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A focus group consultation round exploring patient experiences of comfort during radiotherapy for head and neck cancer

Published online by Cambridge University Press:  04 April 2016

Simon D. Goldsworthy*
Affiliation:
Radiotherapy, Beacon Cancer Centre, Taunton, Somerset, Taunton, SomersetUK
Kelly Tuke
Affiliation:
Radiotherapy, Beacon Cancer Centre, Taunton, Somerset, Taunton, SomersetUK
Jos M. Latour
Affiliation:
Radiotherapy, Beacon Cancer Centre, Taunton, Somerset, Taunton, SomersetUK
*
Correspondence to: Simon D Goldsworthy, Radiotherapy, Beacon Cancer Centre, Taunton, Somerset Taunton, Somerset, TA1 5DA UK. Tel: 01823 344250; E-mail: simon.goldsworthy@tst.nhs.uk, simon.goldsworthy@googlemail.com

Abstract

Purpose

The aim of this study was to consult patients about their experiences of comfort while wearing a thermoplastic mask during head and neck radiotherapy before designing a study to develop a comfort scale for radiotherapy.

Methods

A qualitative method using a focus group of patients receiving radiotherapy for head and neck cancer was deployed. Five patients were invited and agreed to participate. Semi-structured questions guided the focus group interview. Thematic analysis was used to identify themes.

Findings

Three patients participated in the focus group. Three main themes were identified: Physical comfort, Mental perception, Passivity. Physical comfort derived from feelings of pressure, unpleasantness, and generally being uncomfortable. Mental perception derived from how the physical comfort was perceived and derived from feelings of shock, anxiety, indifference and sensory systems. Passivity arose from feelings such as the ‘doctor knows best’, ‘putting up with it’, and ‘being taken for a ride’.

Conclusion

The insight of patient’s comfort and experiences are valuable for clinicians to provide patient-centred care. Findings of this study implicate further investigation of how the themes of patient comfort can be measured in radiotherapy to improve the patient experience.

Type
Original Articles
Copyright
© Cambridge University Press 2016 

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