Research Centre for Age Related Functional Decline and Diseases, Innlandet Hospital Trust, Ottestad, Norway; Norwegian University of Science and Technology (NTNU) Gjøvik, Faculty of Medicine and Health Sciences, Department of Health Sciences, Gjøvik, Norway.
Research Centre for Age Related Functional Decline and Diseases, Innlandet Hospital Trust, Ottestad, Norway; Norwegian University of Science and Technology (NTNU) Gjøvik, Faculty of Medicine and Health Sciences, Department of Health Sciences, Gjøvik, Norway; Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway.
Eur J Oncol Nurs. 2021 Aug;53:101999. doi: 10.1016/j.ejon.2021.101999. Epub 2021 Jul 10.
To explore and describe experiences of older patients with cancer throughout their radiotherapy treatment, from diagnosis until follow-up after treatment.
Individual interviews were conducted to explore different phases of radiotherapy. Interviews were recorded and transcribed verbatim. Inductive content analysis was applied. Each interview was coded separately. Then to the codes were analyzed further, and an overall theme was developed.
Twelve older patients with cancer, (7 male, 5 female) aged ≥ 65 related their experiences from radiotherapy treatment. A main theme describes the essence of their experiences; Understanding "just enough". The theme comprises five main categories: Understandable, adapted information is crucial for trusting health services; Previous experiences influence patients' perception and understanding; Involvement of next of kin is crucial to patients' comprehension; Professional treatment decisions and well-organized treatment determines satisfaction and Experiences of cooperation and coordination of services affects dependability.
Findings from this study describe how understanding "just enough" - not too much nor too little - may assist older patients with cancer in participating in treatment decisions, preventing false beliefs, feeling reassured during treatment and in navigating the complex health care system. Next of kin are important assets for older patients with cancer in understanding "just enough". Cancer nurses may map comprehension of information, as well as reveal patients' previous experiences.
探索并描述老年癌症患者在接受放射治疗过程中的体验，从诊断到治疗后随访。
采用个体访谈的方式，探索放射治疗的不同阶段。访谈进行了录音并逐字转录。采用归纳内容分析法对访谈进行单独编码，然后对这些编码进行进一步分析，形成一个总体主题。
12 名年龄≥65 岁的老年癌症患者（7 名男性，5 名女性）描述了他们接受放射治疗的经历。一个主要主题描述了他们经历的本质：“恰到好处的理解”。该主题包含五个主要类别：可理解的、适应的信息对信任医疗服务至关重要；先前的经历影响患者的感知和理解；亲属的参与对患者的理解至关重要；专业的治疗决策和良好的组织化治疗决定了满意度；服务的合作和协调体验影响可靠性。
本研究的结果描述了“恰到好处的理解”（不多不少）如何帮助老年癌症患者参与治疗决策，防止错误的信念，在治疗过程中感到安心，并在复杂的医疗保健系统中导航。亲属是老年癌症患者理解“恰到好处”的重要资产。癌症护士可以了解信息的理解程度，以及揭示患者的先前经历。
