Thome Natalie, Garcia Nellie, Clark Karen
City of Hope, Duarte, CA, USA.
Cancer Treat Res. 2018;174:237-248. doi: 10.1007/978-3-319-65421-8_14.
In this chapter, we examine the demographics and risk factors in the population diagnosed with head and neck cancer (HNC), what challenges these patients face post-treatment and what the role of psychosocial support through clinical social work is in managing these stressors. While many forms of head and neck cancer found in the early stages have a high cure rate, the side effects of treatment for these cancers have major life-altering effects. Previously, the majority of those diagnosed with head and neck cancers were those who used excessive alcohol and tobacco, but the numbers are changing to include the human papillomavirus (HPV) as a major risk factor. Due to the behavioral risk factors that are often causes of head and neck cancers and the effects of treatment that often lend to psychosocial distress, the role of psychosocial intervention at time of diagnosis throughout the disease trajectory is essential for compliance with treatment and healthy coping post-treatment. Clinical social workers play an essential role within the multidisciplinary team of assessment and interventions for managing patient's psychosocial distress.
在本章中,我们研究了被诊断为头颈癌(HNC)人群的人口统计学特征和风险因素,这些患者在治疗后面临哪些挑战,以及临床社会工作提供的心理社会支持在应对这些压力源中所起的作用。虽然早期发现的许多头颈癌类型治愈率很高,但这些癌症的治疗副作用会对生活产生重大改变。以前,大多数被诊断出头颈癌的人是过度饮酒和吸烟的人,但现在情况正在发生变化,人乳头瘤病毒(HPV)成为主要风险因素之一。由于行为风险因素常常是头颈癌的病因,且治疗效果往往会导致心理社会困扰,因此在整个疾病过程中,从诊断时起进行心理社会干预对于患者坚持治疗和治疗后健康应对至关重要。临床社会工作者在管理患者心理社会困扰的多学科评估和干预团队中发挥着重要作用。