Body image and quality of life after head and neck cancer surgery
Body image and quality of life after head and neck cancer surgery
复制标题
DOI：
10.1046/j.1523-5394.1999.76006.x
复制
发表时间：
1999-11-01
期刊：
影响因子：
--
通讯作者：
Dropkin, MJ
中科院分区：
文献类型：
--
作者：
Dropkin, MJ
目的：本文的目的是描述的过程中，身体形象的重新整合，因为它涉及到生活质量的手术头和颈部cancer patient.MATERIALS和METHODS：要说明的过程中，身体形象的重新整合后，头和颈部癌症手术，两个主要的研究结果。在第一项研究中，对75名即将接受头颈癌毁容手术的成年人进行了队列样本检查，以确定手术前后的焦虑水平。状态特质焦虑量表在手术前和手术后第4天至第6天进行。在队列样本来源的大型研究中，对117名即将接受毁容手术的成年人进行了调查，以确定应对手术毁容/功能障碍与住院时间之间的关系。在手术前使用应对方式检查表。在两个样本中，通过缺陷/功能障碍量表测量的缺陷/功能障碍和通过应对行为评分测量的术后应对行为均被考虑在内。术后第4 ~ 6天观察患者的自我护理和再社会化行为。结果：在队列研究中，对面部毁容手术的预期与极高的焦虑水平相关。在大样本中，应对有效性降低。手术缺陷的程度从轻度到重度毁容和功能障碍不等。术前应对有效性预测术后应对行为。研究结果显示，身体意象再整合的特征为自我照顾、再社会化及焦虑减少。此外，这些组成部分，当一起考虑，构成同化的手术缺陷到self.CONCLUSION：身体形象的重新整合是至关重要的，随后的生活质量头颈部癌症手术后。当毁容/功能障碍与治疗相关时，生活质量可能会受到深刻的不利影响。研究结果表明，术后自我护理与焦虑水平降低之间存在显著相关性。这一发现的意义是重要的，在手术后的早期护理和出院后的长期随访。
OBJECTIVES: The purpose of this paper is to describe the process of body image reintegration as it relates to quality of life in the surgical head and neck cancer patient.MATERIALS AND METHODS: To illustrate the course of body image reintegration after head and neck cancer surgery, the results of two major studies are presented. In the first study, a cohort sample of 75 adults about to undergo disfigurative surgery for head and neck cancer was examined to determine levels of anxiety before and after the procedure. The State Trait Anxiety Inventory was administered before and after surgery on postoperative days 4 through 6. In the large study, from which the cohort sample was derived, 117 adults about to undergo disfigurative surgery were investigated to determine the relationship between coping with surgical disfigurement/dysfunction and length of hospital stay. The Ways of Coping Checklist was administered before surgery. Disfigurement/dysfunction as measured by the Disfigurement/Dysfunction Scale, and postoperative coping behaviors as measured by the Coping Behaviors Score were accounted for in both samples. Self-care and resocialization behaviors were observed and measured on postoperative days 4 through 6.RESULTS: In the cohort study, anticipation of disfigurative facial surgery was associated with extremely high levels of anxiety. In the large sample, coping effectiveness was diminished. The degree of surgical deficit ranged from mild to severe disfigurement and dysfunction. Preoperative coping effectiveness predicted postoperative coping behavior. It was concluded that body image reintegration was characterized by self-care, resocialization and reduced anxiety. Further, that these components, when taken together, constitute assimilation of the surgical defect into self.CONCLUSION: Body image reintegration is critical to subsequent quality of life after head and neck cancer surgery. When disfigurement/dysfunction is associated with treatment, quality of life may be profoundly and adversely affected. Findings from the studies presented indicate a significant correlation between postoperative self-care and reduction in level of anxiety. The implications of this finding are important to care during the early period after surgery and to long-term follow-up after hospital discharge.