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妇科癌症高剂量率近距离放射治疗的探索:一项试点研究。

Exploration of gynaecological cancer high dose-rate brachytherapy treatment: a pilot study.

作者信息

Ehlers Alicia, Makanjee Chandra Rekha

机构信息

Steve Biko Academic Hospital, Department of Oncology, Pretoria, South-Africa.

University of Pretoria, Department of Radiography, South-Africa.

出版信息

Pan Afr Med J. 2018 May 15;30:27. doi: 10.11604/pamj.2018.30.27.14608. eCollection 2018.

Abstract

INTRODUCTION

Performing brachytherapy on female patients with gynaecological cancer is a sensitive procedure, apart from it being an intricate investigation. The aim of this study: establishing gynaecological cancer patients' expectations, experiences and understandings of the high dose-rate brachytherapy treatment procedure. Exploring these patients' life-worlds provides further insights into improving their preparedness and experiences.

METHODS

A qualitative research design with a descriptive phenomenological research approach was used. Recruitment entailed using purposive sampling. To obtain rich insights into the lived experiences, data was acquired through semi-structured interviews until data saturation.

RESULTS

Major challenges were experienced with mixed thoughts and feelings, from negative trauma to desires being fulfilled. These patients should have received more information regarding their upcoming brachytherapy treatment. This would have alleviated some of their fears and anxieties, which would in turn have provided them with a better brachytherapy treatment experience. Envisaged outcomes and desires are used to cope. Patients influence each other negatively, so they rather wanted to "see for themselves".

CONCLUSION

Despite some disappointments and negative experiences throughout the brachytherapy continuum, the patients were left with a positive outlook, saying that it is an excellent and necessary treatment. Further studies should be done to elaborate on fulfilments of recommendations in the brachytherapy department of radiation oncology.

摘要

引言

对妇科癌症女性患者进行近距离放射治疗是一个敏感的过程,而且这是一项复杂的检查。本研究的目的:确定妇科癌症患者对高剂量率近距离放射治疗程序的期望、体验和理解。探索这些患者的生活世界能为改善他们的准备情况和治疗体验提供进一步的见解。

方法

采用具有描述性现象学研究方法的定性研究设计。招募采用目的抽样法。为了深入了解患者的生活经历,通过半结构化访谈收集数据,直至数据饱和。

结果

患者经历了各种复杂的思想和情感带来的重大挑战,从负面的创伤到愿望的实现。这些患者本应获得更多关于即将进行的近距离放射治疗的信息。这会减轻他们的一些恐惧和焦虑,进而为他们提供更好的近距离放射治疗体验。患者用预期的结果和愿望来应对。患者之间会产生负面的相互影响,所以他们更想“亲眼看看”。

结论

尽管在整个近距离放射治疗过程中存在一些失望和负面经历,但患者仍保持积极的看法,称这是一种极好且必要的治疗方法。应开展进一步研究,以详细阐述放射肿瘤学近距离放射治疗科室建议的落实情况。

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