Clarkson James H W, Tracey Annette, Eltigani Eltigani, Park Alan
George Eliot Hospital, College Street, Nuneaton, North Warwickshire CV10 7DJ, UK.
J Plast Reconstr Aesthet Surg. 2006;59(10):1058-62. doi: 10.1016/j.bjps.2005.09.049. Epub 2006 Mar 9.
Although once the preserve of tattoo artists, units within the UK have increasingly begun making use of the Clinical Nurse Specialist (CNS) to perform areola tattooing. Bringing the technique within the Breast Unit enhances continuity of care and makes use of skills that can be provided by the CNS. Our CNS is involved with both the patients' oncological management and the areola tattoo service.
The CNS-led service was investigated and patients' experiences of nipple tattooing were assessed. We present the results of a postal questionnaire and a prospective clinical audit of the procedure.
Forty tattoos were done over a 2-year period with one self-limiting complication. Patient satisfaction was high both with the outcome and the experience of the procedure. Fading of the tattoo is a consistent finding frequently requiring further shading.
Overall the patient's experience of a nurse lead 'in-house' tattoo service has been highly satisfactory and this is reflected by their high confidence rating and ease of access to the nurse. We believe that the role of the CNS in oncological treatment and reconstructions helps integrate the multidisciplinary experience for the patient.
乳晕纹身技术曾一度是纹身艺术家的专属领域，但英国各机构越来越多地开始利用临床护理专家（CNS）来进行乳晕纹身。将这项技术引入乳腺科可增强护理的连续性，并利用临床护理专家所具备的技能。我们的临床护理专家既参与患者的肿瘤治疗管理，也负责乳晕纹身服务。
对由临床护理专家主导的服务进行了调查，并评估了患者对乳头纹身的体验。我们展示了一份邮寄问卷调查结果以及该手术的前瞻性临床审计结果。
在两年时间里共进行了40次纹身，出现了一例自限性并发症。患者对纹身效果和手术体验的满意度都很高。纹身褪色是一个常见现象，经常需要进一步补色。
总体而言，患者对由护士主导的“内部”纹身服务体验非常满意，这体现在他们的高信心评分以及与护士接触的便利性上。我们认为临床护理专家在肿瘤治疗和重建中的作用有助于为患者整合多学科经验。
