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支持和准备患者接受放射治疗:患者和放射治疗师对一对一咨询的看法。

Supporting and preparing patients for radiotherapy: Patients' and radiation therapists' perspectives on their one-to-one consultations.

机构信息

School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.

Department of Radiation Oncology, Royal Adelaide Hospital, Adelaide, SA, Australia.

出版信息

Eur J Cancer Care (Engl). 2020 Nov;29(6):e13284. doi: 10.1111/ecc.13284. Epub 2020 Jul 13.

Abstract

OBJECTIVE

Patients are often anxious and lack knowledge of radiotherapy prior to commencing treatment. Evidence-based interventions are required to reduce patient anxiety and increase patient preparation before treatment. This study is part of a larger project examining the effectiveness of an innovative preparatory intervention "RT Prepare," to reduce patient psychological distress prior to treatment for breast cancer. This study aimed to explore patients' and RTs' perceptions about the "RT Prepare" intervention and was conducted to assist with refinement of the intervention for future implementation.

METHODS

Semi-structured interviews were conducted with patients and radiation therapists (RTs) to elicit their perspectives on the "RT Prepare" intervention. Thematic analysis was used to analyse the data.

RESULTS

Telephone interviews were conducted with 21 patients who had received the intervention and 15 RTs who had delivered the intervention. Patients and RTs described the intervention positively and highlighted that it was beneficial for preparing patients for treatment planning and treatment. The overarching themes were communication skills; preparation; information provision and dedicated space and time.

CONCLUSION

RT Prepare was well received by patients and RTs. Practice implications Based on the results of this study and our quantitative findings, implementation of the intervention would be beneficial for both patients and RTs.

摘要

目的

患者在开始治疗前通常会感到焦虑,并且对放射治疗缺乏了解。需要采取循证干预措施来减轻患者的焦虑并在治疗前增加患者的准备。本研究是一个更大项目的一部分,该项目旨在研究一种创新的预备干预措施“RT Prepare”在减少乳腺癌治疗前患者心理困扰方面的有效性。本研究旨在探讨患者和放射治疗师(RT)对“RT Prepare”干预措施的看法,并进行研究以协助未来实施该干预措施的改进。

方法

对接受过干预措施的 21 名患者和实施过干预措施的 15 名放射治疗师进行了半结构化访谈,以了解他们对“RT Prepare”干预措施的看法。使用主题分析对数据进行分析。

结果

对接受过干预措施的 21 名患者和实施过干预措施的 15 名放射治疗师进行了电话访谈。患者和放射治疗师对干预措施给予了积极的评价,并强调该干预措施有利于为治疗计划和治疗做好准备。总体主题包括沟通技巧、准备、信息提供以及专用空间和时间。

结论

RT Prepare 受到患者和放射治疗师的欢迎。实践意义 基于这项研究的结果和我们的定量发现,实施该干预措施将对患者和放射治疗师都有益。

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