Effects of the appearance care program for breast cancer patients receiving chemotherapy: A mixed method study
Effects of the appearance care program for breast cancer patients receiving chemotherapy: A mixed method study
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外观护理计划对接受化疗的乳腺癌患者的影响：一项混合方法研究
DOI：
10.1002/cnr2.1242
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发表时间：
2020
期刊：
影响因子：
1.7
通讯作者：
Kamibeppu Kiyoko
中科院分区：
文献类型：
--
作者：
Ikeda Mari;Tamai Nao;Kanai Hisako;Osaka Misato;Kondo Kazuko;Yamazaki Takako;Sanada Hiromi;Kamibeppu Kiyoko
背景乳腺癌的治疗需要手术，通常随后进行化疗。脱发是一种主要的、难以治疗的副作用，对外观有潜在的深远影响。我们开发了一个护士促进程序针对外观相关symptoms.AimsThis研究探讨了外观护理程序对生活质量（QOL）的影响。该计划分为三个部分，每个部分都涉及个人对外观问题的思考，皮肤护理和化妆技巧的简短讲座以及小组讨论。方法和结果参加外观护理计划的72名女性被邀请参加。我们采用了定量和定性方法相结合的混合方法设计。在第一次和最后一次会议以及一个月的随访中，使用QOL工具来测量该计划的效果。定性数据以开放式记录的形式收集，内容涉及参与者在最后一次会议和一个月随访时对该计划的看法。57名女性完成了所有三个疗程。其中55人参加了这项研究。他们的平均年龄为46.4岁; 39人（70.9%）有伴侣，34人（61.8%）有孩子。大多数参与者在项目后一个月出现脱发;然而，参加该项目后，癌症特异性QOL有所改善。患者疲劳和虚弱的经历可以解释身体健康状况下降的观察结果。在该计划实施后1个月，情绪健康继续增加，而社会和功能健康则保持一致。参与者感到授权的信息护肤和美容技术，并重视亲密的支持，从小组成员面临类似的similars.ConclusionsThis研究表明，外观护理计划增加或保持健康的参与者。研究结果表明，外观护理计划，促进小组分享经验授权的参与者，并可能提高他们的应对策略。
BackgroundTreatment of breast cancer entails surgery, often followed by chemotherapy. Alopecia is a major, intractable side effect with potentially profound impacts on appearance. We developed a nurse‐facilitated program targeting appearance‐related symptoms.AimsThis study explored the effects of the appearance care program on quality of life (QOL). The program was delivered across three sessions, each involving personal reflections on appearance concerns, short lectures on skincare and makeover techniques, and small group discussions.Method and ResultsSeventy‐two women who attended the appearance care program were invited to participate. We employed a mixed‐method design combining quantitative and qualitative methods. QOL instruments were used to measure effects of the program at the first and final sessions and at a one‐month follow‐up. The qualitative data were collected as open‐ended notes regarding participants' perception of the program at the final session and at a one‐month follow‐up. Fifty‐seven women completed all three sessions. Of them, 55 participated in this study. Their mean age was 46.4 years; 39 (70.9%) had partners, and 34 (61.8%) had children. Most participants experienced hair loss at one‐month post‐program; however, cancer‐specific QOL improved after attending the program. Patients' experience of fatigue and weakness may explain observations of decreased physical well‐being. Emotional well‐being continued to increase 1 month following the program, while social and functional well‐being was consistent. Participants felt empowered by the information on skincare and cosmetic techniques and valued the intimate support from the group members facing similar circumstances.ConclusionsThis study showed that the appearance care program increased or maintained the well‐being of participants. Findings suggest the appearance care program which promoted group sharing experiences empowered participants and may have enhanced their coping strategies.