Baker C A
Arthur G. James Cancer Hospital and Research Institute, Columbus, Ohio.
Cancer Nurs. 1992 Dec;15(6):395-400.
Head and neck cancer patients must adapt to changes in facial structure and dysfunctions associated with breathing, eating, sensing, and movement following treatment. The impact of social support, mode(s) of treatment, and disfigurement and dysfunction on rehabilitation outcomes was studied in a convenience sample of 51 cancer survivors. The Sickness Impact Profile, a 136-item self-report instrument that elicited data in 12 activity of daily living areas was used to measure the dependent variable, rehabilitation outcome. Perceived social support was measured with the Personal Resources Questionnaire (Part 2). Facial disfigurement was measured based on the surgical procedure; nine dysfunctions common to head and neck cancer patients were measured on ladder scales and combined to provide a total dysfunction score. Facial disfigurement was not significantly associated with rehabilitation outcomes, but perceived social support and degree of dysfunction were significantly correlated with rehabilitation. No significant differences in rehabilitation outcomes between modes of treatment were found. Findings suggest a need for further research on rehabilitation strategies which improve outcomes for dysfunctions associated with head and neck cancer.
头颈癌患者在治疗后必须适应面部结构的变化以及与呼吸、进食、感知和运动相关的功能障碍。在一个由51名癌症幸存者组成的便利样本中，研究了社会支持、治疗方式以及毁容和功能障碍对康复结果的影响。使用疾病影响量表（Sickness Impact Profile）这一包含136个项目的自我报告工具来收集12个日常生活活动领域的数据，以测量因变量康复结果。用个人资源问卷（第二部分）测量感知到的社会支持。根据手术程序测量面部毁容情况；对头颈癌患者常见的九种功能障碍用阶梯量表进行测量，并将其合并以得出总功能障碍评分。面部毁容与康复结果无显著关联，但感知到的社会支持和功能障碍程度与康复显著相关。未发现不同治疗方式在康复结果上有显著差异。研究结果表明需要进一步研究改善头颈癌相关功能障碍康复效果的策略。
