European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2025
Experience of patients with advanced cancer undergoing palliative radiotherapy for bone metastases: A qualitative study.
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Tsujimoto Akane, Kusunoki Junko, Masujima Mariko
Аннотация
PURPOSE: This study aimed to explore the experiences of patients with advanced cancer undergoing palliative radiotherapy for bone metastases, focusing on their physical and emotional responses and coping strategies.
METHODS: In-depth interviews were conducted to gain a comprehensive understanding of patients' lived experiences. The interviews were recorded and transcribed verbatim, followed by inductive content analysis, in which each interview was individually coded. The resulting codes were analysed to identify overarching themes.
RESULTS: Sixteen patients with advanced cancer (10 men and 6 women) shared their experiences with palliative radiotherapy for bone metastases. Four key themes emerged, highlighting significant physical and psychological distress as well as emotional instability regarding treatment outcomes and post-radiotherapy life. However, many patients positively drew on their inner strength and coped with their circumstances. While palliative radiotherapy is a minimally invasive intervention intended to alleviate distress, patients often face unique physical and psychological challenges associated with short-term palliative treatment.
CONCLUSIONS: These findings highlight the need for a holistic approach to palliative radiotherapy, in which healthcare professionals not only provide treatment but also address psychological distress and support patients' coping mechanisms. Nurses play a central role in integrating person-centred care into palliative radiotherapy, working collaboratively with interdisciplinary teams to enhance the treatment experience for patients.
METHODS: In-depth interviews were conducted to gain a comprehensive understanding of patients' lived experiences. The interviews were recorded and transcribed verbatim, followed by inductive content analysis, in which each interview was individually coded. The resulting codes were analysed to identify overarching themes.
RESULTS: Sixteen patients with advanced cancer (10 men and 6 women) shared their experiences with palliative radiotherapy for bone metastases. Four key themes emerged, highlighting significant physical and psychological distress as well as emotional instability regarding treatment outcomes and post-radiotherapy life. However, many patients positively drew on their inner strength and coped with their circumstances. While palliative radiotherapy is a minimally invasive intervention intended to alleviate distress, patients often face unique physical and psychological challenges associated with short-term palliative treatment.
CONCLUSIONS: These findings highlight the need for a holistic approach to palliative radiotherapy, in which healthcare professionals not only provide treatment but also address psychological distress and support patients' coping mechanisms. Nurses play a central role in integrating person-centred care into palliative radiotherapy, working collaboratively with interdisciplinary teams to enhance the treatment experience for patients.