Health behaviors and needs of melanoma survivors.
Health behaviors and needs of melanoma survivors.
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黑色素瘤幸存者的健康行为和需求。
DOI：
10.1007/s00520-014-2286-0
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
Swetter,SusanM
中科院分区：
文献类型：
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作者：
Palesh,Oxana;Aldridge-Gerry,Arianna;Bugos,Kelly;Pickham,David;Chen,JieJane;Greco,Ralph;Swetter,SusanM
PurposeLittle is known about melanoma survivors’ long-term symptoms, sun protection practices, and support needs from health providers.MethodsMelanoma survivors treated at Stanford Cancer Center from 1995 through 2011 were invited to complete a heath needs survey. We compared responses of survivors by sex, education, time since diagnosis (long-term vs. short-term survivors), and extent of treatment received (wide local excision (WLE) alone versus WLE plus additional surgical or medical treatment (WLE+)).ResultsOne hundred sixty melanoma survivors (51 % male; 61 % long-term; 73 % WLE+) provided evaluable data. On average, patients were 62 years of age (SD = 14), highly educated (75 % college degree), and Caucasian (94 %). Overall, participants rated anxiety as the most prevalent symptom (34 %). Seventy percent reported that their health provider did not address their symptoms, and 53 % requested education about melanoma-specific issues. Following treatment, women spent significantly less time seeking a tan compared with men (p= 0.01), had more extremity swelling (p= 0.014), and expressed higher need for additional services (p= 0.03). Long-term survivors decreased their use of tanning beds (p= 0.03) and time spent seeking a tan (p= 0.002) and were less likely to receive skin screening every 3–6 months (p< 0.001) compared with short-term survivors. WLE+ survivors reported greater physical long-term effects than WLE survivors (p≤ 0.001) following treatment.ConclusionsMelanoma survivors experience continuing symptoms long after treatment, namely anxiety, and they express a need for information about long-term melanoma effects, psychosocial support, and prevention of further skin cancer.
