McGill University, Dept. of Educational and Counselling Psychology, 3700 rue McTavish, Room 614, Montreal, Quebec H3A 1Y2, Canada.
McGill University, Dept. of Educational and Counselling Psychology, 3700 rue McTavish, Room 543, Montreal, Quebec H3A 1Y2, Canada.
Patient Educ Couns. 2017 Aug;100(8):1505-1510. doi: 10.1016/j.pec.2017.02.020. Epub 2017 Feb 24.
This project aims to elucidate the relationships between skin self-examination (SSE), perceived physician support of SSE, and self-efficacy for SSE among melanoma patients.
A longitudinal study of patients diagnosed with melanoma was conducted over the span of 18 months. Participants filled out questionnaires at four assessment points and participated in an SSE education about the early signs of melanoma.
Among the 242 patients enrolled, the level of self-efficacy for SSE was 23% higher immediately after the educational intervention (p<.001) and the increase was retained three months (p<.001) and twelve months later (p<.001). Additionally, a one-way repeated measures ANOVA revealed that the perceived physician support of SSE positively corresponded to the level of patient self-efficacy with higher patient-reported physician support being related to higher self-efficacy (p=.001).
Patient education and perceived physician support of SSE are positively associated with patients' level of self-efficacy.
Physicians caring for melanoma survivors should be aware that, both SSE education and patients' perception of high physician support of SSE may be associated with higher self-efficacy for checking one's own skin for signs of cancer recurrence.
本项目旨在阐明黑色素瘤患者的皮肤自我检查（SSE）、感知医生对 SSE 的支持与 SSE 自我效能之间的关系。
对 18 个月内被诊断患有黑色素瘤的患者进行了纵向研究。参与者在四个评估点填写问卷，并参加了有关黑色素瘤早期迹象的 SSE 教育。
在 242 名入组患者中，SSE 自我效能感在教育干预后立即提高了 23%（p<.001），并且在三个月（p<.001）和 12 个月后（p<.001）仍然保持增加。此外，单向重复测量方差分析表明，感知医生对 SSE 的支持与患者自我效能水平呈正相关，即患者报告的医生支持越高，自我效能感越高（p=.001）。
患者教育和感知医生对 SSE 的支持与患者的自我效能水平呈正相关。
照顾黑色素瘤幸存者的医生应该意识到，SSE 教育和患者对医生高度支持 SSE 的看法可能与检查自身皮肤是否有癌症复发迹象的自我效能感较高有关。
