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肾移植受者的防晒:迫切需要开展教育工作。

Sun protection in renal transplant recipients: urgent need for education.

作者信息

Szepietowski Jacek C, Reich Adam, Nowicka Danuta, Wegłowska Jolanta, Szepietowski Tomasz

机构信息

Department of Dermatology, Venereology and Allergology, University of Medicine, Wrocław, Poland.

出版信息

Dermatology. 2005;211(2):93-7. doi: 10.1159/000086435.

Abstract

BACKGROUND

Renal transplant recipients (RTR) are considered as a high-risk group of skin cancer development.

OBJECTIVE

The aim of the present studywas to find out the knowledge about the harmfulness of sunlight and the methods of sun protection among RTR.

MATERIAL AND METHODS

151 RTR (91 males and 60 females) were surveyed using a specially designed questionnaire.

RESULTS

The knowledge about the danger of sunlight exposure among RTR appeared to be very unsatisfactory. Only 40.4% of patients knew that the development of skin cancer is connected with the exposure to sunlight. Moreover, only 68.2% of investigated individuals considered RTR as a high-risk group of skin cancer development. Although 74.8% of patients were informed about the necessity of sun protection, only 11.3% could explain what the number of the SPF (sun protection factor) means. Females significantly more often knew that RTR are especially predisposed to the development of skin cancers (p = 0.0001) and significantly more frequently could explain what the SPF number means (p = 0.006). 72.8% of RTR (females significantly more often, p = 0.02) made efforts to avoid sunlight irradiation. However, only 5.3% of the examined patients routinely used creams with SPF (females significantly more often, p < 0.0001). More than a half of the patients (62.3%) did not apply any sun protection.

CONCLUSIONS

The present study revealed the urgent necessity of education concerning the harmfulness of sunlight and the methods of sun protection among RTR. Moreover, it is postulated that every patient should be routinely examined by a dermatologist in a dedicated transplant patient clinic.

摘要

背景

肾移植受者(RTR)被视为皮肤癌发生的高危人群。

目的

本研究旨在了解RTR对阳光危害的认识以及防晒方法。

材料与方法

使用专门设计的问卷对151名RTR(91名男性和60名女性)进行调查。

结果

RTR对阳光照射危害的认识似乎非常不尽人意。只有40.4%的患者知道皮肤癌的发生与阳光照射有关。此外,只有68.2%的被调查者认为RTR是皮肤癌发生的高危人群。虽然74.8%的患者被告知防晒的必要性,但只有11.3%的人能解释防晒系数(SPF)的数字代表什么。女性明显更常知道RTR特别易患皮肤癌(p = 0.0001),并且明显更常能解释SPF数字的含义(p = 0.006)。七成二点八%的RTR(女性更常见,p = 0.02)努力避免阳光照射。然而,只有5.3%的受检患者常规使用含SPF的面霜(女性更常见,p < 0.0001)。超过一半的患者(62.3%)未采取任何防晒措施。

结论

本研究揭示了对RTR进行阳光危害及防晒方法教育的迫切必要性。此外,推测每位患者都应在专门的移植患者诊所由皮肤科医生进行常规检查。

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