Development of the decision-making support model for recurrent breast cancer patients

再发乳癌病患的治疗决策，是由六个阶段所组成，也是一个持续选择如何在生活与治疗间取得平衡的过程。从访谈结果分析，归纳出以下四类护理困难：（1）没有创造护士可以了解病人情况的环境，（2）病人面临的问题如此复杂，以至于护士无法多走一步来科普它们，（3）由于临床状况的不可预测性，护士很难知道何时应该介入病人的问题;（4）护士没有成就感。根据这些结果，我们研究了需要的护理支持，并设计了复发性乳腺癌患者的决策支持模型。

The decision making about the treatment of the recurrence breast cancer patients was comprised of six phases and it was a process that will continue to choose how to live while balancing life and treatment.From the analysis of the interview results, the following 4 categories of difficulties for nurses were extracted: (1) The environment in which nurses can know what is happening with a patient has not been created, (2)Problems that are faced by patients are so complicated that nurses cannot take one more step to cope with them,(3)It is difficult for nurses to know when they should get involved in patients' problems,for rheir clinical condisions are unpredictable,and(4)a sense of accomplishment as a nurse cannot be felt. We examined nursing support to be required based on these results, and devised the decision-making support model for recurrent breast cancer patients.