Exploring Brachytherapy Discharge Educational Needs of Gynecological Cancer Patients.

Autor: Julius A; Collaborative Academic Practice (CAP), Princess Margaret Cancer Centre, University Health Network, Toronto, Canada., Croke J; Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Canada.; Department of Radiation Oncology, Faculty of Medicine, University of Toronto, Toronto, Canada., Giannopoulos E; Cancer Health Literacy Research Centre, Cancer Education, Princess Margaret Cancer Centre, 585 University Avenue, ELLICSR PMB B-130, Toronto, ON, M5G 2N2, Canada., Manhertz JA; Radiation Nursing, Princess Margaret Cancer Centre, Toronto, Canada., Lawrie K; Cancer Health Literacy Research Centre, Cancer Education, Princess Margaret Cancer Centre, 585 University Avenue, ELLICSR PMB B-130, Toronto, ON, M5G 2N2, Canada., Quartey NK; Cancer Health Literacy Research Centre, Cancer Education, Princess Margaret Cancer Centre, 585 University Avenue, ELLICSR PMB B-130, Toronto, ON, M5G 2N2, Canada., Papadakos J; Cancer Health Literacy Research Centre, Cancer Education, Princess Margaret Cancer Centre, 585 University Avenue, ELLICSR PMB B-130, Toronto, ON, M5G 2N2, Canada. Janet.papadakos@uhnresearch.ca.; The Institute for Education Research, University Health Network, Toronto, Canada. Janet.papadakos@uhnresearch.ca.; The Institute for Health Policy, Management & Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. Janet.papadakos@uhnresearch.ca.
Jazyk: angličtina
Zdroj: Journal of cancer education : the official journal of the American Association for Cancer Education [J Cancer Educ] 2023 Aug; Vol. 38 (4), pp. 1200-1207. Date of Electronic Publication: 2022 Dec 13.
DOI: 10.1007/s13187-022-02249-6
Abstrakt: Brachytherapy (BT) plays a fundamental role in the treatment of gynecological cancers. Patient education for vaginal self-management and dilator use post-BT involves an interdisciplinary team of healthcare professionals (HCPs) and there is a paucity of post-BT education guidelines. Our objective was to determine the educational needs of gynecological cancer patients surrounding vaginal self-management post-BT and to determine enablers and barriers to the provision of education by HCPs. This cross-sectional study recruited gynecological oncology patients receiving external beam radiotherapy and BT for curative intent. Patients completed a questionnaire to assess their vaginal self-management educational needs, preferred education modality, and desired timing of post-BT education. HCPs were invited to complete a questionnaire to identify enablers and barriers to providing BT education. Twenty patients and 53 HCPs participated. All patients rated each topic as very important/important with information about preventing vaginal stenosis as the most important overall (89%). When asked about topics they addressed during BT education, most HCPs reported that "explaining what vaginal stenosis is and the negative effects of stenosis" was always discussed with patients (N = 37/49, 77%). Barriers to providing post-BT education, including the patients' language and culture, as well as enablers, such as the use of written resources and tools for patients, were identified. Despite a high level of engagement, current education surrounding vaginal self-management post-BT may be inadequate.
(© 2022. The Author(s) under exclusive licence to American Association for Cancer Education.)
Databáze: MEDLINE
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