在治疗磁共振导向辐射疗法的过程中患者的经验和焦虑
Jasmijn M Westerhoff1, Pim T S Borman1, Reijer H A Rutgers1
1Department of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Advances in radiation oncology
|July 22, 2024
概括
镇静视频在磁共振 (MR) 导向辐射疗法 (MRgRT) 期间改善了患者的体验. 治疗后焦虑水平下降,显示了未来生物反应用的潜力.
科学领域:
- 在瘤学瘤学.
- 医学物理 医学物理
- 辐射疗法 辐射疗法
背景情况:
- 磁共振 (MR) 导向辐射疗法 (MRgRT) 将先进的成像与治疗交付相结合.
- 患者的体验和焦虑是辐射疗法的坚持和结果的关键因素.
- 需要新的干预措施来缓解MR导向放射治疗期间患者的痛苦.
研究的目的:
- 为了评估患者在MR导向放射治疗 (MRgRT) 期间的体验和焦虑水平,使用混合1.5Tesla (T) MR导向线性加速器 (MR-Linac).
- 评估在MRgRT会议期间提供平静视频内容作为分心的影响.
- 确定在MR-Linac治疗期间使用视频监视器的可行性和患者偏好.
主要方法:
- 在MOMENTUM队列中的单中心研究包括66名接受MRgRT的患者.
- 在治疗期间,患者被提供了舒缓的视频内容.
- 评估了患者的经验和焦虑 (国家特征焦虑清单,STAI) 使用问卷在基线 (M1) 和随后的分数 (M2) 评估.
主要成果:
- 41%的患者更喜欢在MRgRT期间观看镇静视频.
- 患者的体验总体上是有利的,有17%的人报告了刺痛的感觉.
- 在治疗课程后,焦虑水平显著下降 (M1:ES=0.7,P<.001;M2:ES=0.4,P=.009).
结论:
- 患者在MRgRT期间舒适地观看视频监视器,这表明生物反应用的潜力.
- 显著的少数患者从平静的视频中受益,作为分心.
- 虽然患者体验是积极的,但存在焦虑,特别是在治疗前,治疗后减少.
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