The experiences of women receiving brachytherapy for cervical cancer: A systematic literature review

被引：32

作者：

Humphrey, P. ^{[1
]}

Bennett, C. ^{[2
]}

Cramp, F. ^{[2
]}

机构：

[1] Bristol Haematol & Oncol Ctr, Bristol Canc Inst, Horfield Rd, Bristol BS2 8ED, Avon, England

[2] Univ West England, Fac Hlth & Appl Sci, Glenside Campus,Blackberry Hill, Bristol BS16 1DD, Avon, England

来源：

RADIOGRAPHY | 2018年 / 24卷 / 04期

关键词：

Brachytherapy; Cervical cancer; High dose rate; Anesthesia; Analgesia; Anxiety;

D O I：

10.1016/j.radi.2018.06.002

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Objectives: To determine women's experiences of brachytherapy for cervical cancer. Key findings: Nineteen studies were included for data extraction/synthesis. Twelve studies focussed on psychological issues, seven on pharmacological aspects of women's experiences. Themes of anxiety, distress, pain, informational needs and non-pharmacological interventions were found. Nine out of ten psychological studies described brachytherapy as a distressing experience causing anxiety and distress for most women. Non-pharmacological interventions were found to be effective and inexpensive adjuncts. Peri and post-operative pharmacological management was variable, but duration of procedure was an important factor. Conclusion: Brachytherapy for gynaecological cancer causes varying levels of pain, anxiety and distress. To improve women's experiences there needs to be better pain management, patient information and the development of non-pharmacological interventions. Future recommendations are to develop clinical support guidelines, audit the quality of services and develop effective interventions to improve women's experiences of brachytherapy for locally advanced cervical cancer. (c) 2018 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.

引用

页码：396 / 403

页数：8

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