Akarsu Sevgi, Ozbagcivan Ozlem, Ilknur Turna, Semiz Fatma, Fetil Emel
Department of Dermatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Photodermatol Photoimmunol Photomed. 2017 May;33(3):143-155. doi: 10.1111/phpp.12295. Epub 2017 Feb 22.
BACKGROUND/PURPOSE: There are no data comprehensively investigating the key beliefs and sun protection behaviours in patients with actinic keratosis (AK). Our aim was to determine and correlate the AK perceptions and readiness to increase sun protection (RISP) behaviours.
AK patients' (n = 200) demographics and clinical findings were recorded. Participants completed questionnaires (Illness Perception Questionnaire-Revised and RISP behaviours scales).
The mean scores of giving up sunbathing of the patients aged <65 years, and giving up sunbathing and staying in the shade behaviours of females were higher. As the level of education increased, while the mean scores of giving up sunbathing decreased, using sunscreen scores increased. The mean scores of giving up sunbathing, using sunscreen and wearing protective clothing of those with the history of non-skin cancer (had cancer other than of the skin) were lower. The readiness to increase using sunscreen was found to be higher in patients with more chronic timeline beliefs, more positive perceived personal control and blaming sunlight more, and the wearing protective clothing was found to be higher in those with more cyclical timeline beliefs.
AK patients, especially the subjects aged ≥65 years, have non-skin cancer history, and male gender should be informed to apply sun-protective behaviours.
背景/目的：目前尚无全面调查光化性角化病（AK）患者关键认知和防晒行为的数据。我们的目的是确定AK认知与增加防晒准备（RISP）行为之间的关联。
记录200例AK患者的人口统计学和临床特征。参与者完成问卷（疾病认知问卷修订版和RISP行为量表）。
年龄<65岁患者放弃日光浴的平均得分，以及女性放弃日光浴和待在阴凉处行为的平均得分更高。随着教育程度的提高，放弃日光浴的平均得分降低，而使用防晒霜的得分增加。有非皮肤癌病史（患除皮肤癌以外的其他癌症）的患者放弃日光浴、使用防晒霜和穿防护服的平均得分较低。发现具有更慢性病程认知、更积极的个人控制感和更多归咎于阳光的患者增加使用防晒霜的准备更高，而具有更多周期性病程认知的患者穿防护服的准备更高。
应告知AK患者，尤其是年龄≥65岁、有非皮肤癌病史的男性采取防晒行为。
