Radiotis George, Roberts Nicole, Czajkowska Zofia, Khanna Manish, Körner Annett
Department of Educational and Counselling Psychology, McGill University.
Department of Medicine, McGill University.
Oncol Nurs Forum. 2014 Jan 1;41(1):57-65. doi: 10.1188/14.ONF.57-65.
PURPOSE/OBJECTIVES: To provide a better understanding of the disease-specific quality-of-life (QOL) concerns of patients with nonmelanoma skin cancer (NMSC).
Cross-sectional.
Skin cancer clinic of Jewish General Hospital in Montreal, Quebec, Canada.
56 patients with basal cell carcinoma and/or squamous cell carcinoma.
Descriptive and inferential statistics applied to quantitative self-report data.
Importance of appearance, psychological distress, and QOL.
The most prevalent concerns included worries about tumor recurrence, as well as the potential size and conspicuousness of the scar. Skin cancer-specific QOL concerns significantly predicted distress manifested through anxious and depressive symptomology. In addition, the social concerns related to the disease were the most significant predictor of distress.
The findings of this study provide healthcare professionals with a broad picture of the most prevalent NMSC-specific concerns, as well as the concerns that are of particular importance for different subgroups of patients.
Nurses are in a position to provide pivotal psychosocial and informational support to patients, so they need to be aware of the often-overlooked psychosocial effects of NMSC to address these issues and provide optimal care.
目的/目标：更好地了解非黑色素瘤皮肤癌（NMSC）患者特定疾病的生活质量（QOL）问题。
横断面研究。
加拿大魁北克省蒙特利尔市犹太总医院皮肤癌诊所。
56例基底细胞癌和/或鳞状细胞癌患者。
对定量自我报告数据应用描述性和推断性统计。
外貌的重要性、心理困扰和生活质量。
最普遍的担忧包括对肿瘤复发的担心，以及疤痕可能的大小和显眼程度。皮肤癌特定的生活质量问题显著预测了通过焦虑和抑郁症状表现出的困扰。此外，与疾病相关的社会担忧是困扰的最显著预测因素。
本研究结果为医护人员提供了一幅关于最普遍的非黑色素瘤皮肤癌特定担忧的全景图，以及对不同患者亚组特别重要的担忧。
护士能够为患者提供关键的心理社会和信息支持，因此他们需要意识到非黑色素瘤皮肤癌常常被忽视的心理社会影响，以解决这些问题并提供最佳护理。
