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加强肿瘤皮肤病学支持:评估患者对癌症治疗皮肤毒性管理教育资源的利用情况和满意度。

Enhancing oncodermatology support: assessing patient utilization and satisfaction with educational resources for managing dermatologic toxicities of cancer treatment.

作者信息

Saeed Sabrina, Chen Tiffany X, Huggins Lenique, Leventhal Jonathan

机构信息

Yale School of Medicine, New Haven, CT, USA.

Department of Dermatology, Yale School of Medicine, New Haven, CT, USA.

出版信息

Arch Dermatol Res. 2025 May 14;317(1):758. doi: 10.1007/s00403-025-04262-3.

DOI:10.1007/s00403-025-04262-3
PMID:40366464
Abstract

Dermatologic toxicities resulting from cancer treatments are common, debilitating, and can significantly impact a patient's quality of life. In some cases, these toxicities may require dose adjustments or even discontinuation of treatment. Timely management of dermatologic adverse events (DAEs) is crucial to improving patient outcomes, and educational resources are instrumental in empowering patients to recognize and manage these issues. This cross-sectional survey study aims to characterize patient utilization of and satisfaction with educational resources regarding dermatologic toxicities of cancer treatments. Findings indicate that while 77.5% (n = 110) of patients received information on managing dermatologic toxicities, a larger proportion (n = 123; 86.5%) experienced these side effects. Healthcare providers were the primary source of information (n = 102/110; 92.7%), followed by self-searching on the internet (n = 59/110; 53.6%), and social media (n = 43/110; 39.1%). Despite most patients receiving educational content, patients expressed low satisfaction with both the quality and quantity of information provided, with only 31.3% (n = 41) reporting satisfaction with the amount of information and 33.8% (n = 44) reporting satisfaction with its quality, highlighting a significant gap in resource effectiveness. Notably, patients reported the highest satisfaction with information provided by healthcare providers, suggesting that integrating comprehensive dermatologic education into oncologic care could improve patient satisfaction and outcomes.

摘要

癌症治疗引起的皮肤毒性很常见,会使人虚弱,并且会显著影响患者的生活质量。在某些情况下,这些毒性可能需要调整剂量甚至停止治疗。及时处理皮肤不良事件(DAE)对于改善患者预后至关重要,而教育资源有助于使患者有能力认识和处理这些问题。这项横断面调查研究旨在描述患者对癌症治疗皮肤毒性教育资源的利用情况和满意度。研究结果表明,虽然77.5%(n = 110)的患者收到了有关管理皮肤毒性的信息,但有更大比例(n = 123;86.5%)的患者经历了这些副作用。医疗保健提供者是主要的信息来源(n = 102/110;92.7%),其次是在互联网上自行搜索(n = 59/110;53.6%),以及社交媒体(n = 43/110;39.1%)。尽管大多数患者收到了教育内容,但患者对所提供信息的质量和数量都表示不满意,只有31.3%(n = 41)的患者对信息量表示满意,33.8%(n = 44)的患者对信息质量表示满意,这突出了资源有效性方面的显著差距。值得注意 的是,患者对医疗保健提供者提供的信息满意度最高,这表明将全面的皮肤学教育纳入肿瘤护理中可以提高患者满意度和治疗效果。

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本文引用的文献

1
Patient preferences for educational materials in a tertiary care center's oncodermatology clinic.
Arch Dermatol Res. 2024 May 31;316(6):295. doi: 10.1007/s00403-024-03118-6.
2
Dermatologic toxicities of chemotherapy: an educational intervention for skin of color women with breast cancer.化疗的皮肤毒性:针对患有乳腺癌的有色人种女性皮肤的教育干预措施。
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Effect of dermatological consultation on survival in patients with checkpoint inhibitor-associated cutaneous toxicity.皮肤科咨询对接受检查点抑制剂相关皮肤毒性治疗患者生存的影响。
Br J Dermatol. 2021 Sep;185(3):627-635. doi: 10.1111/bjd.20074. Epub 2021 May 17.
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