School of Nursing & Midwifery, Faculty of Health Sciences, Trinity College Dublin, 24 D'Olier Street, Dublin 2, D02 T283, Ireland.
School of Nursing & Midwifery, Faculty of Health Sciences, Trinity College Dublin, 24 D'Olier Street, Dublin 2, D02 T283, Ireland; School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland.
Eur J Oncol Nurs. 2020 Dec;49:101840. doi: 10.1016/j.ejon.2020.101840. Epub 2020 Sep 28.
To conduct an integrative scoping review of the physical, psychological and social experiences of women who have experienced chemotherapy-induced alopecia (CIA).
An integrative review was undertaken. A systematic search of MEDLINE, CINAHL and PsycInfo identified 23 studies meeting the inclusion criteria. Data relating to women's experiences of alopecia was extracted and synthesized thematically.
Four analytical themes were formed; 'the physical and psychological effect of alopecia', 'more than the loss of hair', 'the complexities of a visual cancer identity' and 'coping with new internal and external relationships'. CIA involves a public and private representation of illness which disrupts women's identity and their acceptance in public, yet this is a highly individualised experience. There is disparity in current evidence regarding the experience of CIA for women among older age groups, with rarer forms of cancer, haematological malignancies and those receiving palliative care or targeted treatment modalities.
This review highlights the continued pervasive psychosocial implications arising from CIA, however this is not exclusive to scalp hair as alopecia from the face and body has also been found to require adaptation and effective coping. Limited knowledge exists on the experience of alopecia induced by treatment for haematological cancers and rarer-tumour groups and emerging systemic anti-cancer treatment modalities. Healthcare professionals must endeavour to support and discuss the potential risks of alopecia, and provide patients with an opportunity to voice their fears, concerns, and experiences of CIA. Future research should incorporate the identified underserved populations and the experience of newer therapies.
对经历化疗引起脱发（CIA）的女性的身体、心理和社会体验进行综合范围审查。
进行了综合审查。对 MEDLINE、CINAHL 和 PsycInfo 进行系统搜索，确定了符合纳入标准的 23 项研究。提取并主题分析与脱发相关的女性体验数据。
形成了四个分析主题；“脱发的身体和心理影响”、“不仅仅是头发的损失”、“癌症视觉身份的复杂性”和“应对新的内部和外部关系”。CIA 涉及公开和私人的疾病表现，扰乱了女性的身份认同及其在公众中的接受度，但这是一种高度个体化的体验。目前关于老年组、罕见癌症、血液恶性肿瘤以及接受姑息治疗或靶向治疗方式的女性 CIA 体验的证据存在差异。
本综述强调了 CIA 持续存在的普遍心理社会影响，但不仅仅是头皮头发，因为面部和身体的脱发也需要适应和有效应对。关于血液系统癌症和罕见肿瘤组的治疗引起的脱发体验以及新兴的系统抗癌治疗方式的知识有限。医疗保健专业人员必须努力支持和讨论脱发的潜在风险，并为患者提供一个表达他们对 CIA 的恐惧、担忧和体验的机会。未来的研究应纳入确定的服务不足人群和新疗法的体验。
