Published in:
01-09-2019 | Laryngectomy | Original Article
Integrated rehabilitation after total laryngectomy: a pilot trial study
Authors:
Ylenia Longobardi, Vezio Savoia, Francesco Bussu, Luciana Morra, Giorgia Mari, Domenico A. Nesci, Claudio Parrilla, Lucia D’Alatri
Published in:
Supportive Care in Cancer
|
Issue 9/2019
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Abstract
Background
Acquisition and acceptance of the alaryngeal voice, psychological state, and Quality of Life (QoL) of laryngectomized patients.
Methods
Thirty-two patients who underwent total laryngectomy were included in the study; 17 of them were treated by a psychologist and a speech therapist (experimental group); 15 performed only speech therapy (control group).
Results
The experimental group showed a significant improvement in all parameters of the INFVo scale, in the score of the Environment subscale and in the total score of the I-SECEL (Self-Evaluation of Communication Experiences after Laryngeal Cancer); in the Depression, Obsession-Compulsion and Paranoia areas of the SCL-90-R (Symptom Check List-90-Revised); and in the Social area (REL) of the WHOQOL-B (World Health Organization Quality of Life Scale–Brief).
Conclusions
An integrated rehabilitative approach to laryngectomized patients improves emotional state and psychosocial aspects and promotes acceptance and use of the new voice and recovery of a better quality of life.