Langius A, Lind M G
Department of Otorhinolaryngology, Karolinska Institute, Stockholm, Sweden.
Eur J Cancer B Oral Oncol. 1995 Jul;31B(4):242-9. doi: 10.1016/0964-1955(95)00021-9.
Patients with oral and pharyngeal cancer often suffer serious functional impairments. To achieve a broader understanding of the patients' situation it is important to include their appraisal of present functioning. There may also be other factors of importance in the evaluation of well-being such as personality and coping. 42 patients with oral and pharyngeal cancer answered the Oral and Pharyngeal Nursing Care Questionnaires 12 months after treatment. The questionnaires contain 25 conditions (grouped as Therapy- or Psychosocial-related Conditions) from three perspectives: perceived severity, received support and received information. Other questionnaires included in the study were the Sense of Coherence Scale, Somatic Anxiety Scale (from the Karolinska Scale of Personality) and Health Index. The patients were classified with regard to the extensiveness of their surgery. Severe disturbances related to therapy were significantly correlated to weaker sense of coherence (r = -0.34), more anxiety (r = 0.31) and to worse feelings about general health (r = -0.37). The corresponding data with regard to severe disturbances related to psychosocial situation were r = -0.44, 0.52 and -0.65, respectively. There was no significant correlation between perceived severity and surgical extensiveness. The support and information concerning Psychosocial-related Conditions were evaluated as less than those concerning Therapy-related Conditions. The level of support and information was not significantly correlated to sense of coherence, anxiety, general health or surgical procedure. The patient's subjective appraisal of the seriousness of the circumstances connected with oral and pharyngeal cancer and its treatment is an important parameter in the care of these patients.
口腔和咽喉癌患者常常遭受严重的功能障碍。为了更全面地了解患者的状况，纳入他们对当前功能的评估很重要。在评估幸福感时，可能还有其他重要因素，如个性和应对方式。42名口腔和咽喉癌患者在治疗12个月后回答了口腔和咽喉护理调查问卷。这些问卷包含从三个角度列出的25种情况（分为与治疗相关或与心理社会相关的情况）：感知严重程度、获得的支持和获得的信息。该研究中纳入的其他问卷有连贯感量表、躯体焦虑量表（来自卡罗林斯卡个性量表）和健康指数。根据手术范围对患者进行了分类。与治疗相关的严重干扰与较弱的连贯感（r = -0.34）、更多焦虑（r = 0.31）以及对总体健康状况的较差感受（r = -0.37）显著相关。与心理社会状况相关的严重干扰的相应数据分别为r = -0.44、0.52和 -0.65。感知严重程度与手术范围之间没有显著相关性。与心理社会相关情况有关的支持和信息的评估低于与治疗相关情况的评估。支持和信息水平与连贯感、焦虑、总体健康或手术程序没有显著相关性。患者对与口腔和咽喉癌及其治疗相关情况严重性的主观评估是这些患者护理中的一个重要参数。
