Department of Dermatology, Copenhagen University Hospital, Bispebjerg Hospital, Copenhagen, Denmark.
J Dermatolog Treat. 2010 Nov;21(6):331-6. doi: 10.3109/09546630903410166.
Renal transplant recipients (RTRs) are at high-risk of developing aggressive and potentially lethal non-melanoma skin cancer, which emphasizes the need for consistent sun protective behaviour.
To identify factors that exert an influence on the sun protective behaviour of RTRs.
A total of 10 RTRs were individually interviewed using a semi-structured interview guide (five women, five men). The interviews were conducted in Copenhagen in June 2008. Transcriptions of the interviews were subsequently analyzed using predefined concepts from the Health Belief Model.
The major result was the finding that patients did not perceive the threat of skin cancer as an important health problem and, therefore, did not give a high priority to sun protection, even though patients were aware of their increased risk of developing skin cancer. Moreover, negative individual attitudes towards the use of sunscreens and wearing hats were barriers against efficient sun protective behaviour.
This study shows that the Health Belief Model can be used to identify and describe factors that influence decisions and behaviour among RTRs regarding sun protective behaviour. We recommend that RTRs are informed about the potential severity of skin cancer, and about the importance of consistent sun protective behaviour.
肾移植受者（RTR）发生侵袭性和潜在致命性非黑色素瘤皮肤癌的风险很高，这强调了需要持续采取防晒行为。
确定影响 RTR 防晒行为的因素。
2008 年 6 月在哥本哈根对 10 名 RTR 进行了半结构式访谈，使用半结构式访谈指南（5 名女性，5 名男性）。随后，根据健康信念模型的预设概念对访谈进行了分析。
主要结果是发现患者并未将皮肤癌的威胁视为重要的健康问题，因此并未将防晒作为重点，尽管他们知道自己患皮肤癌的风险增加了。此外，对防晒霜和戴帽子的使用持负面个人态度是防晒行为的障碍。
本研究表明，健康信念模型可用于识别和描述影响 RTR 关于防晒行为的决策和行为的因素。我们建议告知 RTR 皮肤癌的潜在严重程度以及持续防晒行为的重要性。
