Larenks kanseri nedeniyle ameliyat olan hastaların psikolojik semptom dağıımının incelenmesi

Yıl 2007, Cilt: 17 Sayı: 4, 197 - 200, 01.07.2007

Abdullah Taş Recep Yağız Cem Uzun Safiye Giran Memduha Taş Ahmet Karasalihoğlu

Öz

Amaç: Larenks kanseri nedeniyle parsiyel veya totallarenjektomi uygulanan hastaların psikolojik semptomlerı incelendi.Hastalar ve Yöntemler: Total n=41 veya parsiyel n=22 larenjektomi uygulanan 63 hasta çalışmayaalındı. Ayrıca, yaş, cinsiyet ve sosyokültürel durumbakımından olgularla benzer 20 sağlıklı bireydenkontrol grubu oluşturuldu. Hastaların ameliyat sonrası poliklinik takiplerinde, belirti tarama testi olanSCL-90 R Symptom Check List-90 Revised ile psikolojik semptomlarının dağılımları incelendi. Bulgular: SCL-90 R testi ameliyat sonrası ortalama20.6 ayda dağılım 10-86 ay uygulandı. Total larenjektomili hastalarda kontrol grubuna göre, kişiler arası ilişkilerde duyarlılık, depresyon, öfke-düşmanlık,fobik anksiyete ve genel semptom düzeyi skorlarınınanlamlı derecede daha yüksek olduğu görüldü p

Anahtar Kelimeler

Larengeal neoplaziler, larenjektomi, psikolojik testler

Analysis of the psychological symptoms of patients following surgery for laryngeal cancer

Öz

Objectives: We evaluated psychological symptoms of patients who underwent partial or total laryngecto- my for larynx cancer.Patients and Methods: The study included 63patients who undervvent total n=41 or partial n=22 laryngectomy. The control group consisted of 20 healthy individuals with similar gender, age, and sociocultural characteristics. During the postopera- tive follow-up, the psychological symptom distribu- tion of the patients was assessed with the Symptom Check-List-90-Revised SCL-90-R .Results: The SCL-90-R inventory was administered at a mean of 20.6 months range 10 to 86 months post- operatively. Patients with total laryngectomy had signifi- cantly higher scores than the Controls in the subscales of interpersonal sensitivity, depression, anger-hostility, phobic anxiety, and global symptom index p<0.05 .Partial laryngectomy patients exhibited lower scores than total laryngectomy patients, and higher scores than the control group. The only significant difference between partial laryngectomy patients and the control group was in the subscale of anger-hostility p<0.05 .Conclusion: Patients with laryngeal cancer should be given postoperative psychological support to min­ imize adverse effects of total or partial laryngectomy.

Anahtar Kelimeler

Laryngeal neoplasia, laryngectomy, psychologic tests

Kaynakça

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