Factors associated with healthcare professional's rating of disfigurement and self-perceived body image in female patients with head and neck cancer
S.-C. Chen RN, PhD
Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Search for more papers by this authorC.-Y. Huang MD
Department of Plastic and Reconstruction Surgery, Taipei Municipal Wangfang Hospital, Taipei, Taiwan
Department of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorB.-S. Huang MD
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Search for more papers by this authorC.-Y. Lin MD
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Search for more papers by this authorK.-H. Fan MD
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Search for more papers by this authorJ.T.-C. Chang MD
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Search for more papers by this authorS.-C. Wu RN, MS
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Search for more papers by this authorCorresponding Author
Y.-H. Lai RN, PhD
School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan
Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan
Correspondence
Yeur-Hur Lai, School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
Email: [email protected]
Search for more papers by this authorS.-C. Chen RN, PhD
Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Search for more papers by this authorC.-Y. Huang MD
Department of Plastic and Reconstruction Surgery, Taipei Municipal Wangfang Hospital, Taipei, Taiwan
Department of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Search for more papers by this authorB.-S. Huang MD
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Search for more papers by this authorC.-Y. Lin MD
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Search for more papers by this authorK.-H. Fan MD
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Search for more papers by this authorJ.T.-C. Chang MD
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Search for more papers by this authorS.-C. Wu RN, MS
Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy Center, Taoyuan, Taiwan
Search for more papers by this authorCorresponding Author
Y.-H. Lai RN, PhD
School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan
Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan
Correspondence
Yeur-Hur Lai, School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
Email: [email protected]
Search for more papers by this authorAbstract
The purpose of this study was to determine factors associated with self-perceived body image in female patients with head and neck cancer (HNC), and factors associated with healthcare professional's rating of disfigurement, as well as the correlation between patient and observer ratings. This cross-sectional study recruited 105 women with HNC at a large medical centre. Measures of facial disfigurement and body image, as well as demographic and clinical characteristics, were collected. Multivariate multiple linear regression modelling was used to identify factors associated with healthcare professional's rating of disfigurement and patient self-perceived body image. Disfigurement ratings by healthcare professionals were positively associated with patient self-perceived body image. Medical treatment, cancer stage, radiation dose and cancer site were significantly associated with disfigurement. Medical treatment was an important predictor of perceived body image. These findings indicate a moderate prevalence of disfigurement among women with HNCs. Patients with more disfigurement were more likely to have dissatisfaction with their body image. Nursing professionals need to carefully assess the appearance of women with HNC. Camouflage interventions can be used to help appropriately cope with the disfigurement, and to achieve improved satisfaction with their body image.
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