"It wasn't as bad as I thought it would be": a qualitative study of early stage non-small cell lung cancer patients after treatment.

Autor: Golden SE; Health Services Research & Development, VA Portland Health Care System, 3710 SW US Veterans Hospital Rd., R&D 66, Portland, OR, 97239, USA. sara.golden1@va.gov., Thomas CR Jr; Department of Radiation Medicine, Oregon Health & Science University, Portland, OR, USA., Deffebach ME; Department of Medicine, Oregon Health & Science University, Portland, OR, USA.; Section of Pulmonary & Critical Care Medicine, VA Portland Health Care System, Portland, OR, USA., Sukumar MS; Department of Surgery, Oregon Health & Science University, Portland, OR, USA., Schipper PH; Department of Surgery, Oregon Health & Science University, Portland, OR, USA., Tieu BH; Department of Surgery, Oregon Health & Science University, Portland, OR, USA., Kee AY; Division of Radiation Oncology, Legacy Health System, Portland, OR, USA., Tsen AC; Division of Cardiothoracic Surgery, Legacy Health System, Portland, OR, USA., Slatore CG; Health Services Research & Development, VA Portland Health Care System, 3710 SW US Veterans Hospital Rd., R&D 66, Portland, OR, 97239, USA.; Department of Medicine, Oregon Health & Science University, Portland, OR, USA.; Section of Pulmonary & Critical Care Medicine, VA Portland Health Care System, Portland, OR, USA.
Jazyk: angličtina
Zdroj: BMC research notes [BMC Res Notes] 2017 Nov 29; Vol. 10 (1), pp. 642. Date of Electronic Publication: 2017 Nov 29.
DOI: 10.1186/s13104-017-2956-3
Abstrakt: Objective: While surgical resection is recommended for most patients with early stage lung cancer, stereotactic body radiotherapy (SBRT) is being increasingly utilized. Provider-patient communication regarding risks/benefits of each approach may be a modifiable factor leading to improved patient-centered outcomes. Our objective was to determine a framework and recommended strategies on how to best communicate with patients with early stage non-small cell lung cancer (NSCLC) in the post-treatment setting. We qualitatively evaluated the experiences of 11 patients with early clinical stage NSCLC after treatment, with a focus on treatment experience, knowledge obtained, communication, and recommendations. We used conventional content analysis and a patient-centered communication theoretical model to guide our understanding.
Results: Five patients received surgery and six received SBRT. Both treatments were generally well-tolerated. Few participants reported communication deficits around receiving follow-up information, although several had remaining questions about their treatment outcome (mainly those who underwent SBRT). They described feeling anxious regarding their first surveillance CT scan and clinician visit. Overall, participants remained satisfied with care because of implicit trust in their clinicians rather than explicit communication. Communication gaps remain but may be addressed by a trusting relationship with the clinician. Patients recommend clinicians give thorough explanations and personalize when possible.
Databáze: MEDLINE
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