肥胖与癌症发病率增加有关，从而影响可能需要放射治疗 (RT) 治疗的肥胖患者的数量。先前的研究详细介绍了肥胖对放疗治疗的影响，包括定位、成像以及与患者沟通时的注意事项。然而，关于加拿大 RT 部门在治疗肥胖患者时使用的最佳临床实践的文献有限。本研究旨在回答以下问题：如何改进艾伯塔省 RT 部门使用的当前护理标准 (SOC)，以确保肥胖患者的安全和优质护理？对包括 3 名 RT 经理在内的 19 名从业者进行了半结构化访谈、两名医学物理学家、两名临床教育工作者、两名放射肿瘤学家、一名高级实践主管以及来自艾伯塔省五个癌症中心的九名放射治疗师。采访内容由两名研究人员独立转录和分析，用于为改进现有护理实践提供建议。对于接受 RT 的肥胖患者来说，有四个主题作为独特的考虑因素，其中包括技术因素、人际互动、患者护理因素以及教育和培训。改善艾伯塔省 RT 部门当前 SOC 的建议包括需要更长的预约时间、足够的工作人员、方便的移动设备以及针对肥胖患者量身定制的 HCP 额外教育和培训。艾伯塔省的 SOC 可以通过修改后的肥胖患者得到改善预约时间、增加人员和资源、以及更深入和量身定制的教育。实施这些注意事项和建议，以改进艾伯塔省 RT 部门当前使用的 SOC，有可能确保肥胖患者的安全和优质护理。版权所有 © 2024。由 Elsevier Inc. 出版。

Obesity has been associated with increased incidence of cancer thereby impacting the number of patients with obesity who may require radiation therapy (RT) treatment. Previous studies have detailed the impacts of obesity on RT treatment delivery including considerations when positioning, imaging, and communicating with patients. However, there is limited literature regarding best clinical practices used by Canadian RT departments when treating patients with obesity. This study aimed to answer the following question: How can the current standards of care (SOC) used by Alberta RT departments be improved to ensure safe and quality care of patients with obesity?Semi-structured interviews were conducted with 19 practitioners including three RT managers, two medical physicists, two clinical educators, two radiation oncologists, a senior practice lead, and nine radiation therapists from five cancer centers across Alberta. Interviews were transcribed and analyzed independently by two researchers and used to inform recommendations for improvement to existing care practices.Four themes emerged as unique considerations for patients with obesity undergoing RT, which included technical factors, interpersonal interactions, patient care factors, and education and training. Recommendations to improve the current SOC in Alberta RT departments included the need for longer appointment times, sufficient staff, accessible mobility equipment, and additional education and training for HCPs tailored towards patients with obesity.SOC in Alberta could be improved for patients with obesity with modified appointment time, increased staff and resources, and more in depth and tailored education. Implementation of these considerations and recommendations for improvement to the current SOC used by Alberta RT departments has the potential to ensure safe and quality care of patients with obesity.Copyright © 2024. Published by Elsevier Inc.