Healthcare and support needs of women with suspected breast cancer
Healthcare and support needs of women with suspected breast cancer
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DOI：
10.1111/j.1365-2648.2007.04410.x
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发表时间：
2007-11-01
影响因子：
3.8
通讯作者：
Ping-Ling Chen
中科院分区：
文献类型：
--
作者：
Mei-Nan Liao;Miin-Fu Chen;Ping-Ling Chen
瞄准。本文是一项研究的报告，旨在调查诊断期间保健和支持需求的变化，以及影响疑似乳腺癌妇女这些需求的因素。尽管人们已经很好地认识到了女性乳腺癌患者的需求，但很少有研究考察疑似乳腺癌患者在诊断期的需求。这项纵向研究采用调查者自行设计的问卷，在三种情况下收集了127名台湾女性的数据：通知需要进行乳房活检、活检前和诊断后。数据收集于2004年11月至2005年4月。参与者在诊断前和诊断后都有很高的需求水平，他们最需要的领域是诊断、随访和咨询的医疗服务，以及关于疾病的信息。他们更需要与疾病和治疗相关的信息，而不是情感支持。诊断前需求水平高于诊断后(P<；0.01)，活检前最高，诊断后最低。此外，诊断前对诊断服务、疾病信息以及家人和朋友的参与的需求高于诊断后(P<；0.01)。受过更多教育、没有良性肿瘤病史的已婚女性对此的需求更高。不同年龄、宗教状况、社会支持程度、家族病史、乳房症状的患者需要程度差异无统计学意义。怀疑患有乳腺癌的妇女在诊断期的需求水平各不相同，在乳房活检前最高，并与个人特征和文化背景有关。因此，在此期间，护理人员应为患者和家属提供文化敏感、个性化、支持性的护理。
Aim. This paper is a report of a study to investigate changes in the healthcare and support needs during the diagnostic period, and factors that affect these needs in women with suspected breast cancer.Background. Although the needs of women with breast cancer are well recognized, few studies have examined the needs of women with suspected breast cancer during the diagnostic period.Method. This longitudinal study used an investigator-developed, self-administered questionnaire to collect data from 127 women in Taiwan on three occasions: notification of need for breast biopsy, before biopsy and after diagnosis. The data were collected from November 2004 to April 2005.Findings. Participants had high need levels before and after diagnosis, with their top needs in the domains of healthcare services for diagnosis, follow-up and consultation, and information about the disease. They needed disease- and treatment-related information more than emotional support. Need levels were higher (P < 0.01) before diagnosis than after, highest before biopsy, and lowest after diagnosis. Furthermore, needs were higher (P < 0.01) before than after diagnosis for diagnostic services, disease information, and involvement of family and friends. Higher needs were found in married women with more education and no history of benign tumours. Need level did not differ statistically significantly by age, religious status, degree of social support, family history and breast symptoms.Conclusion. Need levels of women with suspected breast cancer vary during the diagnostic period, are highest before breast biopsy, and related to personal characteristics and cultural context. Therefore, during this period, nursing staff should provide patients and families with culturally sensitive, individualized, supportive care.