Psychosocial effects of a skin camouflage program in female survivors with head and neck cancer: A randomized controlled trial

Psychosocial effects of a skin camouflage program in female survivors with head and neck cancer: A randomized controlled trial
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DOI:
10.1002/pon.4308
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发表时间:
2017-09-01
期刊:
影响因子:
3.6
通讯作者:
Lai, Yeur-Hur
Lai, Yeur-Hur
中科院分区:
医学2区
文献类型:
--
作者:
Chen, Shu-Ching;Huang, Bing-Shen;Lai, Yeur-Hur

文献摘要

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本研究的目的是评估皮肤伪装程序对女性头颈癌(HNC)survivor.MethodsA前瞻性,重复测量,随机对照治疗干预设计的毁容,自尊,社会交往和身体形象的影响。共有66名参与者被随机分配到每组,其中实验组32人,对照组34人。实验组接受4次皮肤伪装程序,对照组接受常规护理。患者进行了评估,在3个时间点:基线评估(T0),然后在1,2,3个月(T1,T2,T3,分别)后,在皮肤伪装programme.ResultsPatients在实验组中有显着减少面部毁容,抑郁症,恐惧的社会交往,焦虑的社会交往与那些在对照组相比。两组的参与者在最后的测试后评估中的面部毁容、抑郁、社交恐惧、社交焦虑和身体形象的水平显著低于测试前评估。有没有组之间和组内的差异,就self-esteem.ConclusionsThe 3个月的皮肤伪装程序有效地改善了面部毁容,恐惧的社会交往,焦虑的社会交往,和身体形象的女性HNC幸存者。生存护理计划应包括皮肤伪装计划,以改善HNC治疗后的身体形象感知和减少焦虑。
ObjectiveThe purpose of this study was to evaluate the effects of a skin camouflage program on disfigurement, self-esteem, social interaction, and body image in female head and neck cancer (HNC) survivors.MethodsA prospective, repeated-measures, randomized controlled therapeutic intervention design was used. A total of 66 participants were randomly assigned to each group, with 32 in the experimental group and 34 in the control group. The experimental group received a 4-session skin camouflage program, and the control group received routine care. Patients were assessed at 3 time points: baseline assessment (T0) and then at 1, 2, and 3months (T1, T2, and T3, respectively) after participating in the skin camouflage program.ResultsPatients in the experimental group had significantly less facial disfigurement, depression, fear of social interaction, and anxiety regarding social interaction compared with those in the control group. Participants in both groups had significantly lower levels of facial disfigurement, depression, fear of social interaction, anxiety of social interaction, and body image at the final posttest assessment than at the pretest assessment. There were no differences between the groups and within groups with respect to self-esteem.ConclusionsThe 3-month skin camouflage program effectively improved facial disfigurement, fear of social interaction, anxiety of social interaction, and body image of female HNC survivors. A survival care plan should include a skin camouflage program to improve body image perception and decrease anxiety after treatment of HNC.