title: Limits on quality of life in communication after total laryngectomy.
abstract: BACKGROUND
  Among people affected by cancer, the impairment of quality of life of people affected by cancer can cause have devastating effects. The self-image of patients after post-laryngectomyzed patients may be find themselves compromised, affecting the quality of life in this population.
  
  
  OBJECTIVE
  To characterize quality of life in related to communication in people who have undergone went total laryngectomy surgery.
  
  
  METHODS
  This is an observational study, with a cross-sectional and descriptive series. Design of series study. The sample were comprised 15 patients interviewed the period from January to February of 2011. We used the Quality Protocol for Life Communication in Post-laryngectomy adapted from Bertocello (2004); which this questionnaire contains 55 questions. The protocol was organized from the nature of using responses classified as positive and negative aspects, proposals in with respect to five 5 communication domains: family relationships, social relationships, personal analysis; morphofunctional aspect, and use of writing. To promote and guarantee the autonomy of the respondents, was examiners made use of used assistive technology with the Visual Response Scale.
  
  
  RESULTS
  The responses that total laryngectomy compromises the quality of life in communication amounted to 463 occurrences (65.7%), and that who responses suggesting good quality of life were represented with amounted to 242 occurrences (34.3%), from a total of 705 occurrencesresponses. From Among the five 5 Communication domains, four 4 had percentages of above 63% for occurrences of negative content for impact on communication. Appearance Morphofunctional appearance gave the had the highest percentage of negative content, amounting to 77.3% of cases.
  
  
  CONCLUSIONS
  The results showed important limitations of a personal and social nature due to poor communication with their peers. Thus, there is a need for multidisciplinary interventions that aim to minimize the entrapment of negative impact on these people communication among these patients.
authors.affiliation: Doctor in course in Linguistics. Federal University of Paraíba - (Assistant Professor in Speech Therapy).
authors.forename: Adriana Di Donato
authors.initials: AD
authors.lastname: Chaves
authors.affiliation: Doctor in course in Public Health Federal University of Rio Grande do Norte - (Assistant Professor in Speech Therapy).
authors.forename: Leandro de Araújo
authors.initials: Lde A
authors.lastname: Pernambuco
authors.affiliation: Doctor in course in Neuropsychiatry and Behavioral Sciences Federal University of Pernambuco - (Speech Therapy).
authors.forename: Patrícia Maria Mendes
authors.initials: PM
authors.lastname: Balata
authors.affiliation: Master in Biometrics -Federal Rural University of Pernambuco - (Assistant Professor in Statistics).
authors.forename: Veridiana da Silva
authors.initials: Vda S
authors.lastname: Santos
authors.affiliation: Speech Therapy. Federal University of Pernambuco - (Speech Therapy).
authors.forename: Leilane Maria
authors.initials: LM
authors.lastname: de Lima
authors.affiliation: Specialized Center in Speech Therapy - Redentor College - (Speech Therapy).
authors.forename: Síntia Ribeiro
authors.initials: SR
authors.lastname: de Souza
authors.affiliation: PhD in Nutrition -. Federal University of Pernambuco - (Adjunct Professor 2).
authors.forename: Hilton Justino
authors.initials: HJ
authors.lastname: da Silva
keywords: communication; laryngectomy; protocols; quality of life