准备前列腺癌放射治疗的患者经验
S E Alexander1, J Selous-Hodges2, A Araujo2
1The Royal Marsden NHS Foundation Trust and the Institute of Cancer Research, United Kingdom.
概括
患者为前列腺癌放射治疗 (RT) 的准备通常受到好评,尽管有些人认为这是困难和破坏性的,特别是在治疗的后期. 了解患者的体验是改进RT准备协议的关键.
科学领域:
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
- 患者体验研究 研究研究
背景情况:
- 为前列腺癌放射治疗 (PCa RT) 进行膀和直肠准备可以引起患者的焦虑.
- 患者对RT准备的看法在现有文献中没有得到充分记录.
研究的目的:
- 检查患者对PCa RT准备的经验,重点关注理解,舒适,焦虑,有效性和日常生活的影响.
- 解决有关RT准备患者报告结果的文献上的差距.
主要方法:
- 对接受PCa或前列腺床+/-盆腔淋巴结RT的患者进行了一项新的,经过验证的患者准备调查.
- 在计划扫描,RT第一周和RT最后一周完成了调查,包括一般,膀和直肠准备问题,PHQ4和EPIC Q15.
主要成果:
- 大多数患者对一般 (55-98%) 和膀 (55-98%) 准备,以及直肠准备 (59-100%) 进行了积极的看法.
- 在使用全膀和浸泡剂时的困难在RT结束时增加. 焦虑/抑郁影响了12-13%的患者.
- 肠道毒性在RT的最后一周更频繁地报告.
结论:
- 似乎在很大程度上满足了患者为PCa RT的准备需求.
- 显著的少数患者认为准备是困难的,破坏性的和无效的,特别是在治疗的后期.
- 需要进一步进行定性研究,以了解患者对RT准备的体验变化.
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