The Process of Decision-making Regarding Surgical Treatment by Breast Cancer Patients
The Process of Decision-making Regarding Surgical Treatment by Breast Cancer Patients
复制标题
乳腺癌患者手术治疗的决策过程
DOI：
10.5630/jans1981.22.3_20
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发表时间：
2002
期刊：
影响因子：
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通讯作者：
Tomoko Inoue
中科院分区：
文献类型：
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作者：
H. Kokufu;Tomoko Inoue
本研究旨在探讨早期乳癌患者手术治疗的决策过程，并提出护理干预措施以促进这一过程。这项研究的参与者是18名妇女，她们可以在保乳手术和乳房切除术之间做出选择。数据收集使用半结构化访谈和参与者观察，以澄清这些主题的感受和想法有关的治疗方案提供。我们使用定性数据分析。结果发现，四种类型的过程：携带她的希望通过型，逐步同意型，鼓动型和混淆型。每一种类型的过程都分为五个阶段：初始反应，对初始反应的质疑，关于接受手术治疗的想法，决策冲突，以及最终选择手术类型。研究结果表明，以下护理干预可能有助于决策过程，如下：早期提供正确的信息，关于每个选项，澄清每个主题的乳房价值观和生活观，情感支持，以促进困难的决策过程。
The purpose of this study was to investigate the decision-making process regarding surgical treatment in patients with early breast cancer, and to suggest nursing interventions to facilitate this process. The participants of the study were 18 women who were offered a choice between breastconserving surgery and mastectomy. The data were collected using a semi-structured interview and participant observation, so as to clarify the feelings and ideas of these subjects concerning the treatment options offered. We used qualitative data analyses. As a result, four types of processes were identified; carrying her hope through-type, gradual consent-type, agitation-type and confusion-type. Each of these types of processes was structured into five phases: initial reaction, question against initial reaction, idea about undergoing surgical treatment, decision conflict, and final selection of the type of surgery. The findings indicated that the following nursing interventions might facilitate the decisionmaking process, as follows: early provision of correct information regarding each option, clarifying each subject's values of the breast and views of life, and emotional support to facilitate the difficult decision-making process.