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It's a question of endurance: patients with head and neck cancer experiences of 18F-FDG PET/CT in a fixation mask
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Radiologi.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Hälso- och sjukvårdsforskning.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Vårdvetenskap. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Öron-, näs- och halssjukdomar.ORCID-id: 0000-0001-7435-167X
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för immunologi, genetik och patologi, Experimentell och klinisk onkologi. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Livsstil och rehabilitering vid långvarig sjukdom. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Klinisk psykologi i hälso- och sjukvård.ORCID-id: 0000-0001-6226-6849
2017 (Engelska)Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 29, s. 85-90, artikel-id S1462-3889(17)30082-0Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

PURPOSE: This study aimed to explore how patients with head and neck cancer experienced undergoing an (18)F-fluoro-deoxy-glucose positrons emissions tomography/computed tomography ((18)F-FDG PET/CT) examination in a fixation mask.

METHOD: Interviews were conducted with nine patients with known or suspected head and neck cancer who were scheduled for the examination for the first time. The phenomenological method according to van Manen and his four lifeworld existentials; lived space, lived body, lived time, and lived relation was used to analyse the interviews.

RESULTS: The thoughts and feelings of the patients during the PET/CT examination varied, some found it very difficult, while others did not. However, for all the patients, it was an experience that required some form of coping to maintain composure for example distraction.

CONCLUSIONS: PET/CT examnation in a fixation mask may be strenuous for some patients. Patients need more detailed information, including suggestions for coping behaviours, prior to the examination, as well as higher level of support during and after the examination. The results of this study may be used to improve patient care and optimize the procedure of PET/CT examination in a fixation mask.

Ort, förlag, år, upplaga, sidor
2017. Vol. 29, s. 85-90, artikel-id S1462-3889(17)30082-0
Nyckelord [en]
FDG PET/CT, Fixation mask, Head and neck cancer, Phenomenology
Nationell ämneskategori
Annan medicin och hälsovetenskap
Forskningsämne
Vårdvetenskap; Radiologi
Identifikatorer
URN: urn:nbn:se:uu:diva-326834DOI: 10.1016/j.ejon.2017.05.009ISI: 000407405700013PubMedID: 28720271OAI: oai:DiVA.org:uu-326834DiVA, id: diva2:1128970
Anmärkning

Title in WoS: It's a question of endurance Patients with head and neck cancer experiences of F-18-FDG PET/CT in a fixation mask

Tillgänglig från: 2017-07-31 Skapad: 2017-07-31 Senast uppdaterad: 2019-03-11Bibliografiskt granskad
Ingår i avhandling
1. PET/CT in oncology: Patient experience, image quality and the value of information
Öppna denna publikation i ny flik eller fönster >>PET/CT in oncology: Patient experience, image quality and the value of information
2018 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The overall aim was to investigate patients’ experiences with a PET/CT examination, satisfaction with care provided in connection to the examination and whether web-based information can improve satisfaction with care and image quality, compared to standard care. An additional aim was to explore how satisfaction with care and image quality is associated with health-related quality of life (HRQoL) and perceived stress. Methods: Study I and IV included patients with known or suspected malignancy scheduled for an 18F-FDG PET/CT examination. Study II included prostate cancer patients with known or suspected bone metastases scheduled for an 18F-fluoride PET/CT examination, and study III included head and neck cancer patients scheduled for an 18F-FDG PET/CT examination in a fixation mask. Study I and II had cross-sectional designs, study III used a phenomenological methodology according to Max van Manen, and study IV was a randomized controlled trial. Results: Study I and II found that many patients did not know before what a PET/CT examination was but were satisfied with care provided by the nursing staff. In study II the image quality was high and there was no difference in image quality between those patients that experienced pain or discomfort during the PET/CT and those that did not. Study III showed that the patient’s lifeworld was changed during the PET/CT examination and the use of coping strategies helped the patient to endure the examination procedure. In study IV the overall satisfaction, satisfaction single-variables and image quality was high in the intervention group and standard care group. There was no statistically significant difference between patients the intervention group and standard care group. However, there was slightly higher number of detected image quality defects in the standard care group. In study I and IV there were some statistically significant correlations between patient satisfaction and HRQoL (p<0.01-0.05). Conclusion: The results of this thesis may be used to improve patient information and care in connection to PET/CT examinations and thereby help optimize PET/CT imaging procedure. However, the results need to be investigated in larger populations.

Ort, förlag, år, upplaga, sidor
Uppsala: Acta Universitatis Upsaliensis, 2018. s. 80
Serie
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1414
Nyckelord
PET/CT, patient experience, image quality.
Nationell ämneskategori
Medicin och hälsovetenskap
Forskningsämne
Medicinsk vetenskap
Identifikatorer
urn:nbn:se:uu:diva-336784 (URN)978-91-513-0197-6 (ISBN)
Disputation
2018-02-15, Skoogsalen, Ing.78, akademiska sjukhuset, Uppsala, 13:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2018-01-25 Skapad: 2017-12-17 Senast uppdaterad: 2018-03-07

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Andersson, CamillaRöing, MartaEhrsson, Ylva TiblomJohansson, Birgitta

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RadiologiHälso- och sjukvårdsforskningVårdvetenskapÖron-, näs- och halssjukdomarExperimentell och klinisk onkologiLivsstil och rehabilitering vid långvarig sjukdomKlinisk psykologi i hälso- och sjukvård
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