Psychosomatic services for melanoma patients in tertiary care

Körner, Annett; Fritzsche, Kurt

doi:10.1111/j.1365-4632.2011.05228.x

Cited by 5 publications

(2 citation statements)

References 30 publications

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“…However, these findings speak to 1) clinicians’ adherence to care guidelines, and 2) patients’ willingness for behavioral change. Further, the current study suggests that future intervention programs seeking to enhance SSE practice may be more effective if socio-demographic characteristics (e.g., educational status) of the target population are taken into account [14,15]. …”

Section: Discussionmentioning

confidence: 99%

Predictors of skin self-examination before and after a melanoma diagnosis: the role of medical advice and patient’s level of education

Körner¹,

Coroiu²,

Martins³

et al. 2013

Int Arch Med

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BackgroundCutaneous melanoma is the fastest growing tumor of the skin and the median life span of patients with advanced disease is less than a year. Melanoma-related mortality can be reduced through early detection via clinical skin exams and patient self-examination. Despite the potential to reducing the medical burden associated with clinical skin exams, systematic and regular skin self-examinations (SSE) are rarely performed. The current study examined psychosocial predictors of SSE and changes in SSE behavior from pre- to post-diagnosis in order to guide future melanoma prevention initiatives.FindingsA consecutive sample of 47 melanoma survivors was drawn from a tertiary care clinic. Most melanomas had been detected by patients, spouses and other laypersons. Higher education was related to more frequent SSE at pre-diagnosis, more thorough SSE at post-diagnosis, and more frequent reports of having been advised to perform SSE at post-diagnosis. SSE behaviors increased significantly from pre- to post-diagnosis.ConclusionsThese findings suggest that different patient subgroups display varied knowledge base, readiness for change, and receptiveness for medical advice. Thus, interventions seeking to enhance skin self-exam practice may be most effective when the individual’s psychosocial characteristics are taken into account.

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Section: Discussionmentioning

confidence: 99%

Predictors of skin self-examination before and after a melanoma diagnosis: the role of medical advice and patient’s level of education

Körner¹,

Coroiu²,

Martins³

et al. 2013

Int Arch Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…These findings highlight patient concerns, which the clinical care team should be aware of and prepared to address. Dermatologists, surgeons, and oncologists are core members of this clinical care team, and mental health professionals provide supportive care within the psychosocial oncology services available to patients with NMSC treated at tertiary care facilities (Körner & Fritzsche, 2012). However, nurses are the most immediate providers of psychosocial and informational support and often guide (formally and informally) patients in navigating the healthcare system, including resources available in the community (Beckstrand, Collette, Callister, & Luthy, 2012;Codier, Freitas, & Muneno, 2013;Gleeson et al, 2013;Loiselle et al, 2013).…”

Section: Implications For Nursingmentioning

confidence: 99%