Social support and substitute voice acquisition on psychological adjustment among patients after laryngectomy

被引:11
作者
Kotake, Kumiko [1 ]
Suzukamo, Yoshimi [2 ]
Kai, Ichiro [1 ,3 ,4 ]
Iwanaga, Kazuyo [1 ,5 ]
Takahashi, Aya [1 ,6 ]
机构
[1] Nara Med Univ, Fac Nursing, 840 Shijou Cho, Kashihara, Nara 6348521, Japan
[2] Tohoku Univ, Phys Med & Rehabil, Sch Med, Sendai, Tohoku, Japan
[3] Univ Tokyo, Grad Sch Med, Tokyo, Japan
[4] Univ Tokyo, Fac Med, Tokyo, Japan
[5] Fukuoka Univ, Sch Nursing, Fac Med, Fukuoka, Japan
[6] Saitama Prefectural Univ, Dept Nursing, Saitama, Japan
基金
日本学术振兴会;
关键词
Social support; Substitute voice acquisition; Psychological adjustment; Laryngectomy; QUALITY-OF-LIFE; REHABILITATION; CANCER;
D O I
10.1007/s00405-016-4310-0
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The objective is to clarify whether social support and acquisition of alternative voice enhance the psychological adjustment of laryngectomized patients and which part of the psychological adjustment structure would be influenced by social support. We contacted 1445 patients enrolled in a patient association using mail surveys and 679 patients agreed to participate in the study. The survey items included age, sex, occupation, post-surgery duration, communication method, psychological adjustment (by the Nottingham Adjustment Scale Japanese Laryngectomy Version: NAS-J-L), and the formal support (by Hospital Patient Satisfaction Questionnaire-25: HPSQ-25). Social support and communication methods were added to the three-tier structural model of psychological adjustment shown in our previous study, and a covariance structure analysis was conducted. Formal/informal supports and acquisition of alternative voice influence only the "recognition of oneself as voluntary agent", the first tier of the three-tier structure of psychological adjustment. The results suggest that social support and acquisition of alternative voice may enhance the recognition of oneself as voluntary agent and promote the psychological adjustment.
引用
收藏
页码:1557 / 1565
页数:9
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