Radiat Oncol J.  2019 Sep;37(3):201-206. 10.3857/roj.2019.00290.

An effective patient training for deep inspiration breath hold technique of left-sided breast on computed tomography simulation procedure at King Chulalongkorn Memorial Hospital

• Oonsiri P
• Wisetrinthong M
• Chitnok M
• Saksornchai K
• Suriyapee

• KMID: 2460745
• DOI: http://doi.org/10.3857/roj.2019.00290

Abstract

PURPOSE
To observe the effectiveness of the practical instruction sheet and the educational video for left-sided breast treatment in a patient receiving deep inspiration breath hold (DIBH) technique. Two parameters, simulation time and patient satisfaction, were assessed through the questionnaire.
METHODS
Two different approaches, which were the instruction sheet and educational video, were combinedly used to assist patients during DIBH procedures. The guideline was assigned at least 1 week before the simulation date. On the simulation day, patients would fill the questionnaire regarding their satisfaction with the DIBH instruction. The questionnaire was categorized into five levels: extremely satisfied to dissatisfied, sequentially. The patients were divided into four groups: not DIBH technique, DIBH without instruction materials, the DIBH with instruction sheet or educational video, and DIBH with both of instruction sheet and educational video.
RESULTS
Total number of 112 cases of left-sided breast cancer were analyzed. The simulation time during DIBH procedure significantly reduced when patients followed the instruction. There was no significant difference in simulation time on the DIBH procedures between patient compliance via instruction sheet or educational video or even following both of them. The excellent level was found at 4.6 ± 0.1 and 4.5 ± 0.1, for patients coaching via instruction sheet as well as on the educational video, respectively.
CONCLUSION
Patient coaching before simulation could potentially reduce the lengthy time in the simulation process for DIBH technique. Practicing the DIBH technique before treatment is strongly advised.

Keyword

Deep inspiration breath-hold (DIBH); Left-sided; Breast cancer; Cardiac toxicity

MeSH Terms

Breast Neoplasms
Breast*
Cardiotoxicity
Humans
Patient Compliance
Patient Satisfaction
Unilateral Breast Neoplasms