Gold Dorothy
Milton J. Dance, Jr. Head and Neck Center, Greater Baltimore Medical Center (GBMC), 6569 North Charles Street, Suite 401, Baltimore, MD 21204, USA.
Otolaryngol Clin North Am. 2012 Aug;45(4):879-97. doi: 10.1016/j.otc.2012.05.001.
Patients with head and neck cancer (HNC) suffer disproportionate psychosocial distress because of the nature of the tumor site, the possible impact on facial appearance and function, and the symptom burden resulting from treatment. Unmet psychosocial needs can negatively impact many aspects of care, from compliance to successful survivorship. This article reviews the challenges that patients with HNC confront throughout the disease trajectory from diagnosis to treatment, recovery, and long-term survivorship. It also provides a framework for understanding psychosocial adjustment and quality of life both for the general population of patients with HNC, and those with human papillomavirus-related diagnoses.
头颈癌（HNC）患者由于肿瘤部位的特性、对面部外观和功能可能产生的影响以及治疗带来的症状负担，承受着不相称的心理社会困扰。未满足的心理社会需求会对护理的许多方面产生负面影响，从依从性到成功生存。本文回顾了头颈癌患者从诊断到治疗、康复及长期生存的整个疾病过程中所面临的挑战。它还为理解头颈癌患者总体人群以及与人乳头瘤病毒相关诊断患者的心理社会适应和生活质量提供了一个框架。
