Decision-making on surgical procedures in breast cancer patient

乳腺癌患者的手术决策

• 批准号: 13672515
• 负责人: SATO Fumiko
• 金额: $ 1.02万
• 依托单位: Yamagata University (2002-2003)Fukushima Medical University (2001)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13672515/
• 关键词: informed-consent; perioperative nursing; breast concer patients; concer patients psychological; cancer nursing; social support; physician-patient; 医師-患者関係; インフォームドコンセント

The purpose of this study was to identify the process through which patients with breast cancer would decide the surgical procedure to undergo and the factors that influenced their decisions. Eighteen patients with breast cancer were observed and interviewed, and the descriptive data obtained was analyzed using qualitative and inductive approaches.The decision marking process for surgical procedures was categorized into the following five stages. <<phychological shock>>, <<confronting the facts>>, <<identification of intention>>, <<individual and environmental status>> and <<decision-making actions>>. The process through which the patients decide whether to undergo mastectomy or breast-conserving surgery stated with an experience of <<psychological shock>> when the doctor informed them of the diagnosis and surgical indications. The patients then went through <<confronting the facts>> and <<identification of intention>> stages during which they tried to make their intentions clear by ac … More cepting fact that they had cancer that required surgery and considering what they could do to survive. The stage of <<confronting the facts>> consisted of subcategories of <relieving the shock>, <collecting information>, <seeking support from others>, <reconsidering how to live life> and <coping with the presence of cancer>. The patients <<identified their intension>> according to their <individual sense of values> and the <surgical options for breast cancer>, <Individual sense of values> included the probability of complete cure, possible morphological and functional loss, expectations of family members, availability of radiotherapy and length of hospital stay. <surgical options for breast cancer> referred to medical criteria of the size and location of the tumor. <<Confronting the facts>> and <<identification of intention>> were identified in the process through which the patients with breast cancer would decide the surgical procedure, and these actions depended on how they went through <<confronting the facts>> and the <<identification of intension>.In order to facilitate decision-making of breast cancer patients on surgical procedures, nursing support should be provided in such a way as to identify the patients' intentions regarding decision-making and the respond to the ability of the patients to cope. Less

本研究的目的是确定乳腺癌患者决定接受手术的过程以及影响其决定的因素。对 18 名乳腺癌患者进行观察和访谈，并使用定性和归纳方法对获得的描述性数据进行分析。手术过程的决策标记过程分为以下五个阶段。 《心理休克》、《面对事实》、《意图识别》、《个人与环境状况》和《决策行动》。当医生告知患者诊断结果和手术指征时，患者决定是否接受乳房切除术或保乳手术的过程充满了“心理震惊”的经历。然后，患者经历“面对事实”和“识别意图”阶段，在此期间，他们试图通过接受自己患有癌症需要手术的事实并考虑如何才能生存来明确自己的意图。 《面对事实》阶段分为《缓解震惊》、《收集信息》、《寻求他人支持》、《重新考虑如何生活》和《应对癌症的存在》等子类别。患者根据他们的<个人价值观>和<乳腺癌的手术选择>来<确定他们的意图>，<个人价值观>包括完全治愈的可能性、可能的形态和功能丧失、家庭成员的期望、放射治疗的可用性和住院时间。 <乳腺癌的手术选择>是指肿瘤大小和位置的医学标准。乳腺癌患者决定手术方式的过程中存在着“面对事实”和“意图识别”，而这些行为取决于患者如何进行“面对事实”和“意图识别”。为了方便乳腺癌患者进行手术决策，护理支持应识别患者的决策意图和反应。 取决于患者的应对能力。较少的

项目成果

佐藤 冨美子: "乳がん患者が術式選択をめぐって心理的衝撃を受けた情報とその対処"日本がん看護学会誌.

佐藤富美子：“乳腺癌患者因手术选择而受到心理冲击的信息以及如何应对”日本癌症护理学会杂志。

Fumiko Sato: "Information Provision Structures of professional caregivers Regarding Surgical options for Breast cancer patients and Attitudes of patients toward those structures."がん看護.

Fumiko Sato：“专业护理人员关于乳腺癌患者手术选择的信息提供结构以及患者对这些结构的态度。”癌症护理。