Lewis Florence, Merckaert Isabelle, Liénard Aurore, Libert Yves, Etienne Anne-Marie, Reynaert Christine, Slachmuylder Jean-Louis, Scalliet Pierre, Van Houtte Paul, Coucke Philippe, Salamon Emile, Razavi Darius
Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Éducation, Brussels, Belgium.
Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Éducation, Brussels, Belgium; Institut Jules Bordet, Brussels, Belgium.
Radiother Oncol. 2015 Jan;114(1):35-41. doi: 10.1016/j.radonc.2014.07.017. Epub 2014 Sep 16.
Patients may experience clinically relevant anxiety at their first radiotherapy (RT) sessions. To date, studies have not investigated during/around the RT simulation the key communication and communication-related predictors of this clinically relevant anxiety.
Breast cancer patients (n=227) completed visual analog scale (VAS) assessments of anxiety before and after their first RT sessions. Clinically relevant anxiety was defined as having pre- and post-first RT session VAS scores ⩾4 cm. Communication during RT simulation was assessed with content analysis software (LaComm), and communication-related variables around the RT simulation were assessed with questionnaires.
Clinically relevant anxiety at the first RT session was predicted by lower self-efficacy to communicate with the RT team (OR=0.65; p=0.020), the perception of lower support received from the RT team (OR=0.70; p=0.020), lower knowledge of RT-associated side effects (OR=0.95; p=0.057), and higher use of emotion-focused coping (OR=1.09; p=0.013).
This study provides RT team members with information about potential communication strategies, which may be used to reduce patient anxiety at the first RT session.
患者在首次放疗（RT）期间可能会经历具有临床意义的焦虑。迄今为止，尚无研究在放疗模拟期间/前后调查这种具有临床意义的焦虑的关键沟通及与沟通相关的预测因素。
乳腺癌患者（n = 227）在首次放疗前后完成了焦虑的视觉模拟量表（VAS）评估。具有临床意义的焦虑定义为首次放疗前后VAS评分≥4厘米。使用内容分析软件（LaComm）评估放疗模拟期间的沟通情况，并通过问卷调查评估放疗模拟前后与沟通相关的变量。
首次放疗时具有临床意义的焦虑可通过以下因素预测：与放疗团队沟通的自我效能较低（OR = 0.65；p = 0.020）、认为从放疗团队获得的支持较少（OR = 0.70；p = 0.020）、对放疗相关副作用的了解较少（OR = 0.95；p = 0.057）以及较多地使用以情绪为中心的应对方式（OR = 1.09；p = 0.013）。
本研究为放疗团队成员提供了有关潜在沟通策略的信息，这些策略可用于减轻患者在首次放疗时的焦虑。
