الفهرس 
AcknowledgmentOnly 14 pages are availabe for public view
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Abstract
Patients with facial disfigurement still encountered with social
stigmatization, major life crisis which subsequently may relate to negative selfperception. Social support is the important factor that may affect the psychosocial
adjustment of patients with facial disfigurement. Aim of the study: to assess factors
affecting communication skills among patients with facial disfigurement. Design: A
descriptive exploratory (cross- sectional) research design was utilized. Setting: The
study was conducted in Ismailia city in Suez Canal university hospitals at outpatients
clinics (Surgery, Plastic Surgery and Dermatology. Subjects: Purposive sample
comprised 191 facially disfigured patients (male and female) admitted to the previous
mentioned setting. Tools of data collection: The data was collected by using three
tools; tool I: interview questionnaire to assess demographic data and medical history,
tool II: questionnaire to assess factors affecting facial disfigurement and included selfesteem, stigma and perception, and tool III: questionnaire to assess communication
skills. Results: The studied subjects were aged between 35< 45 years old with 57.1 %
of them were females. The majority of the patients were average self-esteem and
highly socially stressed. Most of disfigured patients were stigmatized and more than
three fifths of the them had perceived negative impact on psychological and emotional
wellbeing. Also, the majority of the patients showed lacking of social communication
skills. Conclusion: The study concluded that disfigured patients had a problem with
communication skills that had a significant relationship with highly socially stressed,
feeling stigmatized, social impairment, and negative impact on psychological wellbeing. Recommendations: It was recommended to develop psychosocial services in
health care institutions to provide psychological support and rehabilitation for facially
traumatic patients.