6533b7d6fe1ef96bd126659a

RESEARCH PRODUCT

Psychosocial adjustment in patients surgically treated for laryngeal cancer.

Enrique Estellés FerriolRamón López MartínezFernando Guallart DoménechMaría José Ferrer RamírezMaría Morales Suárez-varelaMarina Carrasco Llatas

subject

AdultEmploymentMalemedicine.medical_specialtymedicine.medical_treatmentLaryngectomyStomaQuality of lifeAdaptation PsychologicalmedicineHumansPhonationRadical surgeryLaryngeal NeoplasmsAgedAged 80 and overRehabilitationbusiness.industryCancerSocial SupportMiddle Agedmedicine.diseaseLaryngectomySpeech AlaryngealOtorhinolaryngologyPhysical therapyQuality of LifeSurgeryFemaleFamily RelationsbusinessPsychosocialSocial Adjustment

description

Abstract Objective To assess the psychosocial adjustment in 62 patients surgically treated for cancer of the head and neck. Study design and setting Forty-one patients were grouped as having had radical surgery (total laryngectomy) and 21 as having had functional surgery (horizontal supraglottic laryngectomy or partial vertical surgery). The Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR) was used for the evaluation. Results No significant differences were found between groups when global adjustment or domain adjustment was compared. Patients did not consider the permanent stoma and voice loss to be the most important determinant of quality of life. Work and family relationship were the domains with poorest adjustment. Conclusion Social and medical support are important factors in improving patients’ self-confidence and satisfaction, playing an important role in recovering useful phonation, psychological adjustment, and global quality of life. Significance Information collected in this way may facilitate improved rehabilitation and thus better quality of life.

10.1016/s0194-59980300478-9https://pubmed.ncbi.nlm.nih.gov/12869923