gms | German Medical Science

80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

20.05. - 24.05.2009, Rostock

The patient with a tracheostoma-psychosocial experience of stress

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno038

DOI: 10.3205/09hno038, URN: urn:nbn:de:0183-09hno0386

Veröffentlicht: 22. Juli 2009

© 2009 Müller et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: In literature focus is mostly drawn to indication, procedure of surgery and complications of tracheotomy. Thus aim of the present investigation was the presentation of the psychosocial burden and medical care of patients with a tracheostoma.

Material and methods: 71 patients were surveyed by answering questionnaires about their tracheostoma, quality of life, anxiety and depression, disease processing.

Results: Patients with tracheostoma exhibited a decreased quality of life. The mental burden caused by the tracheostoma was rated as moderate. Half of the patients needed assistance taking care of the tracheostoma. 38 percent do not approve the tracheostoma. They show a higher level of symptoms of anxiety and depression. Patients, having a medical contact relate processed illness significantly more positively than patients missing such a contact.

Conclusions: Patients with tracheostoma should be provided with a fenestrated tracheostomy tube allowing speech, should be encouraged to self-care of the tracheostoma and have a contact to turn to. For best outpatient care of these patients efficient medical teamwork between patient, physician, psychologist, speech therapist, nurses as well as relatives is necessary.