Shame and Stigma Over Long-Term Survival in Postoperative Cases of Head and Neck Cancer.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2024-10-01 Epub Date: 2023-05-14 DOI:10.1007/s12663-023-01931-6

Atul Kumar Goyal, Jaimanti Bakshi, Naresh K Panda, Rakesh Kapoor, Dharam Vir, Krishan Kumar, Pankaj Aneja

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引用次数: 0

Abstract

Background: Surgical excision of the tumor remains the primary choice for the treatment of head and neck cancer patients, but it often leads to facial disfigurement, which further causes mutilation in the patients. Mutilation causes shame and stigma, which imparts significant psychological strain on patients, and tends to impair their quality of life.

Objective: The present study aimed to assess the shame and stigma over long-term postoperative survival duration in head and neck cancer patients.

Methodology: Total 100 postoperative patients of head and neck cancer were recruited from the outpatient department of the host institute, and shame and stigma was assessed using the Hindi version of the shame and stigma scale.

Results: The global shame and stigma score was 22.67 ± 16.22, with the highest perceived stigma due to changes in appearance (11.94 ± 8.805), followed by impaired speech (4.490 ± 3.243), feeling of regret (3.950 ± 3.313), and feeling of stigma (4.490 ± 3.243). The shame and stigma was found to be significantly higher in maxillary cancer patients (33.22 ± 16.60), followed by larynx cancer patients (22.06 ± 13.41) and oral cancer patients (21.53 ± 16.49). Patients with stage III and stage IV of cancer were found to perceive higher shame and stigma (35.91 ± 22.23 and 27.36 ± 14.71, respectively) compared to the patients having stage I and stage II cancer (9.583 ± 9.709 and 16.44 ± 11.82, respectively). A significantly declining linear trend was found between shame and stigma and postoperative survival duration.

Conclusion: We concluded that shame and stigma act as important determinants of quality of life over long-term survival in head and neck cancer patients, and should be considered while designing psychological interventions and surgical reconstruction protocols. The present study will help clinicians to assess the mutilation among head and neck cancer patients in a better way and will help in devising new psychological strategies to manage psychological aspects associated with mutilation, which will ultimately enhance the quality of life of patients.

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头颈癌术后患者的羞耻感和耻辱感对长期生存的影响

背景：手术切除肿瘤仍是治疗头颈部癌症患者的主要选择，但往往会导致面部毁容，进一步造成患者残缺。毁容会给患者带来羞耻感和耻辱感，给患者造成巨大的心理压力，往往会影响他们的生活质量：本研究旨在评估头颈部癌症患者术后长期存活期间的羞耻感和耻辱感：从主办研究所的门诊部共招募 100 名头颈部癌症术后患者，使用印地语版羞耻感和耻辱感量表对其羞耻感和耻辱感进行评估：总体羞耻感和耻辱感得分为（22.67 ± 16.22）分，其中因外貌改变而产生的耻辱感最高（11.94 ± 8.805），其次是言语障碍（4.490 ± 3.243）、遗憾感（3.950 ± 3.313）和耻辱感（4.490 ± 3.243）。上颌骨癌患者的羞耻感和耻辱感明显较高（33.22 ± 16.60），其次是喉癌患者（22.06 ± 13.41）和口腔癌患者（21.53 ± 16.49）。与 I 期和 II 期癌症患者（分别为 9.583 ± 9.709 和 16.44 ± 11.82）相比，III 期和 IV 期癌症患者的羞耻感和耻辱感更高（分别为 35.91 ± 22.23 和 27.36 ± 14.71）。羞耻感和耻辱感与术后生存期之间呈明显的线性下降趋势：我们得出结论：羞耻感和耻辱感是影响头颈部癌症患者长期生存的生活质量的重要决定因素，在设计心理干预和手术重建方案时应加以考虑。本研究将有助于临床医生更好地评估头颈部癌症患者的残割情况，并有助于制定新的心理策略来管理与残割相关的心理问题，最终提高患者的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.