코 질환 환자의 비부비동 증상, 심리적 증상 및 삶의 질의 특징과 이에 대한 수술적 치료의 역할

조재형; 김종준; 최재원; 송용진; 임현우; 여남경

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자료유형: 학술저널

저자정보: 조재형 김종준 최재원 송용진 임현우 여남경

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제55권 제6호

발행연도: 2012.1

수록면: 355 - 363 (9page)

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Background and Objectives Chronic diseases of the nose and sinuses have been shown to influence patients, not only physically but also psychologically affecting the overall well-being. We evaluated the quality of life of rhinologic patients, and the effect of surgery on them. In addition, we assessed the correlation between the symptom scores and objective findings. Subjects and Method From November 2009 to January 2011, a total of 194 patients haveing nasal and sinus surgery were enrolled. They were divided into nasal cavity disease (NCD) group (n=103) and chronic rhinosinusitis (CRS) group (n=91). These patients had to fill out a questionnaire at different points, at 1 day, 1 month, 3 and 6 months prior to surgery. The normal control group (n=30) also had to fill out four questionnaires: our questionnaires were Sinonasal Outcome Test-20 (SNOT-20), Rhinosinusitis Disability Index (RSDI), Version 2 of Short-Form 36 item Health Survey (SF-36v2TM), Symptom Checklist-90-Revised (SCL-90-R). For the CRS group, Lund-Mackay score was calculated using CT scans. Results Both experimental groups showed more severe scores than the control group. The CRS group exhibited more severe symptoms than the NCD group. Both experimental groups achieved significant improvements after surgery. CRS group showed more significant improvement than the NCD group in SNOT-20. The Lund-Mackay score showed no significant correlation with the subjective symptom scores. Conclusion Chronic rhinologic diseases affect the quality of life. CRS patients show more severe scores than the NCD patients. CRS patients have more improved effectiveness than NCD patients after surgical treatment. Objective conditions and subjective symptoms may be correlated inconsistently, and the evaluation for the overall quality of life is important to reflect on the therapeutic effect.

#Quality of life #Questionnaire #Chronic rhinosinusitis #Nasal septal deviation #Surgery

참고문헌 (17)

참고문헌 신청

Basu S / 2005 / Correlation between symp-toms and radiological findings in patients with chronic rhinosinusitis: an evaluation study using the Sinonasal Assessment Questionna

Benninger MS / 1997 / The development of the Rhinosinusitis Disability Index / Arch Otolaryngol Head Neck Surg 123 (11) : 1175 ~ 1179

Bhattacharyya N / 2005 / Symptom and disease severity differences between nasal septal deviation and chronic rhinosinusitis / Otolaryngol Head Neck Surg 133 (2) : 173 ~ 177

Brandsted R / 2007 / Impact of depression on disease-specific symptoms and quality of life in patients with chronic rhinosinusitis / Am J Rhinol 21 (1) : 50 ~ 54

Damm M / 2002 / Impact of functional endoscopic sinus surgery on symptoms and quality of life in chronic rhinosinusitis / Laryngoscope 112 (2) : 310 ~ 315