彻底改变乳腺癌患者对常规物理随访的认知

C. Waghmare, V. Jain, Arya Bhanu, Padmini H. Nirmal
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摘要

目的:探讨根治乳腺癌患者(RTBCP)对常规物理随访(RPFUV)的认知。材料与方法:研究对象为2018年8月至2019年5月在放射肿瘤科接受RPFUV治疗至少1年的RTBCP。在简报会前后对宣布无疾病并准备为研究提供知情书面同意的所有性别和年龄组的患者进行了访谈。讲解内容包括疾病的自然病程、长期治疗的副作用、疾病复发的警示症状以及应对策略。使用描述性统计收集、编译和分析数据。结果:访谈了101例经根治的符合条件的乳腺癌患者。平均年龄为51岁。男女性别比例为100:1。以II期患者居多(57.43%),67.33%的患者来自中等社会经济阶层。每次就诊的平均调查和旅行费用(不包括每位患者的食物、住院和护理费用)分别为765卢比(±343)和483.7卢比(±400.67)。大多数患者(63.37%)在计划RPFUV时感到压力。在说明会之前,57.43%的患者同意与当地医生进行随访或电话随访。然而,在说明会之后,62.38%的患者同意这一点。结论:常规物理随访给患者带来心理负担和经济负担。有必要在RTBCP中实践常规物理随访的替代方法,并对患者进行教育,以进一步提高治疗后的生活质量。
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Radically treated breast cancer patient's perception about routine physical follow-up visit
Aim: The study aimed to evaluate radically treated breast cancer patient's (RTBCP) perception about routine physical follow up visit (RPFUV). Materials and Methods: RTBCP who had completed treatment at least 1 year before and attended radiation oncology department for RPFUV from August 2018 to May 2019 were evaluated for the study. Patients of both sex and all age group who were declared disease free and ready to give informed written consent for the study were interviewed before and after briefing session. The briefing session included explanation of natural history of disease, long-term treatment side effects, alarming symptoms of disease recurrence, and coping up strategies. Data were collected, compiled, and analyzed using descriptive statistics. Results: One hundred and one radically treated eligible breast cancer patients were interviewed. The median age was 51 years. The female-to-male sex ratio was 100:1. Majority of the patients were Stage II (57.43%) and 67.33% of patients were from the middle socioeconomic group. The average investigation and travel cost per visit excluding food, stay, and care's cost per patient was Rs. 765(±343) and Rs. 483.7 (±400.67), respectively. Majority of the patients (63.37%) feel stressed when they plan for RPFUV. Before briefing sessions, 57.43% of patients agreed to follow-up with a local physician or telephonic follow-up. Whereas, after briefing sessions, 62.38% of patients agreed for the same. Conclusion: Routine physical follow-up visits cause psychological and financial burden on patients. There is a need to practice an alternative to routine physical follow-up visits in RTBCP along with patient's education to further improve posttreatment quality of life.
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