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Master Thesis

Vécu par les patients de l’acte chirurgical des cancers cutanés de la face en Dermatologie interventionnelle

Abstract : Introduction: Few studies have explored the psychological experience of patients and the evolution of their anxiety in the context of the surgical care of facial skin cancer. Objectives: Exploring patients' personal experience by evaluating their anxiety before, during and a while after surgery in the context of the surgical care of facial skin cancers. Evaluating the impact of surgery on patients' quality of life and aesthetic satisfaction. Distinguishing the elements of anxiety related to the surgical act and the cancer diagnosis. Patients and Method: the study was proposed to all patients see in the dermatology department of Saint André hospital for medical care of a BCC or EC or Dubreuilh melanoma. The required number of subjects was 97 patients. Self-questionnaires (free question, STAI/E, EVA, Face Q Skin Cancer, DLQI, POSAS) were handed to patients to evaluate the evolution of their anxiety during the pre-operative consultation, the day of surgery (D0), the day of stitch removal (D10) and during the follow-up consultation (M3). Results: Preliminary results of this study (30 patients included) show that cheek and temple localization is associated with a higher STAI/E score; outpatient surgery rather than inpatient surgery leads to a significant increase in the STAI/E score; the most anxious patients are the ones waiting for answers regarding their medical care and the fate of their cancer. Discussion: Cancer-related anxiety is stable during the length of medical care, while general anxiety increases on the day of surgery and decreases thereafter. If the impact on quality of life is very low, and aesthetic satisfaction is average, inpatient surgical care contributes to reducing patients' anxiety. Conclusion: These preliminary results give a first glimpse of the evolution of this anxiety. They should be confirmed by the complete results of our study.
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https://dumas.ccsd.cnrs.fr/dumas-03108446
Contributor : Médecine Ub <>
Submitted on : Wednesday, January 13, 2021 - 10:56:32 AM
Last modification on : Tuesday, February 2, 2021 - 3:12:13 AM

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  • HAL Id : dumas-03108446, version 1

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Paul Cirotteau. Vécu par les patients de l’acte chirurgical des cancers cutanés de la face en Dermatologie interventionnelle. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03108446⟩

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