Provision of individualized information to men and their partners to facilitate treatment decision making in prostate cancer.
Provision of individualized information to men and their partners to facilitate treatment decision making in prostate cancer.
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DOI：
10.1188/03.onf.107-114
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发表时间：
2003-01-01
影响因子：
1.9
通讯作者：
Degner, Lesley F
中科院分区：
文献类型：
--
作者：
Davison, B Joyce;Goldenberg, S Larry;Degner, Lesley F
目的：确定向新诊断为前列腺癌的男性及其伴侣提供个性化信息是否会降低他们的心理困扰水平，并使他们更积极地参与治疗决策。设计：准实验，一组，前测/后测。地点：加拿大不列颠哥伦比亚省温哥华总医院前列腺中心。样本：74对夫妇的方便样本。73名男性患有早期前列腺癌。男性平均年龄为62.2岁，伴侣平均年龄为58.1岁。大多数人（约50%）获得了高中毕业证书。方法：受访者在诊断时和四个月后完成决策偏好和心理困扰的测量。所有参与者都使用计算机来识别他们的信息和决策偏好。使用计算机生成的图形打印输出来指导信息咨询会议。研究结果：患者报告在医疗决策中扮演的角色比最初预期的更积极，伴侣在决策中扮演的角色比最初预期的更被动，所有参与者在四个月时的心理困扰水平都较低。结论：证据支持需要在前列腺癌诊断时为夫妇提供信息支持，以促进治疗决策和降低心理困扰水平。未来的研究需要在随机临床试验设计的背景下评估这种方法。对护理的启示：个性化的计算机图形打印输出可以为临床医生提供一种指导信息咨询的创新方法，并为前列腺癌患者及其伴侣提供决策支持。
PURPOSE/OBJECTIVES: To determine if providing individualized information to men who are newly diagnosed with prostate cancer and their partners would lower their levels of psychological distress and enable them to become more active participants in treatment decision making.DESIGN: Quasiexperimental, one group, pretest/post-test.SETTING: The Prostate Centre at Vancouver General Hospital in British Columbia, Canada.SAMPLE: Convenience sample of 74 couples. 73 men had early-stage prostate cancer. Mean age of the men was 62.2 years, and mean age of the partners was 58.1 years. The majority (> 50%) had received their high school diplomas.METHODS: Respondents completed measures of decision preferences and psychological distress at the time of diagnosis and four months later. All participants used a computer to identify their information and decision preferences. Computer-generated, graphic printouts were used to guide the information counseling session.FINDINGS: Patients reported assuming a more active role in medical decision making than originally intended, partners assumed a more passive role in decision making than originally intended, and all participants had lower levels of psychological distress at four months.CONCLUSIONS: Evidence supports the need to provide informational support to couples at the prostate cancer diagnosis to facilitate treatment decision making and lower levels of psychological distress. Future research is needed to evaluate this type of approach in the context of a randomized clinical trial design.IMPLICATIONS FOR NURSING: The personalized, computer-graphic printouts can provide clinicians with an innovative method of guiding information counseling and providing decisional support to men with prostate cancer and their partners.