Williams Katelyn, Blencowe Jenna, Ind Melissa, Willis David
Department of Radiation Oncology, North West Cancer Centre, Tamworth, New South Wales, Australia.
J Med Radiat Sci. 2017 Mar;64(1):35-40. doi: 10.1002/jmrs.220. Epub 2017 Feb 27.
Misconceptions and uncertainties about radiotherapy compound the anxiety patients experience at the commencement of treatment. This project investigated the utility of locally produced treatment process videos in meeting patients' informational needs.
In-house video production was conducted on a voluntary basis by staff and patients at a regional Australian radiotherapy centre. Videos included real footage and animated sections created with PEARL 3D visualisation software (Vertual Ltd, UK) to meet specific key content objectives. Quantitative cross sectional analysis was conducted. Patients attending for simulation watched a relevant video. After their first fraction of radiotherapy they were asked to complete an ethics-reviewed questionnaire about how well the video addressed their information needs.
The survey completion rate was 29% (n = 61/212). Surveys were collected over 9 months from August 2014 to April 2015. Statistical analysis found 98% of patients reported that the video was useful in meeting one or more of the learning objectives. Forty-nine percent of patients also reported a reduction in fear and anxiety as a result of watching the video. Patients reported subsequent review of videos at home (39%), primarily to explain treatment processes to loved ones (46%).
The combination of real footage and 3D visualisation software assisted in meeting learning objectives regarding the treatment process. Standardised videos provided consistency of information provision to patients and facilitated multiple viewings of the video if desired.
放疗相关的误解和不确定性加剧了患者在治疗开始时所体验到的焦虑。本项目调查了本地制作的治疗过程视频在满足患者信息需求方面的效用。
澳大利亚一家地区放疗中心的工作人员和患者自愿进行内部视频制作。视频包括真实镜头和使用PEARL 3D可视化软件(英国Vertual有限公司)创建的动画部分,以满足特定的关键内容目标。进行了定量横断面分析。前来进行模拟的患者观看了相关视频。在接受第一次放疗后,他们被要求完成一份经过伦理审查的问卷,询问视频在满足他们信息需求方面的效果如何。
调查完成率为29%(n = 61/212)。调查在2014年8月至2015年4月的9个月内收集。统计分析发现,98%的患者报告该视频有助于实现一个或多个学习目标。49%的患者还报告称,观看视频后恐惧和焦虑有所减轻。患者报告随后在家中会再次观看视频(39%),主要是为了向亲人解释治疗过程(46%)。
真实镜头和3D可视化软件的结合有助于实现有关治疗过程的学习目标。标准化视频为患者提供了一致的信息,并在需要时便于多次观看视频。