School of Nursing, Sun Yat-Sen University, 74, Zhongshan 2nd Rd., 510080, Guangzhou, China.
Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Support Care Cancer. 2022 Nov;30(11):8805-8817. doi: 10.1007/s00520-022-07274-1. Epub 2022 Jul 14.
To synthesize the evidence for the immediate and short-term effects of appearance care on psychosocial outcomes in breast cancer patients in order to inform the design of future research and clinical practice.
A search of four databases (PubMed, Embase, Cochrane Central Register of Controlled Trials, and Web of Science). The JBI Critical Appraisal Checklists were used by two reviewers to assess methodology quality. Subgroup analysis was conducted for the different time points measured after intervention.
Seven studies were eligible for the meta-analysis, including two RCTs and five quasi-experimental studies, from 1994 to 2022. The type of intervention was mainly grouped education, led by beauty specialists, and the dose and frequency varied. The quality of included studies was moderate to high. The results showed that appearance care had positive immediate effect on self-esteem (SMD = 0.63, 95% CI 0.37 to 0.89), anxiety (SMD = - 0.46, 95% CI - 0.60 to - 0.31), and depression (SMD = - 0.41, 95% CI - 0.62 to - 0.19), with short-term effects on anxiety (SMD = - 0.42, 95% CI - 0.54 to - 0.34), depression (SMD = - 0.41, 95% CI - 0.55 to - 0.26), and sexual function (SMD = 0.50, 95% CI 0.18 to 0.81).The effect of appearance care on body image and quality of life was uncertain.
Appearance care could be a promising intervention to improve self-esteem, anxiety, depression, and sexual function among patients with breast cancer. More high-quality RCTs are needed to validate these findings. Online appearance care programs and exploration of long-term effects should also be considered.
综合关于乳腺癌患者外貌护理对心理社会结局的即时和短期影响的证据，为未来的研究和临床实践提供参考。
检索四个数据库（PubMed、Embase、Cochrane 对照试验中心注册库和 Web of Science）。两位评价员使用 JBI 批判性评价清单评估方法学质量。对干预后不同时间点的测量进行了亚组分析。
纳入了 7 项研究，包括 2 项 RCT 和 5 项准实验研究，时间跨度为 1994 年至 2022 年。干预类型主要为美容专家主导的教育，干预的剂量和频率有所不同。纳入研究的质量为中等到高度。结果表明，外貌护理对自尊（SMD=0.63，95%CI 0.37 至 0.89）、焦虑（SMD=-0.46，95%CI-0.60 至-0.31）和抑郁（SMD=-0.41，95%CI-0.62 至-0.19）有即时的积极影响，对外貌护理有短期的影响焦虑（SMD=-0.42，95%CI-0.54 至-0.34）、抑郁（SMD=-0.41，95%CI-0.55 至-0.26）和性功能（SMD=0.50，95%CI 0.18 至 0.81）。外貌护理对身体意象和生活质量的影响不确定。
外貌护理可能是一种有前途的干预措施，可以改善乳腺癌患者的自尊、焦虑、抑郁和性功能。需要更多高质量的 RCT 来验证这些发现。还应考虑在线外貌护理计划和探索长期效果。
