Sun protection and sunscreen use after surgical treatment of basal cell carcinoma
Sun protection and sunscreen use after surgical treatment of basal cell carcinoma
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基底细胞癌手术治疗后的防晒和防晒霜的使用
DOI：
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发表时间：
1995
期刊：
影响因子：
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通讯作者：
R. Friedman‐Birnbaum
中科院分区：
文献类型：
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作者：
Yoram Harth;Y. Ulman;I. Peled;R. Friedman‐Birnbaum
63名接受基底细胞癌（BCC）治疗的患者（平均年龄54± 9岁）和54名对照受试者（平均年龄51± 11岁）填写了关于其阳光暴露和防晒习惯的详细问卷。患者在皮肤肿瘤切除后至少1年接受问卷调查。患者和对照组在平均年龄、性别、菲茨帕特里克皮肤类型、眼睛和头发颜色方面的差异无统计学意义。患者和对照组的受教育程度均较高（平均13.4± 3.1学年）。教育程度的差异在统计学上不显著。我们发现，患者和对照组都了解防晒霜在预防皮肤肿瘤（分别为79%和83%）和预防阳光诱导衰老（分别为90%和85%）方面的作用。与对照组（36%）相比，更多的患者定期使用防晒霜（64%）。然而，我们的数据显示，以前接受BCC治疗的患者和对照组的阳光照射习惯之间没有统计学显著差异。此外，我们发现，尽管82%的患者声称他们试图避免阳光照射，但只有49%的患者在夏天经常戴帽子或穿长袖衬衫（19%）。62%的患者每年使用两瓶或更少的防晒霜，这不足以提供有效的全年防晒保护。此外，我们发现许多患者和对照组一样，每天只涂一次防晒霜（分别为57%和46%），游泳后不重新涂防晒霜（分别为58%和74%），冬天不使用防晒霜（49%和61%）。我们的数据显示，虽然BCC去除后的患者与对照组相比有显着更高的防晒霜使用，但应用的量和方法不足。此外，其他更简单的方法，以防止光损伤，如简单的避免阳光或使用防护服，往往被忽视。
Sixty‐three patients (mean age 54± 9 years) who were treated for a basal cell carcinoma (BCC) and 54 control subjects (mean age 51± 11 years) filled out detailed questionnaires on their sun exposure and sun protection habits. Patients were given the questionnaires at least 1 year after their skin tumors had been excised. Differences between patients and controls in mean age, gender, Fitzpatrick's skin type and eye and hair color were statistically nonsignificant. The level of education was high in both patients and controls (mean of 13.4± 3.1 school years). Differences in education were statistically nonsignificant. We found that both patients and controls were knowledgeable about the role of sunscreens in preventing skin tumors (79% and 83% respectively) and in preventing sun‐induced aging (90% and 85% respectively). Significantly more patients used sunscreens regularly (64%) compared with controls (36%). Nevertheless, our data show no statistically significant differences between the sun exposure habits of the patients previously treated for BCC and controls. Moreover, we found that, although 82% of the patients declared that they tried to avoid sun, only 49% regularly wore hats or shirts with long sleeves in the summer (19%). Sixty‐two percent of the patients used two or fewer bottles of sunscreens per year, which is inadequate for effective year‐round sun protection. In addition, we found that many patients, as well as the controls, applied sunscreens only once a day (57% and 46% respectively), did not reapply after swimming (58%, 74% respectively), and did not use sunscreens in the winter (49%, 61%). Our data show that, although patients after BCC removal have a significantly higher sunscreen use compared with controls, the amount and methods of application are less than adequate. Moreover, other simpler methods to prevent photodamage, such as simple sun avoidance or the use of protective clothing, are often neglected.