乳腺癌患者自我形象紊乱化妆美容的最佳证据总结

Summary of the best evidence for cosmetic beauty in breast cancer patients with self-image disorder

目的:检索、评价和整合乳腺癌患者自我形象紊乱化妆美容的相关证据,为临床实践提供依据。方法:按照循证资源"6S"模型自上而下系统检索各指南网站及中英文数据库有关乳腺癌患者自我形象紊乱化妆美容的临床决策、指南、系统评价、专家共识及原始研究等。检索时限为建库至2023年11月。由2名研究人员对纳入的文献进行评价,并对符合质量标准的文献进行证据提取。结果:共纳入9篇文献,包括1篇指南、2篇系统评价、3篇专家共识、3篇原始研究。从组建团队与教育指导、身体形象评估与转诊、基础皮肤护理与注意事项、日常妆容、脱发护理、服饰搭配、义乳选择、健康教育8个方面形成24条最佳证据。结论:本研究总结的最佳证据较全面,可供临床医护人员在实践中使用,但应根据患者意愿及临床实际问题个性化地应用证据,改善乳腺癌患者自我形象。

Objective To retrieve,evaluate and integrate evidence related to cosmetic beauty in breast cancer patients with self-image disorder,so as to provide a basis for clinical practice.Methods According to the evidence-based resource"6S"model,the guideline websites and Chinese and English databases were systematically searched from top to bottom for clinical decisions,guidelines,systematic evaluation,expert consensus and original researches on cosmetic beauty in breast cancer patients with self-image disorder.The search period was from establishment of the databases to November 2023.The included literature was evaluated by two researchers and evidence was extracted from the literature that met the quality criteria.Results A total of nine articles were included,including one guideline,two systematic reviews,three expert consensus and three original studies.A total of 24 best pieces of evidence were formed from eight aspects,including team building and educational guidance,body image assessment and referral,basic skin care and precautions,daily makeup,hair loss care,clothing matching,prosthetic breast selection and health education.Conclusions The best evidence summarized in this study is comprehensive and can be used by clinical medical staff in practice,but the evidence should be personalized according to patients'wishes and clinical practical problems to improve the self-image of breast cancer patients.