conclusion: The patients evaluated in this study self-perceived their voice-related quality of life as positive. Mild anxiety traits were identified, with a reduction after one week postoperatively and an increase after three months. The self-perception of better voice-related quality of life in the postoperative period is weakly related to the reduction of anxiety levels.
Keywords
Resumo
Objetivo: Correlacionar a qualidade de vida em voz e sintomas de ansiedade e depressão pré e pós-tireoidectomia. Método: Estudo observacional, longitudinal, prospectivo e quantitativo. Participaram 20 pacientes, com média de idade de 54 anos, submetidos à tireoidectomia, ao exame visual laríngeo e aos questionários Qualidade de Vida em Voz e Escala Hospitalar de Ansiedade e Depressão nos momentos: pré-operatório, 1 semana e 3 meses pós-tireoidectomia, com maior prevalência do sexo feminino (85%; n=17) e de tireoidectomia parcial (70%; n=14). Resultados: Não houve diferença estatística quanto à qualidade de vida em voz entre os momentos, porém observaram-se menores escores no pré-operatório, com destaque para o domínio físico. Houve traço leve de ansiedade no pré-operatório com redução após 1 semana e aumento pós três meses. Houve correlação negativa moderada entre o domínio físico do QVV e a subescala de ansiedade e o escore total da HADS pós 1 semana e entre o domínio total do QVV com o escore total da HADS pós 1 semana, correlação negativa fraca entre o domínio total do QVV e a subescala de ansiedade da HADS pós 1 semana e o escore total da HADS pós 3 meses. Conclusão: Os pacientes avaliados neste estudo autopercebem sua qualidade de vida relacionada à voz como positiva. Traços leves de ansiedade foram identificados, com redução no pós-operatório uma semana e aumento pós três meses. A autopercepção de melhor qualidade de vida em voz no pós-operatório relaciona-se, de forma fraca, com a redução dos níveis de ansiedade.
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