Nolte Susan, Donnelly James, Kelly Sharon, Conley Patricia, Cobb Roberta
Rosenfeld Cancer Center, Abington Memorial Hospital, Pennsylvania, USA.
Oncol Nurs Forum. 2006 Nov 3;33(2):305-11. doi: 10.1188/06.ONF.305-311.
PURPOSE/OBJECTIVES: To evaluate changes in body image and self-esteem in women with gynecologic malignancies who experience chemotherapy-induced alopecia and to examine the effectiveness of a videotape intervention on body image and self-esteem.
A prospective, randomized study.
Subjects were accrued from 11 Gynecologic Oncology Group (GOG) member institutions participating in 14 GOG treatment protocols.
136 women with chemotherapy-induced alopecia, a mean age of 57.7 years, and advanced disease at study entry.
Prior to the first course of chemotherapy, all subjects received standard counseling regarding hair loss. Body image and self-esteem scores were obtained prior to course 1 and 3 and after course 4 of chemotherapy. Prior to course 3, women with grade 2 alopecia were allocated randomly to the videotape intervention or no intervention.
Total body image and self-esteem as measured by the Body Cathexis/Self-Cathexis Scale (BCSCS).
A small but statistically significant change (p = 0.045) in body image was observed after chemotherapy-induced alopecia, with no change in self-esteem. The videotape did not produce a significant effect on body image score.
The study results support prior studies that have reported changes in body image as a result of chemotherapy-induced alopecia. The intervention employed (a videotape) was not effective. The BCSCS is a simple and quick measurement for use in future studies
Chemotherapy-induced alopecia has an adverse effect on body image. Novel interventions are needed to assist women in coping with this consequence of treatment.
目的/目标：评估经历化疗所致脱发的妇科恶性肿瘤女性的身体意象和自尊的变化，并检验录像带干预对身体意象和自尊的有效性。
一项前瞻性随机研究。
研究对象来自参与14项妇科肿瘤学组（GOG）治疗方案的11个GOG成员机构。
136名因化疗导致脱发的女性，研究开始时平均年龄为57.7岁，且患有晚期疾病。
在第一个化疗疗程之前，所有研究对象均接受了关于脱发的标准咨询。在化疗第1疗程和第3疗程之前以及第4疗程之后获取身体意象和自尊分数。在第3疗程之前，将2级脱发的女性随机分配至录像带干预组或无干预组。
通过身体投入/自我投入量表（BCSCS）测量的总体身体意象和自尊。
化疗所致脱发后观察到身体意象有微小但具有统计学意义的变化（p = 0.045），自尊无变化。录像带对身体意象分数未产生显著影响。
研究结果支持先前有关化疗所致脱发导致身体意象变化的研究报告。所采用的干预措施（录像带）无效。BCSCS是一种简单快捷的测量方法，可用于未来研究。
化疗所致脱发对身体意象有不利影响。需要新的干预措施来帮助女性应对这种治疗后果。
