Current status of speech function after oral cancer surgery and analysis of influencing factors
Objective This study aimed to investigate the status of speech function in postoperative patients with oral cancer and analyze the factors affecting speech function.Methods A total of 180 patients who were admitted Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine from December 31,2021 to March 31,2023 and met the inclusion criteria were selected as the study subjects.The general information and clinical data questionnaire,Speech Handicap Index(SHI),Speech Articulation Word Scale,Hospital Anxiety and Depression Scale(HADS),Family Apgar Index(FAI),and Social Support Rating Scale(SSRS)were used.Results After oral cancer surgery,the propor-tion of speech disorder was 70%,and the proportion of speech articulation decreased by 61%.The results of step-by-step linear regression analysis showed that the Hospital Anxiety and Depression Scale-Depression(HADS-D;P=0.009),FAI(P=0.004),SSRS(P=0.039),and radiotherapy(P=0.019)scores entered the regression equation.The total variation in SHI score after oral cancer surgery was ex-plained by 63.8%.T stage(P=0.001),income(P=0.007),alcohol consumption(P=0.001),tumor site(P=0.001),and SSRS(P=0.013)were included in the regres-sion equation,accounting for 55.3%of the total variation in speech articulation after oral cancer surgery.Conclusion More than half of the patients with postoperative oral cancer have different degrees of impaired speech function,and early prevention,assessment,and intervention for patients should be performed with subjective and objective factors.
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