Eliciting the views of left breast cancer patients' receiving deep inspiration breath hold radiation therapy to inform the design of multimedia education and improve patient-centred care for prospective patients

IF 1.8 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences Pub Date : 2024-04-16 DOI:10.1002/jmrs.790

Kathleene Dower BApSc (MRS), MHSM, Georgia K.B. Halkett PhD, FASMIRT, BMedRad(Hons), GAICD, Haryana Dhillon BSc MA (Psych), PhD, Diana Naehrig Dr.Med., FMH RadOnc, MSc CoachPsych, PhD, Moira O'Connor BA (Hons), MSc, PhD

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Abstract

Introduction

The currently accepted best practice radiation treatment for left breast cancer patients is Deep Inspiration Breath Hold (DIBH) where patients hold a deep breath to reduce late cardiac and pulmonary effects from treatment. DIBH can be challenging and induce or exacerbate anxiety in patients due to the perceived pressure to reduce radiation treatment side effects. This study explored the experiences of patients treated with Deep Inspiration Breath Hold Radiation Therapy (DIBH-RT) to improve patient-centred care and inform the design of multimedia educational tools for future patients undergoing DIBH.

Methods

This descriptive qualitative study was underpinned by a social constructivist approach to create new educational and patient care approaches based on previous patients' experiences. Semi-structured interviews were conducted with patients who had completed DIBH-RT for breast cancer. Data was analysed with reflexive thematical analysis.

Results

Twenty-two patients were interviewed with five key themes identified: (1) informational needs, (2) care needs, (3) autonomy, (4) DIBH performance influencers and (5) other centredness. Recommendations were derived from these themes to improve future treatments of DIBH patients. These recommendations revolved around improvements to education, patient-centred care and strategies to improve self-efficacy with breath holding.

Conclusion

Patients offer a wealth of knowledge regarding their lived experiences with treatment which can enhance future patients' experiences if incorporated into their education and care. Eliciting patients' views of their DIBH-RT treatment highlighted the need to improve patient self-efficacy with DIBH through familiarity with their planned treatment from new multimedia education, and foster patient care to enhance their experience.

Abstract Image

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征求接受深吸气屏息放射治疗的左侧乳腺癌患者的意见，为多媒体教育的设计提供参考，并改善未来患者的以患者为中心的护理。

引言目前公认的左侧乳腺癌患者最佳放射治疗方法是深吸气屏气（DIBH），即患者屏住深呼吸，以减少治疗后期对心脏和肺部的影响。深吸气憋气可能具有挑战性，由于患者感受到减少放疗副作用的压力，因此会诱发或加剧患者的焦虑。本研究探讨了接受深吸气憋气放射治疗（DIBH-RT）的患者的经历，以改善以患者为中心的护理，并为今后接受深吸气憋气放射治疗的患者设计多媒体教育工具提供信息。方法这项描述性定性研究以社会建构主义方法为基础，根据以往患者的经历创造新的教育和患者护理方法。研究人员对已完成 DIBH-RT 的乳腺癌患者进行了半结构化访谈。结果22名患者接受了访谈，确定了五个关键主题：(1) 信息需求、(2) 护理需求、(3) 自主性、(4) DIBH 效果影响因素和 (5) 其他中心性。根据这些主题提出了一些建议，以改善未来对 DIBH 患者的治疗。这些建议主要围绕改进教育、以患者为中心的护理以及提高屏气自我效能的策略。通过了解患者对DIBH-RT治疗的看法，我们发现有必要通过新的多媒体教育来提高患者对DIBH治疗的自我效能感，并加强患者护理以改善他们的体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Radiation Sciences RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

3.20

自引率

4.80%

发文量

审稿时长

8 weeks

期刊介绍： Journal of Medical Radiation Sciences (JMRS) is an international and multidisciplinary peer-reviewed journal that accepts manuscripts related to medical imaging / diagnostic radiography, radiation therapy, nuclear medicine, medical ultrasound / sonography, and the complementary disciplines of medical physics, radiology, radiation oncology, nursing, psychology and sociology. Manuscripts may take the form of: original articles, review articles, commentary articles, technical evaluations, case series and case studies. JMRS promotes excellence in international medical radiation science by the publication of contemporary and advanced research that encourages the adoption of the best clinical, scientific and educational practices in international communities. JMRS is the official professional journal of the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) and the New Zealand Institute of Medical Radiation Technology (NZIMRT).