Correlations among negative emotion, coping style and social support in patients with total laryngectomy

Abstract

Objective To explore the mental state of laryngeal carcinoma patients after total laryngectomy and to analyze its correlations with coping style and social support. Methods From January 2017 to October 2017, we selected 36 laryngeal carcinoma patients with total laryngectomy in otolaryngology dead and neck surgery at Beijing Tongren Hospital, Capital Medical University as subjects by convenience sampling. All of the patients were investigated with the Self-rating Depression Scale (SDS) , Self-rating Anxiety Scale (SAS) , Medical Coping Modes Questionnaire (MCMQ) and Social Support Rating Scale (SSRS) . A total of 36 questionnaires were sent out and 34 of them were collected. Results Among 34 patients, the total scores of SAS and SDS were (45.38±10.27) and (50.32±11.82) respectively. The score of coping style of patients after total laryngectomy was higher than that of norm with a statistical difference (P<0.05) . Pearson correlation analysis showed that SAS and SDS were negatively correlated with the total score of social support (P<0.05) ; SAS and SDS were positively correlated with the confrontation dimension of coping style (P<0.05) , and were negatively correlated with the avoidance dimension (P<0.05) . Conclusions After total laryngectomy, patients are with high levela of anxiety and depression. Medical staff should guide patients to take correct coping styles after surgery to face diseases, and improve patients' social support to relieve patients' negative emotions and total laryngectomy, and to promote the rehabilitation of diseases. Key words: Laryngeal neoplasms; Total laryngectomy; Coping style; Social support; Emotions