Irvine L, Jodrell N
Duncan Guthrie Institute of Medical Genetics, Yorkhill Hospital, Glasgow, Scotland.
Cancer Nurs. 1999 Apr;22(2):126-33. doi: 10.1097/00002820-199904000-00004.
Distress associated with attendance at a radiotherapy treatment center for cranial radiotherapy was assessed in 10 consecutive patients using a method first employed by Munro et al. (1). This involved using a series of cards, each with a potential side effect of radiotherapy printed on it. The subjects were asked to highlight which side effects were a problem to them. The same method was used to determine the perceptions of nurses caring for patients receiving cranial radiotherapy, and the results were compared. This preliminary study suggests that the patient group found the physical side effects of their treatment most distressing, with "tiredness" and "hair loss" predominating. The nurse group had a tendency to overestimate the amount of side effects experienced by patients. They were able to choose quite successfully many of the more distressing side effects mentioned by the patient group. The study indicates the need for further research into the specific problems of patients undergoing cranial radiotherapy.
采用Munro等人（1）首次使用的方法，对连续10例接受头颅放疗的患者在放疗治疗中心就诊时的痛苦程度进行了评估。这包括使用一系列卡片，每张卡片上都印有放疗的一种潜在副作用。要求受试者突出显示哪些副作用对他们来说是个问题。采用相同的方法来确定护理接受头颅放疗患者的护士的看法，并对结果进行比较。这项初步研究表明，患者组发现治疗的身体副作用最令人痛苦，“疲劳”和“脱发”最为突出。护士组倾向于高估患者经历的副作用数量。他们能够相当成功地选出患者组提到的许多更令人痛苦的副作用。该研究表明有必要对接受头颅放疗患者的具体问题进行进一步研究。
