Monitoring problems in the Aesthetics Office Oncology
Cancer survivors must face the aftermath. One of the associated symptoms is the alteration of the body image, and the consequent decrease in self-esteem, psychological well-being and quality of life, due to the physical changes that the patients experience as a result of the disease itself and the associated treatments. This generates an alteration in the perception of one's own body. The Hospital has set up an aesthetic office for patients.
Regional
Spain
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It addresses urban-rural linkages
It refers to a physical transformation of the built environment (hard investment)
No
No
Yes
2023-12-01
As a representative of an organisation
Name of the organisation(s): DEPARTAMENTO SALUD ELCHE HOSPITAL GENERAL-FISABIO Type of organisation: Non-profit organisation First name of representative: ESTHER Last name of representative: SOLER CLIMENT Gender: Female Nationality: Spain If relevant, please select your other nationality: Spain Function: NURSING RESEARCH COORDINATOR HEALTH DEPARTMENT ELCHE GENERAL HOSPITAL Address (country of permanent residence for individuals or address of the organisation)<br/>Street and number: Carrer Almazara, 11, Town: ELCHE Postal code: 03203 Country: Spain Direct Tel:+34 966 61 6246 E-mail:soler_est@gva.es Website:https://elche.san.gva.es/portada
Cancer is the second cause of death in Spain, with a prevalence of 1.66% in people over 15 years of age. Although mortality has decreased in recent years due to medical and social advances, survivors must face the consequences of the disease. One of the associated symptoms is the alteration of the body image, and the consequent decrease in self-esteem, psychological well-being and quality of life, due to the physical changes that patients experience as a consequence of the disease itself and the associated factors. treatments, ranging from hair loss and weight loss, to the appearance of scars, burns, spots or resection of parts of the body. This generates an alteration in the perception of one's own body, due to notable changes in appearance, which in the most serious cases, can lead to an identity alteration. Discomfort associated with body image in patients with colon cancer is one of the most prevalent symptoms, along with insomnia and fatigue. This is because a number of physical changes occur during cancer treatment, which may be the result of certain treatments, such as hair loss or weight loss, or may be due to the removal of a body part by surgery. , the formation of scars or the presence of a stoma, among many others. In any case, these changes entail a decrease in self-esteem, alterations at the psychological level and in social and sexual functioning, as well as a decrease in the quality of life, negatively affecting progress in coping with the disease. HYPOTHESIS: The creation and implementation of a specific service in the hospital for the detection of needs, difficulties and problem areas related to the physical appearance and presence of cancer patients as a whole, will allow the identification of problems that are not yet present in the hospital. scientific literature, will be discovered as a result of the inclusion of a greater diversity of patients.
ONCOLOGICAL PATIENT
HOSPITAL AESTHETICS
QUALITY OF LIFE
MENTAL HEALTH
AESTHETIC CARE
Most of these previous interventions, based on the aesthetic care of cancer patients, have been directed, mostly to women with breast cancer.
The research team at the Hospital General Universitario de Elche believes that these programs are influenced by gender stereotypes, from which a greater relevance is attributed to the appearance and physical appearance of women, compared to men. However, daily practice reveals that the symptoms derived from physical and appearance changes are suffered by both women and men, regardless of the type of cancer suffered, so in this study the problems will be monitored and managed. aesthetics of patients of any gender and age, not focusing only on problems such as those derived from lack of hair or special makeup needs.
Thus, other problems will be addressed, such as those derived from being a carrier of a digestive stoma, with advice on dressing and the use of accessories to fix-cover the bag.
After the intervention it was possible to observe an important variation in the levels of self-esteem (table 1), disappearing the lower levels of average and
significantly low, placing all the people in the three upper levels, It is striking that more than 50% went to a significantly high level, where before there were none. Not only can you see the change in terms of the percent global at each level, but also in relation to individuals individually, finding that in 100% of the cases there was an elevation of self-esteem to levels above the initial ones.
It should be noted that it was possible to perceive a notable improvement in all the cases, they expressed themselves more uninhibitedly, with greater confidence, better state mood, willingness to participate, they reported not only feeling good about themselves, but also with others and in their homes.
Main objectives.
• Evaluate the health-related quality of life (HRQoL) of patients, both before and prospectively throughout treatment, in order to assess the impact of treatment with chemotherapy and/or radiotherapy.
• Analyze the validity of the COOP/WONCA slides in determining the HRQL of cancer patients receiving treatment at the Hospital General Universitario de Elche by means of the comparative analysis of the results with the NPH (concurrent validity).
Secondary Objectives.
• Monitor and examine the demands, needs and difficulties of the patients who come to the oncoesthetic clinic and their impact on the individual's HRQoL.
• Analyze the possible influence of clinical variables on the individual's HRQoL.
• Analyze the possible influence of sociodemographic variables on HRQoL; age, sex, marital status, educational level, profession...
• Analyze the HRQoL results obtained with the COOP/WONCA charts in cancer patients before starting treatment in a comparative way with the reference population values of the Spanish version of the COOP/WONCA quality of life vignettes in the urban adult population.
The novelty of the research lies not only in the study of the problems that affect both men and women throughout cancer treatment, but it is also a novelty to integrate this initiative within a broader project that encompasses other patients, those treated in the Mental Health service.
The objective regarding these patients is the better social integration of vulnerable groups, improving aesthetic aspects and image to reduce the stigmatization that prevents them in many cases from finding work. It is also aimed at groups that are hospitalized and that suffer situations of unwanted loneliness.
The project is the result of the participation of:
1- Local public health system.
