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Qualitative study on decision-making experience for patients undergoing breast reconstruction

 

WANG Yan, ZHANG Qingyue
  

  1.  
    (Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060)
  • Received:2018-03-07 Revised:2018-12-03 Online:2019-04-28 Published:2019-05-17

乳房再造患者术前决策体验的质性研究

 

王燕    张青月
  

  1. (天津医科大学肿瘤医院 国家肿瘤临床医学研究中心 天津市“肿瘤防治”重点实验室 天津市恶性肿瘤临床医学研究中心 乳腺癌防治教育部重点实验室,天津 300060)
  • 基金资助:
     
    *天津市护理学会2017年度科研课题(tjhlky20170209)

Abstract:  

Objective: To investigate experience of receiving breast reconstruction for women in operation decision making treatment process. Methods: Semi-structured in-depth interviews were conducted among 16 patients underwent breast reconstruction, and data was analyzed by Colaizzi’s methods. Results: The experience of patients mainly contained 4 aspects: dream of a wonderful future, decision conflict, demand for social support and decision to be made quickly.Conclusion: Medical staff should strengthen information exchange with patients and improve social support system to help patients to make definite surgical decisions and improve patient satisfaction.

Key words: Breast cancer;Breast reconstruction;Decision making, Patient

摘要: 目的:深入了解乳房再造患者术前决策体验。方法:对16例乳房再造术患者进行半结构访谈,并用Colaizzi的七步法进行资料分析。 结果:乳房再造患者参与手术决策过程中的体验包括:期待美好的未来、面临决策困难、社会支持的需求及决策时间的短暂。 结论:临床人员应加强专业化信息沟通,构建乳房再造技术的宣传计划,完善社会医疗政策等建议,以帮助患者全面了解治疗方案的利弊,缓解手术决策冲突,提高患者的决策满意度。

关键词: 乳腺癌, 乳房再造, 决策, 患者