Gunjawate Dhanshree R, Ravi Rohit
Department of Audiology and Speech Language Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Indian J Palliat Care. 2021 Jul-Sep;27(3):431-438. doi: 10.25259/IJPC_135_21. Epub 2021 Oct 21.
Psychosocial adjustments are alterations needed by a person after a life-altering event. The present review explored the psychosocial adjustments after advanced laryngeal cancer treatment. Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PubMed and Scopus were searched. Two hundred and three hits, after the three-stage screening, 13 articles were included. Mixed methods appraisal tool was used to perform the quality appraisal. The findings from 1109 laryngeal cancer survivors and 154 spouses of total laryngectomy patients helped to identify the barriers and coping mechanism toward psychosocial adjustments. The barriers included reactions of spouse or family members, effect of voice, communication and speech intelligibility and work and family relationships. The coping was enhanced with a better awareness, motivation and support system. These findings would help in improving the training programs and enhance the pre- and post-treatment counselling based on the priorities and demands of the patient.
心理社会调适是一个人在经历改变生活的事件后所需要做出的改变。本综述探讨了晚期喉癌治疗后的心理社会调适情况。检索了考克兰图书馆、护理及相关健康文献累积索引、医学期刊数据库和Scopus数据库。经过三阶段筛选，共获得203条结果，纳入了13篇文章。使用混合方法评估工具进行质量评估。对1109名喉癌幸存者和154名全喉切除术患者的配偶的研究结果有助于确定心理社会调适的障碍和应对机制。这些障碍包括配偶或家庭成员的反应、嗓音、沟通和言语清晰度的影响以及工作和家庭关系。通过提高意识、增强动机和完善支持系统可以加强应对。这些研究结果将有助于改进培训项目，并根据患者的优先事项和需求加强治疗前和治疗后的咨询。
