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口腔癌放疗患者面临的挑战:一项定性研究

Challenges Faced by Patients Undergoing Radiotherapy for Oral Cancer: A Qualitative Study.

作者信息

Kanchan Suvi, Pushpanjali K, Tejaswini B D

机构信息

Department of Public Health Dentistry, Faculty of Dental Sciences, M. S. Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India.

出版信息

Indian J Palliat Care. 2019 Jul-Sep;25(3):436-439. doi: 10.4103/IJPC.IJPC_40_19.

Abstract

BACKGROUND

Oral cancer is one of the most common types of cancers in India. Radiotherapy is one of the treatment options frequently resulting in complications. These complications affect the patient's quality of life, nutritional intake, and consequently undermine the treatment outcomes. Patients' verbal accounts of experiences regarding their overall oral health during radiotherapy have not been described sufficiently.

AIM

The aim of the current study was to identify and analyze the issues experienced by patients while undergoing radiotherapy for oral cancer treatment.

MATERIALS AND METHODS

A phenomenology study design was chosen, with in-depth interviews as the selected strategy for data collection. A literature search was conducted based on which an interview guide in English was prepared and modified according to inputs from subject matter experts. The interview guide comprised nine questions, including opening, key, and closing questions, and was also translated into Telugu and Kannada - the two languages predominantly spoken by the patients visiting the hospital. Interviews were conducted with each patient separately, with each interview lasting for 60 min each. The interviews were audio-recorded, transcribed, coded, and categorized, following which themes were derived from the analysis.

RESULTS

The key theme that emerged from the study was the "Multifaceted experience of patients undergoing radiotherapy."

CONCLUSION

Understanding the specific issues faced by oral cancer patients undergoing radiotherapy drew our attention to the dire need for interprofessional collaboration, which could enable health professionals to share their expertise and perspectives toward achieving the common goal of restoring patients' health and improving health outcomes.

摘要

背景

口腔癌是印度最常见的癌症类型之一。放射治疗是常用的治疗方法之一,但经常会引发并发症。这些并发症会影响患者的生活质量、营养摄入,进而影响治疗效果。目前对于患者在放射治疗期间关于整体口腔健康体验的口头描述尚不充分。

目的

本研究的目的是识别和分析口腔癌患者在接受放射治疗过程中所经历的问题。

材料与方法

选择现象学研究设计,采用深度访谈作为数据收集策略。进行了文献检索,并在此基础上编写了英文访谈指南,并根据主题专家的意见进行了修改。访谈指南包括九个问题,包括开场、关键和结束问题,并且还被翻译成泰卢固语和卡纳达语——这是来医院就诊的患者主要使用的两种语言。对每位患者分别进行访谈,每次访谈持续60分钟。访谈进行了录音、转录、编码和分类,随后从分析中得出主题。

结果

该研究中出现的关键主题是“接受放射治疗患者的多方面体验”。

结论

了解口腔癌放疗患者面临的具体问题,使我们迫切认识到跨专业合作的必要性,这能够使卫生专业人员分享他们的专业知识和观点,以实现恢复患者健康和改善健康结果的共同目标。

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本文引用的文献

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Oral cancer prevention and control--the approach of the World Health Organization.口腔癌预防与控制——世界卫生组织的做法。
Oral Oncol. 2009 Apr-May;45(4-5):454-60. doi: 10.1016/j.oraloncology.2008.05.023. Epub 2008 Sep 18.
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Impact of nutrition on quality of life during cancer.营养对癌症患者生活质量的影响。
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