The functioning of the patient in the mental aspect and interpersonal relationship after Laryngectomy Surgery
DOI:
https://doi.org/10.12775/JEHS.2020.10.09.056Keywords
Total laryngectomy, laryngeal neoplasms, voice rehabilitation, larynx, interpersonal relations, quality of lifAbstract
Introduction. The most radical way to get rid of the cancer of the larynx is total laryngectomy. Laryngectomy involves the complete removal of the voice organ, which is the larynx, as a result of extensive laryngeal cancer categorized according to the TMN classification as T3 and T4, so this is a social problem that needs attention and should be taken into account in scientific research.
Goal. Assessment of the results of the functioning of people after laryngectomy in the patient's psyche and interpersonal relations.
Material and methods. A literature review was made using PubMed, Google Scholar databases based on keywords.
Results. On the percentage scale, the highest results achieved for patients without function, 63% reported physiological tests of depression, and 26% revealed mental disorders. Patients may also have anxiety disorder, phobias, panic disorder, and anxiety concentration syndromes that are able to manifest themselves in the results of stress levels. Women demonstrate that more often than men, lower initial values as a result of laryngectomy mutilation, and because of the results in the use analysis, they use substitute speech, which may sound like a male voice.
When it comes to data related to the age of users, younger users (under 65 years of age) are more likely to solve mental problems. Low income, unemployment, lack of a permanent job associated with an increased risk of depression or mental treatment.
Conclusions. In patients with laryngectomy after larynx cancer, they include a significant reduction in quality of life, an increase in depressive reactions, and communication difficulties in a larger group of people. This is a significant social problem that requires research.
References
Cieślak K., Golusiński W. Wegner A. Zagozda M. Kuśnierkiewicz M.: Psychospołeczne konsekwencje laryngektomii [Psychosocial consequences of laryngectomy], Otorynolaryngology 2017, 16(2): 58-61.
Humeniuk E. Wolańska K. Zbigniew Tarkowski Z.:Factors influencing mental adaptation to the disease of patients after laryngectomy, Department of Pathology and Speech Rehabilitation, Medical University of Lublin, Otorynolaryngology 2016, 15(3).
Lipiec D.: Zrozumiałość mowy przełykowej – doniesienia z badań własnych [The intelligibility of esophageal speech - reports from own research], "Speech therapy" 2009,1(7):32-46.
Hamerlińska A.:Udział w terapii logopedycznej przejawem motywacji wobec zmagań z niepełnosprawnością na przykładzie osób po laryngektomii całkowitej [Participation in speech therapy as a manifestation of motivation towards the struggle with disability on the example of people after total laryngectomy], Faculty of Pedagogical Sciences, Nicolaus Copernicus University in Toruń, 2018.
Sinkiewicz A. Owczarek H. Winiarski P. Mackiewicz-Nartowicz H.: Rehabilitacja głosu i mowy po laryngektomii całkowitej [Voice and speech rehabilitation after total laryngectomy], Bydgoszcz Laryngectomy Association, Bydgoszcz, 2009, p. 63-65.
Kuśnierewicz M.: Zaburzenie procesu komunikacji i ich wpływ na funkcjonowanie emocjonalne osób po operacjach onkologicznych w obrębie głowy i szyi [Disruption of the communication process and their impact on the emotional functioning of people after oncological operations in the area of the head and neck]. Conference materials, Conference "Modern physiotherapy in head and neck cancers", Poznań 21.01.2011.
de Walden-Gałuszko K.: Psychoonkologia w praktyce klinicznej [Psycho-oncology in clinical practice]. PZWL Medical Publishing, Warsaw, 2011.
Ossowski R.: Psychologiczne problemy osób po laryngektomii całkowitej. Pacjent po operacji krtani. [Psychological problems of people after total laryngectomy. Patient after laryngeal surgery]. Sinkiewicz A. (ed.), Bydgoszcz Laryngectomy Association, Bydgoszcz, 2009, p. 131–142.
Motsch HJ. Veränderungen im Leben Laryngektomierten – an empirical study. [Repairing laryngectomized patients in life - an empirical study] Rehabilitation [Stuttg.] 1980; 19: 193–199.
