Do patients benefit from participating in medical decision making? Longitudinal follow-up of women with breast cancer
Do patients benefit from participating in medical decision making? Longitudinal follow-up of women with breast cancer
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DOI：
10.1002/pon.907
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发表时间：
2006-01-01
期刊：
影响因子：
3.6
通讯作者：
Sinha, L
中科院分区：
文献类型：
--
作者：
Hack, TF;Degner, LF;Sinha, L
本研究旨在探讨手术治疗时（基线）的决策角色（首选和假定）之间的关系、基线时假定的角色与 3 年后（随访）首选角色之间的一致性以及随访时的生活质量。 205 名被诊断患有乳腺癌的女性在基线和随访时完成了决策角色偏好量表，并在随访时完成了 EORTC QLQ-C30。从统计上看，有相当多的女性对决策角色感到后悔，其中大多数女性更愿意更多地参与治疗计划，而不是给予她们更多的参与。在基线时表示积极参与选择手术治疗的女性在随访时的总体生活质量显着高于表示被动参与的女性。与扮演被动角色的女性相比，这些积极参与的女性的身体和社会功能明显更高，疲劳也明显更少。生活质量与参与治疗决策的经验丰富的报告显着相关，但与首选参与的报告或首选参与和经验丰富的参与之间的一致性无关。版权所有 (c) 2005 John Wiley & Sons, Ltd.
This study sought to examine the relationships between decisional role (preferred and assumed) at time of surgical treatment (baseline), congruence between assumed role at baseline and preferred role 3 years later (follow-up), and quality of life at follow-up. Two hundred and five women diagnosed with breast cancer completed the decisional role preference scale at baseline and follow-up, and the EORTC QLQ-C30 at follow-up. A statistically significant number of women had decisional role regret, with most of these women preferring greater involvement in treatment planning than was afforded them. Women who indicated at baseline that they were actively involved in choosing their surgical treatment had significantly higher overall quality of life at follow-up than women who indicated passive involvement. These actively involved women had significantly higher physical and social functioning and significantly less fatigue than women who assumed a passive role. Quality of life was significantly related to reports of experienced involvement in treatment decision making, but not to reports of prefierre involvement, or congruence between preferred and experienced involvement. Copyright (c) 2005 John Wiley & Sons, Ltd.