2- Central management of the Valencian Community health system in Spain
3- The Foundation for the Promotion of Health and Biomedical Research of the Valencian Community (Fisabio) is a non-profit entity of a scientific and welfare nature, whose primary purpose is the promotion, promotion and development of scientific-technical research, health and biomedical in the Valencian Community. Fisabio integrates and manages the scientific activity of 18 health departments (D.S), Fisabio-Public Health and Fisabio-Medical Ophthalmology. It offers services to more than 1,500 professionals from the Valencian healthcare network, specialists who work on research projects and clinical trials managed through the Foundation. In addition, it coordinates the Valencian Network of Biobanks.
4- Training centers for beauty professionals, from the network of public professional training centers in Spain. The training program for the professionals who work in the program and the updating of cabinet personnel in care matters will be guaranteed over the next few months, as they are working on signing a collaboration agreement with the Foundation for the Promotion of Health and Biomedical Research of the Valencian Community (FISABIO), an entity in charge of managing and promoting health research at the General University Hospital of Elche. Fisabio thus aligns itself with the La Torreta de Elche Public Integrated Vocational Training Center, a teaching center that has specialized teachers in aesthetic care during cancer treatment for several years
Oncological disease, due to its characteristics and difficulties, implies and needs a holistic view of the patient, which includes the personal, family, relational, social, physical, mental and spiritual spheres. For this, a comprehensive approach is necessary that involves multidisciplinary teamwork.
The project, led by nursing, has the participation of the medical manager of the Oncological Radiotherapy Service, a psychologist, a senior hairdressing technician and an aesthetic assistant.
After the intervention it was possible to observe an important variation in the levels of self-esteem (table 1), disappearing the lower levels of average and
significantly low, placing all the people in the three upper levels, It is striking that more than 50% went to a significantly high level, where before there were none. Not only can you see the change in terms of the percent global at each level, but also in relation to individuals individually, finding that in 100% of the cases there was an elevation of self-esteem to levels above the initial ones.
It should be noted that it was possible to perceive a notable improvement in all the cases, they expressed themselves more uninhibitedly, with greater confidence, better state mood, willingness to participate, they reported not only feeling good about themselves, but also with others and in their homes.
The oncoesthetics service is integrated into the health institution, to provide support, assessment and treatment to patients, both men and women. Aesthetic aspects are treated, but also psychological and social aspects. This same team of professionals also treat patients in the mental health service, to improve their self-esteem and reduce their social self-stigma, increasing the possibility of social integration of this vulnerable group.
Design:
An analytical observational study of the cohort type without a control group will be carried out. will establish a
cohort that will be made up of all those people who meet the criteria (inclusion 6 months),
will extend the follow-up of the cohort up to 7 months after the start of inclusion of participants.
Study population:
On which the study will be carried out
Cancer patients who start chemotherapy and/or radiotherapy treatment in the Department of
Salud Elche General Hospital, where all types of tumors are treated, although the most frequent are those of
breast, lung, prostate, head and neck, as well as gynecological and gastrointestinal pathology.
Selection criteria:
Inclusion criteria:
1. Be a man or a woman from 18 to 85 years of age, inclusive
2. Have signed an informed consent document indicating that you understand the purpose of the study and the procedures it requires and that you are willing to participate in it.
3. Any patient who plans to start treatment in the clinical oncology service and/or radiation oncology at the General University Hospital of Elche.
Exclusion criteria:
1. Not signing the informed consent document.
2. Patients who, due to some problem (eg, lack of command of Spanish) do not present a capacity acceptable understanding, reading and signing of the informed consent and completion of the questionnnaires
All participants will be informed of the nature and objectives of the study by the investigator.
principal or collaborating investigators and will sign informed consent forms, if finally
agree to participate in the study.
The Coop/Wonca and NHP sheets will be completed during the visits: Baseline, 15 days after, Monthly,
Oncology Aesthetic Cabinet visit and end of treatment (TABLE III). The Beck Anxiety Inventory (BAI)
and Beck's Depression Test (BDI-2), will be completed at the Baseline, Subsequent and End of treatment visits.
In conclusion, cancer patients undergo a number of physical changes that affect their body image, self-esteem, mood and quality of life. Against this, there have been studies that assess the effectiveness of interventions based on advice in beauty care to improve the physical appearance, obtaining high satisfaction among patients and positive results, being especially notable psychological and emotional well-being, due to the stability of the results when
compare the different studies.
If there are positive data for cancer patients and those with mental problems from the start-up of these cabinets within the health system services and more specifically in hospitals, the model could be replicated in other institutions. The objective is to improve the quality of life and mental well-being of vulnerable groups.
The organized and systematized nursing practice can be understood as one of the great searches of nurses in recent decades in favor of scientific knowledge of the profession and the improvement of the quality of care provided to the client. In this collective movement, it is necessary to take into account that the current moment appears as a complex, uncertain, multifaceted and multidimensional reality and, therefore, requires reflections and attitudes that reconsider the old ways of thinking and acting, based on changes paradigms that include this new vision of social reality. In the context of nursing care for hospitalized patients with advanced cancer, this movement of thought is justified by the participation of multiple and complex dimensions of care, that is, physical, psychosocial, emotional, and spiritual. The approach to complexity in this area of nursing practice admits the necessary commitment of the health team to meet the care needs of the client and family within the possibilities. Therefore, the application of knowledge from a single scientific knowledge is not enough, but a transdisciplinary approach to face the uncertainties, diversities and unpredictability that mark the complex reality, through the instability of the clinical condition of the client and the proximity of the death . The philosophy that guides the care model for this clientele is followed by the World Health Organization, which defines palliative care as an approach that aims to promote the quality of life of clients and their families who face associated problems together. to the illnesses that pose life. threats, through the prevention and relief of suffering, through early identification, correct evaluation and treatment of pain and other physical, psychosocial, emotional and spiritual problems.