Studzińska K. Obrębowski A. Wiskirska-Woźnica B. Obrębowska Z.: Problemy psychologiczne w rehabilitacji chorych po operacjach całkowitego usunięcia krtani. [Psychological problems in rehabilitation of patients after total laryngectomy]. Pol Review of Otorhinolaryngol Vol 1, No 2, April-June 2012, p. 124.
Bussian C. Wollbruck D. Danker H. Herrmann E. Thiele A. Dietz A. et al.: Mental health after laryngectomy and partial laryngectomy: a comparative study. Eur Arch Otorhinolaryngol 2010, 267(2): 261-6.
Pruszewicz A. Gąsiorek J. Obrębowski A. Czerwiński A .: Znaczenie rehabilitacji psychicznej w procesie wykształcania mowy zastępczej u laryngektomowanych. [The importance of mental rehabilitation in the process of developing replacement speech in laryngectomized patients]. Otolaryng Pol 1979.
Offermann MPJ. Pruyn JFA. de Boer MF. Busschbach JJ. Baattenburg de Jong RJ: Psychosocial cosequences for patients after total laryngectomy and for the relationship between patients and partners. Oral Oncology 2015; 51(4): 389-98.
Sinkiewicz A. Przybyszewska J.: Życie codzienne po laryngektomii całkowitej [Everyday life after total laryngectomy], (ed.), Bydgoszcz Laryngectomy Association, Bydgoszcz, 2009, 153.
Cox SR. Theurer JA. Spaulding SJ. Doyle PC.: The multidimensional impact of total laryngectomy on women. J Commun Disord 2015; 56: 59-75.
Machnik-Czerwik A .: Funkcjonowanie na płaszczyźnie psychofizycznej a jakość życia chorych onkologicznie [Psychophysical functioning and the quality of life of oncological patients], Psychoonkologia 2010, 2: 55–59.
Nalbadian M. Nikolaou A. Nikolaidis V. Petridis D. Themelis C. Daniilidis I.: Factors Influencing quality of life in laryngectomized patients [Factors Influencing quality of life in laryngectomized patients]. Eur Arch Otorhinolaryngol 2001; 258(7): 336-40.
Giordano L. Toma S. Teggi R. Palonta F. Ferrario F. Bondi S. et al.: Satisfaction and quality of life in laryngectomees after voice prosthesis rehabilitation. Folia Phoniatr Logop 2011; 63(5): 231-6.
Juczyński Z .: Narzędzia pomiaru w promocji i psychologii zdrowia [Measurement tools in health promotion and psychology]. Psychological Test Laboratory of the Polish Psychological Association, Warsaw 2001: 160-79.
Greer S. Morris T. Pettingale K.: Psychological response to breast cancer: effect on outcome. Lancet 1979, 2(8146): 785-7.
Sharma D. Nagarkar AN. Jindal P. Kaur R. Gupta AK.: Personality changes and the role of counseling in the rehabilitation of patients with laryngeal cancer. Ear Nose Throat J 2008, 87(8): E5.
Humeniuk E. Wolańska K. Tarkowski Z .: Czynniki wpływające na przystosowanie psychiczne do choroby pacjentów po laryngektomii [Factors influencing mental adaptation to the disease of patients after laryngectomy]. Department of Pathology and Speech Rehabilitation, Medical University of Lublin, Otorhinolaryngology 2016, 15 (3): 117-123.
Sinkiewicz A, Przybyszewska J: Życie codzienne po laryngektomii całkowitej, ”Pacjent po operacji krtani” [Everyday life after total laryngectomy, "Patient after laryngectomy”], Bydgoszcz Laryngectomy Association, 2009: 153-164.
Studzińska K, Obrębowski A, Wiskirska-Woźnica B, Obrębowska Z: Problemy psychologiczne w rehabilitacji chorych po operacjach całkowitego usunięcia krtani [Psychological problems in rehabilitation of patients after total laryngectomy], Pol. Review of Otorhinolaryngol 2012; 2 (1): 124-128.
Kozłowska M,: Kształcenie artykulacji po laryngektomii całkowitej [Education of articulation after total laryngectomy], "Speech therapy" 2015 (43-44): 189-198, Lublin
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