Patient adherence to skin self-examination. effect of nurse intervention with photographs.

摘要: Abstract Background Results from a single case–control study suggest that skin self-examination (SSE) has the potential to reduce mortality melanoma by 63%. Despite these encouraging results, SSE rates are low. Few prospective studies of interventions increase in high-risk cohorts have been performed. The purpose this was assess impact brief nurse-delivered intervention using digital photographs on patients' adherence performing SSE. Design setting/participants Patients at high risk for cancer (five or more dysplastic nevi) (N=100) were recruited outpatient Pigmented Lesion Clinic Memorial Sloan–Kettering Cancer Center. All participants had baseline whole-body photography as part their clinical evaluation. Intervention randomized: Group A (n =49) received teaching (physician and nurse education module) with photo book (personal compiled form booklet, instruction how use photographs); B (n =51) only without book. Main outcome/measures Self-administered questionnaires provided three intervals: baseline, post-teaching intervention, 4-month post-baseline visit. To SSE, patients asked, “How many times past 4 months did you (or someone else) usually, thoroughly examine your skin?” In (teaching book), 10.2% reported examination during months, while 61.2% follow-up (p =0.039 paired comparison). only), nearly 20% 37% (p =0.63). compared between two groups (>51% v >17.6%, p =0.001). Conclusions results is effective increasing patient Utilizing an adjunct screening appeared