Level of anxiety versus self-care in the preoperative and postoperative periods of total laryngectomy patients

Abstract

Objective: estimate the prevalence of anxiety in laryngectomy patients in the pre and postoperative periods and its relation with the self-care level. Method: observational research of 40 patients with stage IV laryngeal cancer. Three observations took place: in the preoperative phase, at seven and at 14 days after the surgery; between June 2010 and December 2012. Two self-care levels were defined: self-sufficient and needing help for activities of daily living and treatment-related activities. To assess the anxiety levels, Zigmond's hospital anxiety scale (1983) was used. Results: in the preoperative and postoperative phases, the patients presented high levels of anxiety. Concerning self-care, on average, self-sufficient patients presented lower levels of anxiety than patients who needed help to accomplish activities of daily living and activities deriving from the surgery, without significant differences. Conclusion: anxiety is present at all times in laryngectomy patients and the reduction of the self-care deficit seems to decrease it, without putting a permanent end to it.

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

“…Anxiety and stress can affect a person's ability to concentrate and respond appropriately (Almonacid, Ramos, & Rodríguez-Borrego, 2016). There is evidence that different forms of psychological and behavioural stress hinder wound healing based on hormonal disruptions and other impairments to physiologic processes (Gouin & Kiecolt-Glaser, 2012).…”

Diagnostic labels of NANDA-I in a southern region of Spain

“…The anxiety label refers to a situation in which the person experiences a vague and uneasy feeling of discomfort or threat, accompanied by an autonomous response (often the origin of this feeling is unspecific or unknown to the person); it is a warning sign that indicates an imminent danger and allows the person to take action to face the threat 8 . …”

Investigación bibliográfica sobre la atención de enfermería en la laringectomía total

“…Formación del personal de enfermería [12][13][14][15][16][17] Educación para la salud [17][18][19][20][21] Cuidados de la herida quirúrgica y del estoma [22][23][24][25] Comunicación y rehabilitación de la voz [22,26,27] Nutrición enteral y alimentación oral [22,[28][29][30][31] Humidificación [32,33] Formación del personal de enfermería En general, cuando no es habitual tratar a pacientes laringectomizados, los conocimientos sobre los cuidados apropiados son pobres [12]. Para que la asistencia ofrecida por el personal de enfermería sea la más adecuada, la literatura describe que las formas más eficaces de mejorarla son mediante la estandarización de estos cuidados [13] y la valoración continua y la individualización de los planes de cuidados [14].…”

“…Para que todo el trabajo realizado durante la estancia hospitalaria no sea en vano y los pacientes puedan seguir mejorando su calidad de vida y no tengan riesgo de sufrir complicaciones a largo plazo, hay evidencia de que comenzar a ofrecer información antes de la intervención quirúrgica reduce considerablemente la ansiedad, influyendo de forma directa y positiva en el nivel de autocuidados [17,18]. La educación sobre las formas en las que deberán realizarse la higiene del estoma, la nutrición, la rehabilitación de la voz y los nuevos hábitos de vida saludable una vez practicada la laringectomía es importante que comience durante la estancia hospitalaria para que los pacientes puedan valerse por sí mismos o sus familiares.…”