Merila za bolnikovo samooceno zdravljenja (PROMs) v radioterapiji raka dojk

magistrsko delo

Vanesa Sakovič (Avtor), Lorna Zadravec-Zaletel (Recenzent), Tanja Marinko (Mentor), Valerija Žager (Komentor)

Povzetek

Uvod: Rak dojk je najpogostejši rak pri ženskah. Bolnike z rakom dojk zdravimo na različne načine: s kirurgijo, sistemskim zdravljenjem, imunoterapijo ter radioterapijo. Radioterapija je zdravljenje malignih bolezni z uporabo ionizirajočega sevanja. Radioterapija omogoča dobro lokalno kontrolo bolezni, kontrolo toksičnosti zdravih organov in prispeva k daljšemu preživetju bolnikov. Ob zdravljenju pa je pomembna tudi kvaliteta življenja bolnikov, njihovo fizično in psihično počutje. Namen: Namen magistrskega dela je opisati in spoznati merila za bolnikovo samooceno zdravljenja raka dojk z radioterapijo. Za merjenje izidov zdravljenja, o katerih poročajo bolniki, se uporabljajo različna orodja (PROMs). Ob pregledu različne literature bomo ugotovili, kaj je PROMs in pri tem proučili pomen in prepoznavnost tega merskega instrumenta. Proučili bomo njegovo uporabo in spoznali njegovo razširjenost uporabe pri bolnicah z rakom dojk. Metode dela: Pri pisanju smo uporabili deskriptivno metodo in sistematični pregled literature. Viri so bili večinoma znanstveni članki, izvlečki iz zbornikov in tuje raziskave. Literaturo smo iskali s pomočjo različnih podatkovnih baz, kot so: Digitalna knjižnica Slovenije, Digitalna knjižnica Univerze v Ljubljani, COBBIS, Google učenjak, Science Direct, Pub Med, Springer Link. Rezultati: Za predstavitev rezultatov smo pregledano literaturo predstavili po sklopih in jih razdelili v tri različne tabele, ki nam prikazujejo uporabo vprašalnikov o kvaliteti življenja bolnic v zvezi s stranskimi učinki obsevanja, glede na različno frakcionacijo in primernost uporabe vprašalnikov pri radioterapiji raka dojk. Razprava: S pomočjo vprašalnikov in navedenih simptomov bolnice lažje opozorijo na spremembe, ki so se jim zgodile. Prve opažene spremembe v kvaliteti življenja bolnic se pojavijo ob diagnosticiranju bolezni in trajajo do nekaj tednov po končanem zdravljenju. Bolnice se z diagnozo rak in potekom bolezni težko spoprijemajo, imajo slabšo psihično in fizično zmogljivost, slabšo samopodobo, prav tako opažajo veliko stranskih učinkov obsevanj. Z razvojem obsevalnih tehnik in različnega načina obsevanja prihaja do vse bolj razširjene uporabe parcialnega obsevanja dojk. Pri obsevanju le dela dojke, prihaja do izboljšane kvalitete življenja bolnic. Pri obsevanjih, ki vključujejo dozni dodatek na ležišče tumorja, prihaja do več sprememb na dojkah, ki jih bolnice težje sprejemajo. Raziskave so pokazale, da se po preteku enega leta od zaključka zdravljenja bolnice na svoje zdravstveno stanje privadijo. Zaključek: Ne glede na to, s kakšno obsevalno tehniko in doznim režimom se bolnice zdravijo, moramo ob tem imeti v mislih tudi njihovo kvaliteto življenja. Pomembnost stranskih učinkov obsevanja in psihično počutje se pri zdravljenju bolnic z rakom dojk lahko preverja na različne načine, eden izmed teh je vprašalnik PROMs.

Ključne besede

magistrska dela;radiološka tehnologija;rak dojk;PROMs;radioterapija;kvaliteta življenja;

Podatki

Jezik:	Slovenski jezik
Leto izida:	2025
Tipologija:	2.09 - Magistrsko delo
Organizacija:	UL ZF - Zdravstvena fakulteta
Založnik:	[V. Sakovič]
UDK:	616-07
COBISS:	226258947
Št. ogledov:	95
Št. prenosov:	19
Ocena:	0 (0 glasov)
Metapodatki:

Ostali podatki

Sekundarni jezik:	Angleški jezik
Sekundarni naslov:	Patient reported outcome measures (PROMs) in radiotherapy of breast cancer
Sekundarni povzetek:	Introduction: Breast cancer is the most common cancer among women. Different treatments methods help to cure patients. Breast cancer patients are often treated with radiotherapy, which provides good local control of the disease, control of toxicity to healthy organs and contributes to longer patient survival. Alongside the treatment, the quality of life of the patients, their physical and psychological well-being, are also important. Purpose: The purpose of this master thesis is to describe and understand the criteria patient reported outcomes measures (PROMs) and to determine what PROMs are by reviewing different literature. And by doing so, to explore the meaning and recognition of this measurement instrument. To study its use and to learn about its prevalence of use in breast cancer patients. Methods: Descriptive method and systematic literature review were used. The sources were mainly scientific articles, abstracts from proceedings and foreign research. The literature was searched using various databases, such as the Digital Library of Slovenia, the Digital Library of the University of Ljubljana, COBBIS, Google Scholar, Science Direct, Pub Med, Springer Link. Results: For the presentation of results, we categorized the reviewed literature into sections and divided them into three different tables. The tables show the use of questionnaires on patients' quality of life compared to the side effects of radiation, according to the different fractionation, the suitability of questionnaires in breast radiotherapy. Discussion: The questionnaires and the reported symptoms made it easier for the patients to point out the changes that had happened to them. First observed changes in the quality of life of patients occur at the time of diagnosis and last for several weeks after the completion of treatment. Patients find it more difficult to cope with the diagnosis and the course of the disease, they have reduced mental and physical capability, they have a poorer self-image, and they also notice many side effects of the radiation treatments. With the development of radiation techniques and different radiation methods, the use of partial breast radiation is becoming more and more widespread. When irradiating only part of the breast, patients experience a better quality of life. With radiation treatments that involve the additional boost, more changes occur in the breast, which are more difficult for patients to accept. Research has shown that after one year following the end of treatment, patients become accustomed to their condition. Conclusion: Regardless of radiation technique and dose regime used in treatment, we must also consider quality of life. The significance of radiation side effects and psychological well-being in the treatment of breast cancer patients can be assessed in various ways, one of which may be the PROMs questionnaire.
Sekundarne ključne besede:	master's theses;radiologic technology;breast cancer;PROMs;radiotherapy;quality of life;
Vrsta dela (COBISS):	Magistrsko delo/naloga
Študijski program:	0
Konec prepovedi (OpenAIRE):	1970-01-01
Komentar na gradivo:	Univ. v Ljubljani, Zdravstvena fak., Oddelek za radiološko tehnologijo
Strani:	50 str.
ID:	25907312