患者在与放射肿瘤学家初次会诊前对放射治疗的认知

IF 2.2 Q3 ONCOLOGY

Advances in Radiation Oncology Pub Date : 2024-11-13 DOI:10.1016/j.adro.2024.101676

Jennifer Novak MD, MS , Colton Ladbury MD , Tariq Abuali BS , Andrew Tam MD , Jeffrey Brower MD, PhD , Brett Evans BS , Virginia Sun PhD, RN , Matthew J. Loscalzo LCSW , Arya Amini MD

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引用次数: 0

摘要

目的目前关于患者对放射治疗（RT）的认知和恐惧的数据有限。本研究旨在确定和量化患者对放疗的关注，并确定在初次会诊之前评估这些期望的潜在价值。方法和材料没有RT病史的患者被邀请在会诊前完成研究者开发的匿名电子调查。患者被问及他们对RT的看法和潜在的恐惧/担忧。调查项目的内容效度指标得分，具有足够的构念效度。通过汇总统计对调查项目进行描述性评分。通过单变量和多变量逻辑回归分析被调查者变量与调查问题回答之间的关系。结果从2020年9月到2022年6月，214名患者完成了调查并被纳入分析。50%的受访者表示完全不了解RT。27%的患者表示，与化疗或手术相比，RT是他们最担心的癌症治疗方法。最常见的自我报告对放疗的恐惧包括一般副作用、皮肤烧伤、不知道放疗后会发生什么、疼痛和器官损伤。最常报道的生理副作用包括疼痛（67%）、记忆丧失（62%）、恶心/呕吐（60%）和皮肤反应（58%）。62%的受访者表示，他们对自己的日常活动能力感到中度或非常担忧。36%的受访者表示对rt的财务成本至少有一定程度的担忧。26%的受访者表示对前往rt的交通至少有一定程度的担忧。48%的受访者表示对向他人发射辐射感到担忧。结论患者对放射治疗的毒性和对日常生活的影响的担忧是常见的，对放射治疗的误解也是常见的。会诊前评估患者对放射治疗的期望是可行的，可能有助于尽早、实时地解决患者的担忧。

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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Patient Perceptions of Radiation Therapy Prior to Initial Consultation With a Radiation Oncologist

Purpose

There are currently limited data regarding patient perceptions and fears related to radiation therapy (RT). This study sought to identify and quantify patient concerns regarding RT and to determine the potential value of assessing these expectations prior to initial consultation.

Methods and Materials

Patients with no prior history of RT were invited to complete an investigator-developed anonymous electronic survey prior to consultation. Patients were queried about their perceptions of RT and potential fears/concerns. The content validity index for survey items were scored with adequate construct validity. Survey items were scored descriptively through summary statistics. Relationships between respondent variables and responses to survey questions were analyzed by univariate and multivariate logistic regression.

Results

From September 2020 through June 2022, 214 patients completed the survey and were included in the analysis. Fifty percent of respondents reported a complete lack of knowledge regarding RT. Twenty-seven percent of patients reported that RT is their most worrisome cancer treatment, compared to chemotherapy or surgery. The most common self-reported fears of RT included general side effects, skin burns, not knowing what to expect regarding RT, pain, and organ damage. The most frequently reported concerns of physical side effects of RT included pain (67%), memory loss (62%), nausea/vomiting (60%), and skin reactions (58%). Sixty-two percent of respondents reported being either moderately or very concerned about their ability to perform daily activities. Thirty-six percent of respondents reported at least moderate concern over the financial cost of RT. Twenty-six percent of respondents reported at least moderate concern regarding transportation to RT. Forty-eight percent of respondents reported concern about emitting radiation to others.

Conclusions

Patient concerns related to RT toxicities and impact on daily life were common, as were misconceptions of RT. Pre-consultation assessment of patient expectations regarding RT is feasible and may be helpful in addressing patients concerns early and in real-time.

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来源期刊

Advances in Radiation Oncology Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

4.60

自引率

4.30%

发文量

208

审稿时长

98 days

期刊介绍： The purpose of Advances is to provide information for clinicians who use radiation therapy by publishing: Clinical trial reports and reanalyses. Basic science original reports. Manuscripts examining health services research, comparative and cost effectiveness research, and systematic reviews. Case reports documenting unusual problems and solutions. High quality multi and single institutional series, as well as other novel retrospective hypothesis generating series. Timely critical reviews on important topics in radiation oncology, such as side effects. Articles reporting the natural history of disease and patterns of failure, particularly as they relate to treatment volume delineation. Articles on safety and quality in radiation therapy. Essays on clinical experience. Articles on practice transformation in radiation oncology, in particular: Aspects of health policy that may impact the future practice of radiation oncology. How information technology, such as data analytics and systems innovations, will change radiation oncology practice. Articles on imaging as they relate to radiation therapy treatment.