{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:57:08Z","timestamp":1789106228840,"version":"build-2803163510"},"reference-count":36,"publisher":"Mark Allen Group","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2019,2,14]]},"abstract":"<jats:sec><jats:title>Aim:<\/jats:title><jats:p> to explore the factors affecting quality of life in patients who experience facial disfigurement resulting from surgical treatment for head and neck cancer. <\/jats:p><\/jats:sec><jats:sec><jats:title>Background:<\/jats:title><jats:p> the number of people diagnosed with head and neck cancers has been rising over the past 30 years. This, combined with the improved survivorship of cancer patients, has led to a need to understand how these patients adapt to the physical, social and emotional toll of cancer and facial disfigurement and how these affect quality of life. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology:<\/jats:title><jats:p> a systematic search of four nursing and psychological-focused databases was undertaken using pertinent keywords. <\/jats:p><\/jats:sec><jats:sec><jats:title>Findings:<\/jats:title><jats:p> following a thematic analysis, four main themes and one subtheme emerged; changes within the self, social support; social reintegration; and help from healthcare professionals, which had the subtheme of information. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> facial disfigurement has a significant effect on patients' quality of life. 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