Conflict accompanying the choice of initial treatment in breast cancer patients
Conflict accompanying the choice of initial treatment in breast cancer patients
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DOI：
10.1111/j.1742-7924.2011.00200.x
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发表时间：
2012-01-01
影响因子：
1.7
通讯作者：
Kokufu, Hiroko
中科院分区：
文献类型：
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作者：
Kokufu, Hiroko
目的：本研究的目的是揭示状态的冲突，伴随着乳腺癌患者的初始治疗的选择，并澄清的影响因素conflict.Methods：受试者是女性乳腺癌患者，向他们提供的初始治疗的选择由医生。使用基于以下量表的问卷收集数据：心理韧性量表、日本决策冲突量表、决策满意度和癌症心理适应量表日语版。结果：决策冲突的平均因子分为2.36，表明中度冲突。心理弹性量表中的积极未来取向与决策冲突量表中的感觉不受他人支持（rs =-0.31，P < 0.05）和缺乏决策建议（rs =-0.27，P < 0.05）的分量表呈弱相关。缺乏建议的决定，感觉不支持他人和感知的质量作出的决定是密切相关的满意度和fighting spirit.Conclusion：据推测，只有事实上的信息采集和澄清的价值观是不够的，病人需要确保他们正在接受实际的建议和支持。
Aim: The purpose of this study is to reveal the state of conflict accompanied by the choice of initial treatment in breast cancer patients, and to clarify the factors affecting conflict.Methods: The subjects were female breast cancer patients, to whom options for initial treatment were presented by a physician. The data were collected using questionnaires based on the following scales: Psychological Resilience Scale, Japanese Decisional Conflict Scale, satisfaction with decision-making, and Mental Adjustment to Cancer Scale Japanese version.Results: The mean factor score of decisional conflict was 2.36, indicating moderate conflict. A subscale of the Psychological Resilience Scale positive future orientation was weakly related to subscales of the Decisional Conflict Scale, feeling unsupported by others (rs = -0.31, P < 0.05) and lack of advice about the decision (rs = -0.27, P < 0.05). Lack of advice about the decision, feeling unsupported by others and perception of the quality of decision made were strongly related to satisfaction and fighting spirit.Conclusion: It was speculated that only the fact of information acquisition and clarification of values are not sufficient and that patients need to be sure that they are receiving actual advice and support.