Seukeran D C, Newstead C G, Cunliffe W J
Department of Dermatology, Leeds General Infirmary, U.K.
Br J Dermatol. 1998 Feb;138(2):301-3. doi: 10.1046/j.1365-2133.1998.02079.x.
Renal transplant recipients have an increased risk of developing non-melanoma skin cancer. Ultraviolet radiation is one of the major cofactors in the development of skin cancer in the immunosuppressed. In view of this, we undertook this study to determine the advice given to renal transplant recipients and their compliance with that advice. Two hundred and two renal transplant recipients were interviewed using a questionnaire. Their knowledge about the risk of non-melanoma skin cancer and preventive measures was not good, despite advice and literature given to newly transplanted patients at the time of discharge from hospital. Only 54% remembered receiving advice. Renal physicians and nurses gave advice to the majority, with dermatologists providing advice only in 17% of cases. The use of sun-protective measures such as sun avoidance and protective clothing was poor and the use of sun barrier creams was inappropriate. Only 30% of patients knew why extra precautions against sunlight were necessary. Health professionals and dermatologists in particular need to take a more active role in raising the awareness of renal transplant recipients to their increased risk of non-melanoma skin cancer.
肾移植受者患非黑色素瘤皮肤癌的风险增加。紫外线辐射是免疫抑制人群患皮肤癌的主要协同因素之一。鉴于此，我们开展了这项研究，以确定给予肾移植受者的建议以及他们对该建议的依从性。我们使用问卷对202名肾移植受者进行了访谈。尽管在出院时已向新移植患者提供了相关建议和资料，但他们对非黑色素瘤皮肤癌的风险及预防措施的了解并不理想。只有54%的人记得曾收到过建议。大多数建议由肾脏科医生和护士给出，皮肤科医生仅在17%的病例中提供了建议。诸如避免日晒和穿着防护服等防晒措施的使用情况较差，防晒乳的使用也不恰当。只有30%的患者知道为何需要针对阳光采取额外的预防措施。医疗专业人员，尤其是皮肤科医生，需要在提高肾移植受者对自身患非黑色素瘤皮肤癌风险增加的认识方面发挥更积极的作用。
