Department of Dermatology, University of Texas Southwestern Medical Center, 5939 Harry Hines Blvd, 4th Floor, Suite 100, Dallas, 75390-9191, USA.
Arch Dermatol Res. 2022 Jul;314(5):477-480. doi: 10.1007/s00403-021-02248-5. Epub 2021 Jun 5.
Patient satisfaction is an important consideration when determining the optimal treatment for non-melanoma skin cancer (NMSC). One critical aspect of patient satisfaction is post-procedural wound care quality of life (QOL), especially as the elderly population grows. This study aimed to evaluate post-procedural wound care QOL in elderly patients undergoing electrodessication and curettage (ED&C) for NMSC in difficult-to-reach areas, namely the posterior shoulder and back. To do so, patient demographics, functionality, co-morbidities, and post-procedural wound care QOL were assessed in twenty elderly patients (age > 65) who underwent ED&C for NMSC at a single academic dermatologic surgery clinic. Independent t-tests were used to evaluate how QOL related to patient age, gender, living situation, relationship status, co-morbidities, and functionality. Patients who lived alone had better-wound care QOL compared to patients who did not live alone (p = 0.04). Patients reported concerns about knocking the wound and did not feel they could care for the wound independently. Patients who were married, female, or had a lower comorbidity score reported poorer QOL, although this finding was not statistically significant. This study indicates that patients' QOL can be negatively affected by post-procedural wounds located in difficult-to-reach areas. As dermatologists strive to improve patient satisfaction, wound care quality of life should be considered when choosing treatment for NMSC.
患者满意度是确定非黑素瘤皮肤癌（NMSC）最佳治疗方案的重要考虑因素。患者满意度的一个关键方面是术后伤口护理的生活质量（QOL），尤其是在老年人口增长的情况下。本研究旨在评估在难以触及的区域（即后肩部和背部）接受电干燥和刮除术（ED&C）治疗 NMSC 的老年患者的术后伤口护理 QOL。为此，在一家学术皮肤科手术诊所，对 20 名接受 ED&C 治疗 NMSC 的老年患者（年龄>65 岁）进行了患者人口统计学、功能、合并症和术后伤口护理 QOL 的评估。使用独立 t 检验评估 QOL 与患者年龄、性别、居住状况、婚姻状况、合并症和功能之间的关系。与不住在一起的患者相比，独居患者的伤口护理 QOL 更好（p=0.04）。患者报告对撞击伤口的担忧，并且觉得他们无法独立照顾伤口。已婚、女性或合并症评分较低的患者报告 QOL 较差，尽管这一发现没有统计学意义。本研究表明，位于难以触及区域的术后伤口会对患者的 QOL 产生负面影响。随着皮肤科医生努力提高患者满意度，在选择 NMSC 的治疗方法时，应考虑伤口护理的生活质量。
