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Study on Nursing Cares to Assist the Decision-Making Processes in Breast Cancer Patients

护理辅助乳腺癌患者决策过程的研究

基本信息

批准号：
11672387
负责人：
TANAKA Kyoko
金额：
$ 2.11万
依托单位：
Osaka Prefecture College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2001
项目状态：
已结题

项目摘要

The purpose of this study was 1) to clarify the way of thinking and behavioral patterns of breast cancer patients until their decision-making about the preferred treatments ; 2) to grasp the contents and sources of the information available to the patients upon their relevant derision-makings ; 3) to reveal the correlation between the influential factors to their decision-makings and their satisfaction levels. The subjects were women newly diagnosed with breast cancer and subsequently decided the treatments by themselves. The data were collected through semi-structured interviews. As the result, it was revealed that the patients making active access to information conducted their decision-makings aggressively whereas the patients devoid of adequate information tended to "rely on" the attending physician's decision. And the breast cancer patients obtained the information including specialty and equipments of the hospital, superiority of nursing cares, effectiveness of treatments, advers … More e reactions and interventions, from the information sources such as their family members, medical staffs, colleague patients and pamphlets.On the basis of these findings, we performed surveys with use of questionnaires containing query items such as the decision-making role, diagnosis and treatment, the available information, social supports, anxiety and the satisfaction levels toward their decision-making. As the result, it was evidenced that the factors providing influences on the satisfaction levels of the patients comprised the decision-making role, surgical procedures, supports by family members except for their husbands, and the amounts of available information. The useful information included alternative choices of treatments, advantages and shortcomings, advance and metastasis of breast cancer and specialty of the medical institution and physicians. In conclusion, it is important for nurses to give the useful information to the breast cancer patients to help their own decision-makings, besides advocating the family members except for patients' husbands to support the patients. Less

本研究的目的是：1）了解乳腺癌患者在选择治疗方案前的思维方式和行为模式; 2）掌握患者在选择治疗方案时可获得的信息的内容和来源; 3）揭示影响患者选择治疗方案的因素与患者满意度的相关性。受试者是新诊断患有乳腺癌的妇女，随后自行决定治疗方法。这些数据是通过半结构化访谈收集的。结果显示，积极获取信息的患者积极地进行决策，而缺乏足够信息的患者倾向于“依赖”主治医生的决定。并对乳腺癌患者进行了调查，了解了医院的专业、设备、护理优势、治疗效果、不良反应等 ...更多信息从家属、医务人员、患者同事、宣传手册等信息源了解患者的反应和干预措施，并在此基础上，采用问卷调查的方法，对患者的决策角色、诊断和治疗、可获得的信息、社会支持、焦虑和对决策的满意度等问题进行调查。结果表明，影响患者满意度的因素包括决策角色、手术程序、除丈夫外的家庭成员的支持以及可获得的信息量。有用的信息包括治疗方法的选择、优点和缺点、乳腺癌的进展和转移以及医疗机构和医生的专业。因此，护理人员除了提倡家属（丈夫除外）支持乳癌病患外，更应提供有用的资讯给乳癌病患，以协助其决策。少