Holley B
Prog Clin Biol Res. 1983;121:215-25.
The laryngectomee patient faces many of the same psychological, social and physical problems as the elderly. Many laryngectomees are among the elderly, and their disabilities compound their problems. They are faced with role adjustments associated with retirement and changes in family roles. Counseling for the elderly and for the laryngectomee is equally important for they too have not prepared for their new role in life. Many of the elderly need help adjusting to the crises they face as well as the laryngectomee patient. It would appear from this study that early counseling motivation and positive psychosocial experience strongly influence the desire to communicate, even among the more severely impaired individuals and among the older patients. True, each did not obtain the more desirable method of speech, "esophageal speech", but each was able to communicate orally, along with non-verbal and gesture skills. Those who work with the laryngectomee as well as the elderly should prepare for this important work. More research should be obtained and utilized in each agency that works with this population.
喉切除患者面临着许多与老年人相同的心理、社会和身体问题。许多喉切除患者是老年人，他们的残疾使问题更加复杂。他们面临着与退休以及家庭角色变化相关的角色调整。为老年人和喉切除患者提供咨询同样重要，因为他们也没有为生活中的新角色做好准备。许多老年人以及喉切除患者在适应他们所面临的危机方面需要帮助。从这项研究来看，早期的咨询动机和积极的社会心理体验会强烈影响交流的意愿，即使在受损更严重的个体和老年患者中也是如此。诚然，每个人都没有获得更理想的发声方法，即“食管发声”，但每个人都能够通过口头交流，同时运用非语言和手势技巧。与喉切除患者以及老年人打交道的人应该为这项重要工作做好准备。每个与这一群体打交道的机构都应该进行并利用更多的研究。
