Nonmelanoma Skin Cancer: Disease-Specific Quality-of-Life Concerns and Distress

作者：Radiotis George^*; Roberts Nicole; Czajkowska Zofia; Khanna Manish; Koerner Annett

来源：Oncology Nursing Forum, 2014, 41(1): 57-65.

DOI：10.1188/14.ONF.57-65

• nonmelanoma skin cancer
• basal cell carcinoma
• squamous cell carcinoma
• psychosocial concerns
• quality of life
• distress
• importance of appearance

Purpose/Objectives: To provide a better understanding of the disease-specific quality-of-life (QOL) concerns of patients with nonmelanoma skin cancer (NMSC).
Design: Cross-sectional.
Setting: Skin cancer clinic of Jewish General Hospital in Montreal, Quebec, Canada.
Sample: 56 patients with basal cell carcinoma and/or squamous cell carcinoma.
Methods: Descriptive and inferential statistics applied to quantitative self-report data.
Main Research Variables: Importance of appearance, psychological distress, and QOL.
Findings: The most prevalent concerns included worries about tumor recurrence, as well as the potential size and conspicuousness of the scar. Skin cancer-specific QOL concerns significantly predicted distress manifested through anxious and depressive symptomology. In addition, the social concerns related to the disease were the most significant predictor of distress.
Conclusions: The findings of this study provide healthcare professionals with a broad picture of the most prevalent NMSC-specific concerns, as well as the concerns that are of particular importance for different subgroups of patients.
Implications for Nursing: Nurses are in a position to provide pivotal psychosocial and informational support to patients, so they need to be aware of the often-overlooked psychosocial effects of NMSC to address these issues and provide optimal care.

• 出版日期2014-1