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A REVIEW OF COMFORT INTERVENTIONS TO PROMOTE PATIENT COMFORT DURING RADIOTHERAPY
EP31438
Poster Title: A REVIEW OF COMFORT INTERVENTIONS TO PROMOTE PATIENT COMFORT DURING RADIOTHERAPY
Submitted on 23 Mar 2020
Author(s): Goldsworthy.S1,2, Latour.J, 3, McNair.H4, Palmer.S2, Cramp.M2
Affiliations: 1. Taunton & Somerset NHS Foundation Trust, 2. University of the West of England, 3. Plymouth University, 4. Royal Marsden NHS Foundation Trust.
This poster was presented at SCOR Annual Radiotherapy Conference 2020
Poster Views: 121
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Poster Information
Abstract: INTRODUCTION
Comfort is linked to care in all clinical procedures, but there are specific areas in which it takes on a particular importance such as radiotherapy (1-4). During radiotherapy, there is a need for patient stability and alignment for precise clinical delivery which challenges patient comfort.
This review aimed to search the literature to identify comfort interventions used for clinical procedures that involve remaining still, describes these comfort interventions and determine whether these comfort interventions are useful.
METHODS
The review is structured and reported according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement(5). Five databases, AMED, CINAHL, EMBASE, MEDLINE, PsycINFO were searched for controlled trials. Cochrane Risk of Bias (RoB) was used to evaluate paper quality. Intervention characteristics(6) were examined and outcome data evaluated for clinical significance based on the following criteria: effect size ≥0.4 (7) and an outcome ≥ Minimal Important Difference for the measure (8). The protocol was prospectively published on the PROSPERO international register for systematic reviews(9) to avoid duplication (CRD42017059688).
RESULTS
5,269 titles and abstracts were screened; 47 RCTs met the inclusion criteria. Thirteen different interventions were reported in 5 broad categories’. 26 studies using validated outcome measures were included in the data synthesis.
CONCLUSION
Several interventions were identified that may improve comfort for clinical procedures that require patients to remain stable and for precision required for procedures such as radiotherapy. Further investigation of these comfort interventions is warranted, including determining if multiple interventions can be used concurrently to improve their effectiveness.
Summary: The COMFORT study is the PhD of Simon Goldsworthy which aims to develop a comfort intervention for cancer patients receiving radiotherapy with treatment times above ten minutes. The attached poster is a systematic review of effective comfort interventions applicable to radiotherapy.References: 1)Goldsworthy. S, Mundy.K, Latour.JM. A focus group consultation round exploring patient experiences of comfort during radiotherapy for head and neck cancer; Journal of Radiotherapy in Practice. 2016. Vol 15, issue 2, Pp143-149
2)Kolcaba KY. A taxonomic structure for the concept comfort. Image J Nurs Sch. 1991 Winter;23(4):237-40
3) Kolcaba KY. Holistic comfort: operationalizing the construct as a nurse-sensitive outcome. ANS Adv Nurs Sci. 1992 Sep;15(1):1-10
4) Kolcaba KY. A theory of holistic comfort for nursing. J Adv Nurs. 1994 Jun;19(6):1178-84
5) Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009 Oct;62(10):1006-12
6) Hoffmann TC, Glasziou PP, Boutron I, et al. Better Reporting of Interventions: Template for Intervention Description and Replication (TIDieR) Checklist and Guide. Gesundheitswesen. 2016 Mar;78(3):e174
7) Rice ME, Harris GT, Comparing ef
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