Wolpin Seth E, Parks Jason, Galligan Mary, Russell Kenneth J, Berry Donna L
School of Nursing, Department of Biobehavorial Nursing and Health Systems, University of Washington, Seattle, WA, USA.
Department of Oncology/Hematology, Seattle Cancer Care Alliance, Seattle, WA, USA.
J Cancer Educ. 2016 Mar;31(1):142-6. doi: 10.1007/s13187-015-0804-5.
The purpose of this study was to describe how patient information needs change over the course of receiving radiation therapy for prostate cancer. Convenience sampling was utilized to recruit men with stage I-III prostate cancer. A longitudinal repeated measures design was implemented for this pilot study. Patients were presented with 36 paired comparisons, each asking the participant to choose the most important information topic(s) for today. Following completion of the survey instruments, the clinic nurse delivered the four top-ranked information topic handouts to each patient with brief instruction on how to use the handouts. Over the course of 6 months, we were able to recruit 35 men. The four highest priority topics across all four sessions were prognosis, stage of disease, treatment options, and side effects. Our results suggest trends in the information priorities that men hold over the course of radiation treatment. The information priorities do appear to shift over time, notably prognosis concerns and risk for family members continued to rise over time, while side effect information declined. These findings will extend an already strong foundation of evidence for preparatory information in radiation therapy. Furthermore, these findings will strengthen current evidence that computerized assessment of patient self-report information is feasible and an important adjunct to clinical practice.
本研究的目的是描述前列腺癌患者在接受放射治疗过程中信息需求是如何变化的。采用便利抽样法招募I-III期前列腺癌男性患者。本试点研究采用纵向重复测量设计。向患者呈现36对比较内容,每对比较都要求参与者选择当天最重要的信息主题。完成调查问卷后,临床护士向每位患者发放排名前四的信息主题手册,并简要说明如何使用这些手册。在6个月的时间里,我们成功招募了35名男性患者。在所有四个阶段中,四个优先级最高的主题是预后、疾病分期、治疗方案和副作用。我们的研究结果表明了男性在放射治疗过程中信息优先级的变化趋势。信息优先级似乎会随着时间而变化,尤其是对预后的担忧以及家庭成员患病风险随着时间的推移持续上升,而副作用信息则有所下降。这些发现将为放射治疗中的预备信息证据基础提供进一步拓展。此外,这些发现将强化现有证据,即对患者自我报告信息进行计算机化评估是可行的,并且是临床实践的重要辅助手段。