外科ジャーナル

Quality of Life of Laryngeal Carcinoma Patients After Total Laryngectomy

Abstract

Achmad Prihadianto, Yussy Afriani Dewi and Agung Dinasti Permana

Background: Management of laryngeal carcinoma has been widely developed, either by surgery, radiotherapy, and/or chemotherapy. The treatment has a major impact on physical, social, and psychological health that can change the quality of life of patients.

Objective: The purpose of this study to determine the quality of life of laryngeal carcinoma patients after total laryngectomy at Hasan Sadikin General Hospital, Bandung.

Methods: We are using descriptive research methods. Research data is primary data taken through interviewed using Short Form 36 (SF-36) Study Questionnaire and the European Organization for Research and Treatment of Cancer Head and Neck Cancer Quality of Life Questionnaire (EORTC QLQ-H and N35) to patients post total laryngectomy that came to the Ear, Nose, Throat, Head and Neck Surgery Division at Hasan Sadikin General Hospital, Bandung.

Result: This study was taken form 23 subjects with a total of 19 men (82.61%) and 4 women (17,39%), patients are generally 56-65 year old as many as 15 subjects (65.22%) and the most recent high school education as many as 16 subjects (69, 57%). The average value of the quality of life of SF-36 physical components was 87.55 ± 2.35 and mental components were 85.35 ± 3.92. The highest average quality of life of EORTC QLQ-H and N35 on the speech problem scale was 51.69 ± 6.36 and the lowest on the feeding hose scale was 0.00 ± 0.00.

Conclusion: The quality of life of laryngeal carcinoma patients after total laryngectomy on the SF-36 questionnaire is generally good and EORTC QLQ-H and N35 has problems with speech.