The Eect of Mental Support during
Pre-treatment and Follow-up in Patients
with Head and Neck Cancer Who Visited
for Having Standard Treatment Plan at
Tumor Clinic, Siriraj Hospital
Banjarat Janfag*, Pornchai O-charoenrat**, Paiboon Sureepong***, Peerasak Chortra-
karnkij**, Thanit Hirankhup*, Kanokporn Thamapala*, Tippawan Gerdsuriwong*
*Siriraj Cancer Center, **Department of Surgery, ***Department of Otorhinolaryngology, Faculty of
Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Siriraj Medical Bulletin 2021;14(3) : 14-23
Abstract
Objective: The Effect of Mental Support during Pre-treatment and Follow-up in
Patients with Head and Neck Cancer who visited for having standard treatment plan at
Tumor Clinic, Siriraj Hospital, for identify the cause of treatment rejection and levels of
stress in each patient were assessed before and after the visits.
Methods: To study patients with head and neck cancer, aged between 18-75 years at
the Tumor Clinic, who have the primary treatment plan amount 120 cases that compared
to control group from database of the Tumor Clinic in 2014 amount 120 cases. In the study
group, patients were interviewed by using the Mental Support during Pre-treatment and
Follow-up specically designed questionnaires, stress assessment form and Rosenberg's
self-esteem assessment form. The statistics were analyzed by Student’s t-test, Chi-Square
test and McNemar’s test.
Results: The study group found that 109 (90.8%) of patients received treatment,
meanwhile 11 (9.2%) of patients did not receive treatment, the control group found that
102 (85%) of patients received treatment, meanwhile 18 (15%) of patients did not receive
treatment. By comparing from 2 group, the study found that the number of patients, who
received the treatment was difference but no statistically signicant. The reasons for not
receiving the treatment were fear of the treatment 46%, including, poor physical condition
20%, chosen an alternative medicine 20%, problem of nancial 7% and no caregiver during
the treatment 7%. There was difference but no statistically signicant between the
assessment of stress of patients before and after the examination. The self-esteem was
no difference.
Conclusion: The Effect of Mental Support during Pre-treatment and Follow-up
result in the patients, who received the treatment was difference but no statistically
14 ี่� 14 ฉั่� 3 ก.ค. - ก.ย. 2564
Original Article
15
Siriraj Medical Bulletin
Correspondence to: Tippawan Gerdsuriwong
Email: nungning112@gmail.com
Received: 25 July 2020
Revised: 2 March 2021
Accepted: 5 April 2021
http://dx.doi.org/10.33192/Simedbull.2021.22
signicant. However, the process of patient follow-up induces the patients who receive
care for a better quality of life. Therefore, periodical follow-up made to know and help the
patients to resolve the problem for them. This will result in patients receiving treatment
as planned.
Keywords: preparation process; follow-up; follow the treatment plan; patients with head and
neck cancer
16 ี่� 14 ฉั่� 3 ก.ค. - ก.ย. 2564
Original Article



 
*,  **, ***,  **,
*,  *, *
*สถานิยามะเ็งิิาช, **ภาคิชาัลยาสต์, ***ภาคิชาโสต นาสิก ลาิง์ิยา คณะแพยาสต์
ิิาชพยาาล มหาิยาลัยมหิดล กุงเพมหานค










 









Original Article













3





































































17
Siriraj Medical Bulletin
18 ี่� 14 ฉั่� 3 ก.ค. - ก.ย. 2564
Original Article


















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
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
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
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
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



















19
Siriraj Medical Bulletin























































































20 ี่� 14 ฉั่� 3 ก.ค. - ก.ย. 2564
Original Article
























































































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Siriraj Medical Bulletin




































































































22 ี่� 14 ฉั่� 3 ก.ค. - ก.ย. 2564
Original Article













   p-value
 

     
    

   
  
  

 

  

  
  

 
 

 
 

  
  

  
  
  

23
Siriraj Medical Bulletin

   p-value
   
  

 
 
 3
 3
 
 


   p-value
 
  
  
 
  
  
