Women's decision satisfaction and psychological distress following early breast cancer treatment: a treatment decision support role for nurses
Women's decision satisfaction and psychological distress following early breast cancer treatment: a treatment decision support role for nurses
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DOI：
10.1111/ijn.12243
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发表时间：
2014-02-01
影响因子：
1.9
通讯作者：
Buettner, Petra G.
中科院分区：
文献类型：
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作者：
Budden, Lea M.;Hayes, Barbara A.;Buettner, Petra G.
本前瞻性横断面研究调查了澳大利亚女性（n=104）对早期乳腺癌治疗决策的满意度以及手术后3-4个月的心理困扰。采用《治疗决策满意度问卷》对女性进行满意度调查，采用《简短症状量表-18》测量女性的心理困扰程度。独居的女性，作为专业人士工作的女性，以及没有参与医生决策过程的女性，对自己的决策过程、结果和整体治疗决策的满意度较低。治疗后，26.0%的女性感到痛苦；18.3%经历过焦虑；19.2%的躯体化;27.9%是抑郁症。经历过躯体化的妇女更有可能对治疗决定不满意（P=0.003），报告有心理困扰的妇女也是如此（P=0.020）。参与选择治疗方法的女性对自己的决定更满意。许多妇女在接受乳腺癌治疗后感到痛苦，可能需要转诊进行心理评估、管理和长期支持。经历过痛苦的女性更有可能对治疗决定不满意（反之亦然）。
This prospective cross-sectional study investigated Australian women's (n=104) decision satisfaction with cancer treatment decision for early breast cancer as well as their psychological distress 3-4 months following surgery. Women's satisfaction was surveyed using the Treatment Decision Satisfaction Questionnaire, and the Brief Symptom Inventory-18 was used to measure psychological distress. Women who were living alone, who worked as professionals and who were not involved in the decision-making process by their doctors were less likely to be satisfied with their decision process, outcome and their overall treatment decision. Following treatment, 26.0% of women were distressed; 18.3% experienced anxiety; 19.2% somatization; and 27.9% depression. Women who experienced somatization were more likely to be dissatisfied with the treatment decision (P=0.003) as were those who reported psychological distress (P=0.020). Women who were involved in choosing their treatment were more satisfied with their decision. Many women experienced distress following breast cancer treatment and might have required referral for psychological assessment, management and long-term support. Women who experienced distress were more likely to be dissatisfied with the treatment decision (or vice versa).