Nurse‐led web‐based patient education reduces anxiety in thyroidectomy patients: A randomized controlled study

Altınbaş, Bahar Candaş; Gürsoy, Ayla

doi:10.1111/ijn.13131

Cited by 2 publications

(2 citation statements)

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“…Furthermore, in a recent systematic review and meta-analysis of preoperative nursing interventions administered prior to a variety of surgeries, nurse-led interventions, including an informative nursing interview, were also associated with a significant reduction in perioperative anxiety. 34 Yet these studies may not be directly generalizable to patients with low-risk PTC contemplating the choice of surgery or active surveillance, given that the patients in the aforementioned studies 33,34 were already committed to having surgery. Pitt and Saucke 35 have recently developed question prompt-based decision support tools intended to inform patients with low-risk differentiated thyroid cancer about disease management options, including surgery or active surveillance.…”

Section: Discussionmentioning

confidence: 99%

“…Nurse-led educational and counseling interventions may be promising in reducing patients’ surgical fear. In a recently published randomized clinical trial of patients with thyroid cancer undergoing total thyroidectomy in Turkey, Altinbas and Gürsoy reported significantly reduced general anxiety on the day of surgery and a week later, following a nurse-led, web-based patient educational intervention (compared with usual care). Furthermore, in a recent systematic review and meta-analysis of preoperative nursing interventions administered prior to a variety of surgeries, nurse-led interventions, including an informative nursing interview, were also associated with a significant reduction in perioperative anxiety .…”

Section: Discussionmentioning

confidence: 99%

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Gender Differences in Fears Related to Low-Risk Papillary Thyroid Cancer and Its Treatment

Sawka

Ghai

Rotstein

et al. 2023

JAMA Otolaryngol Head Neck Surg

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ImportanceFear is commonly experienced by individuals newly diagnosed with papillary thyroid cancer (PTC).ObjectiveTo explore the association between gender and fears of low-risk PTC disease progression, as well as its potential surgical treatment.Design, Setting, and ParticipantsThis single-center prospective cohort study was conducted at a tertiary care referral hospital in Toronto, Canada, and enrolled patients with untreated small low risk PTC (&lt;2 cm in maximal diameter) that was confined to the thyroid. All patients had a surgical consultation. Study participants were enrolled between May 2016 and February 2021. Data analysis was performed from December 16, 2022, to May 8, 2023.ExposuresGender was self-reported by patients with low-risk PTC who were offered the choice of thyroidectomy or active surveillance. Baseline data were collected prior to the patient deciding on disease management.Main Outcomes and MeasuresBaseline patient questionnaires included the Fear of Progression–Short Form and Surgical Fear (referring to thyroidectomy) questionnaires. The fears of women and men were compared after adjustment for age. Decision-related variables, including Decision Self-Efficacy, and the ultimate treatment decisions were also compared between genders.ResultsThe study included 153 women (mean [SD] age, 50.7 [15.0] years) and 47 men (mean [SD] age, 56.3 [13.8] years). There were no significant differences in primary tumor size, marital status, education, parental status, or employment status between the women and men. After adjustment for age, there was no significant difference observed in the level of fear of disease progression between men and women. However, women reported greater surgical fear compared with men. There was no meaningful difference observed between women and men with respect to decision self-efficacy or the ultimate treatment choice.Conclusions and RelevanceIn this cohort study of patients with low-risk PTC, women reported a higher level of surgical fear but not fear of the disease compared with men (after adjustment for age). Women and men were similarly confident and satisfied with their disease management choice. Furthermore, the decisions of women and men were generally not significantly different. The context of gender may contribute to the emotional experience of being diagnosed with thyroid cancer and its treatment perception.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Gender Differences in Fears Related to Low-Risk Papillary Thyroid Cancer and Its Treatment

Sawka

Ghai

Rotstein

et al. 2023

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

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Patient Education Materials for Immobilisation Masks in Radiation Therapy for Adult Head and Neck Cancer Patients: A Scoping Review

Wood,

Holman,

Nguyen

et al. 2024

J Canc Educ

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Immobilisation masks (IMs) are used for people with head and neck cancer (HNC) undergoing radiation therapy (RT) treatment to ensure accuracy and reproducibility between treatments. Claustrophobia-related mask anxiety in HNC patients is common and can compromise treatment due to patient distress. This scoping review aimed to describe the content of publicly available Patient Education Materials (PEMs) for people with HNC undergoing RT. Three search engines (Bing, Yahoo, and Google) were systematically searched using standard terms. PEMs in audio-visual or written formats were eligible for inclusion if the target readership was adults with HNC and included content on IMs for RT. Content was appraised using the Patient Education Materials Assessment Tool for Printable and Audio-Visual Materials to assess understandability and actionability. In total, 304 PEMs were identified of which 20 met the inclusion criteria. Sixteen PEMs were webpages, three were PDF format, and one was a standalone video. The understandability and actionability of PEMs ranged between 47 to 100% and 0 to 80%, respectively. PEMs authored by Foundations/Organisations scored higher in understandability (80–100%) and were more likely to discuss mask anxiety coping strategies. In comparison, News sites and IM manufacturers published PEMs with the lowest understandability scores (20–80%). The significant variations in the quality of IM PEMs identified suggest that some sources may be more effective at informing patients about IMs. Although multiple aspects of the PEMs were consistent across the reviewed materials, many PEMs lacked information, and a stronger focus on understandability and actionability is required.

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Nurse‐led web‐based patient education reduces anxiety in thyroidectomy patients: A randomized controlled study

Cited by 2 publications

References 61 publications

Gender Differences in Fears Related to Low-Risk Papillary Thyroid Cancer and Its Treatment

Gender Differences in Fears Related to Low-Risk Papillary Thyroid Cancer and Its Treatment

Patient Education Materials for Immobilisation Masks in Radiation Therapy for Adult Head and Neck Cancer Patients: A Scoping Review

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