Relation between Anxiety and Depression and Personal Attributes or Difficulties in Daily Life in Patients after Total Laryngectomy

Noriko Teruya; Yoko Sunagawa; Takehiko Toyosato; Haru Iha; Masayoshi Chinen; Yasutaka Kimura; Takao Yokota

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Relation between Anxiety and Depression and Personal Attributes or Difficulties in Daily Life in Patients after Total Laryngectomy

VernacularTitle:Relation between Anxiety and Depression and Personal Attributes or Difficulties in Daily Life in Patients after Total Laryngectomy
Author: Noriko TERUYA ¹ ; Yoko SUNAGAWA ¹ ; Takehiko TOYOSATO ¹ ; Haru IHA ² ; Masayoshi CHINEN ³ ; Yasutaka KIMURA ⁴ ; Takao YOKOTA ¹
Author Information

1. School of Health Sciences, Faculty of Medicine, University of the Ryukyus
2. Department of Nursing, University of the Ryukyus Hospital
3. Department of Nursing, Shizuoka Cancer Center
4. Department of Nursing, Faculty of Human Health Sciences, Meio University
Keywords: patients after total laryngectomy; anxiety and depression; difficulties in daily life
From:Palliative Care Research 2018;13(1):49-56
CountryJapan
Language:Japanese
Abstract: Objective: This study aimed to reveal the relationship between anxiety and depression and personal attributes or difficulties in daily life in patients after total laryngectomy. Methods: An anonymous questionnaire was mailed to 135 members of a self-help patient group. The questionnaire included the following items: personal attributes, difficulties in daily life, and anxiety and depression (according to the Nottingham Adjustment Scale-Japanese Laryngectomy Version). Multiple regression analysis was conducted with anxiety-depression score as the dependent variable and personal attributes and difficulties in daily life as independent variables. Results: Among the 57 patient respondents, 43 provided valid answers and were selected for analysis (valid response rate: 36.8%, 41 men and 2 women, mean age: 67.5±10.6 years). Results revealed that presence of anxiety and depression were significantly associated with patient age (β=−0.369, p=0.004) and difficulties pertaining to speech/performance during outings and engaging in hobbies (β=0.419, p=0.002). Conclusions: Our findings indicate that there is an increased risk of anxiety and depression in patients are young or middle aged and have difficulties in outings and engaging hobbies. Therefore, in clinical practice, nurses should carefully assess the mental state and difficulties in daily life in these patients after total laryngectomy. Moreover, nurses should continuously provide psychosocial support to patients and their families in order to help patients prevent psychological problems even after they are discharged from hospital.