Herranz González-Botas J, Gavilán Bouzas J
Servicio de ORL, Hospital Juan Canalejo, La Coruña, España.
Acta Otorrinolaringol Esp. 1999 May;50(4):276-82.
The quality of life of patients who underwent surgery for cancer of the larynx was analyzed. Two groups of patients were separated by the type of surgical intervention: functional surgery (supraglottic, 19 patients, and cordectomy, 11 patients) and radical surgery (total laryngectomy, 69 patients, and near-total laryngectomy, 12 patients). The Psychosocial Adjustment to Illness Scale- Self Report (PAIS-SR) was used for evaluation. No statistically significant differences in overall adjustment were found between groups. Patients did not consider the permanent stoma and voice loss to be the most important determinant of quality of life. Lack of social and family support was the most important negative factor affecting patients. The need for support groups and additional studies of quality of life to identify potential problems areas for the postoperative adjustment of patients to normal life should be addressed.
对接受喉癌手术患者的生活质量进行了分析。根据手术干预类型将两组患者分开:功能性手术(声门上手术,19例;声带切除术,11例)和根治性手术(全喉切除术,69例;近全喉切除术,12例)。采用疾病心理社会适应量表-自我报告(PAIS-SR)进行评估。两组之间在总体适应方面未发现统计学上的显著差异。患者并不认为永久性造口和声音丧失是生活质量的最重要决定因素。缺乏社会和家庭支持是影响患者的最重要负面因素。应解决对支持小组的需求以及对生活质量进行更多研究,以确定患者术后适应正常生活的潜在问题领域。