Krouse J H, Krouse H J, Fabian R L
Department of Otolaryngology, Harvard Medical School, Massachusetts.
Laryngoscope. 1989 Aug;99(8 Pt 1):789-94. doi: 10.1288/00005537-198908000-00004.
We examined the postoperative adjustment of 45 patients who underwent surgery for cancers of the head and neck: 23 who had laryngeal cancer, 18 who had oral cavity/oropharyngeal cancers, and 4 who had cancers of other sites. Patients were assessed preoperatively, and at 3 months and 9 to 12 months postsurgery. Interviews and questionnaires were used to assess depression, body image, limitations, pain, financial problems, need for help at home, and social interaction. Results revealed that pain, fatigue, weakness, and loss of speech were major concerns. Pain and financial concerns were worst at 3 months and then improved. Physical limitations increased steadily with time. Depression was a major factor in patients with oral cavity and oropharyngeal cancers. Of note, patients who underwent postoperative radiation therapy had the most difficulty adapting to their illness and treatment, with persistent limitations in function and social isolation. The implications of these findings are discussed.
我们对45例接受头颈部癌症手术的患者的术后调整情况进行了研究：其中23例患有喉癌，18例患有口腔/口咽癌，4例患有其他部位的癌症。在术前、术后3个月以及术后9至12个月对患者进行了评估。通过访谈和问卷调查来评估抑郁、身体形象、功能受限、疼痛、经济问题、家庭护理需求以及社交互动情况。结果显示，疼痛、疲劳、虚弱和言语丧失是主要问题。疼痛和经济问题在术后3个月最为严重，随后有所改善。身体功能受限随时间稳步增加。抑郁是口腔和口咽癌患者的一个主要因素。值得注意的是，接受术后放疗的患者在适应疾病和治疗方面困难最大，功能持续受限且存在社交隔离。本文讨论了这些研究结果的意义。
