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首页> 外文期刊>International journal of nursing practice >Women's decision satisfaction and psychological distress following early breast cancer treatment: A treatment decision support role for nurses
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Women's decision satisfaction and psychological distress following early breast cancer treatment: A treatment decision support role for nurses

机译:早期乳腺癌治疗后妇女的决策满意度和心理困扰:护士的治疗决策支持作用

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摘要

This prospective cross-sectional study investigated Australian women's (n=104) decision satisfaction with cancer treatment decision for early breast cancer as well as their psychological distress 3-4 months following surgery. Women's satisfaction was surveyed using the Treatment Decision Satisfaction Questionnaire, and the Brief Symptom Inventory-18 was used to measure psychological distress. Women who were living alone, who worked as professionals and who were not involved in the decision-making process by their doctors were less likely to be satisfied with their decision process, outcome and their overall treatment decision. Following treatment, 26.0% of women were distressed; 18.3% experienced anxiety; 19.2% somatization; and 27.9% depression. Women who experienced somatization were more likely to be dissatisfied with the treatment decision (P=0.003) as were those who reported psychological distress (P=0.020). Women who were involved in choosing their treatment were more satisfied with their decision. Many women experienced distress following breast cancer treatment and might have required referral for psychological assessment, management and long-term support. Women who experienced distress were more likely to be dissatisfied with the treatment decision (or vice versa).
机译:这项前瞻性横断面研究调查了澳大利亚女性(n = 104)对早期乳腺癌的癌症治疗决策以及手术后3-4个月的心理困扰的决策满意度。使用“治疗决策满意度调查表”调查妇女的满意度,并使用“简短症状量表” 18来衡量心理困扰。独居的妇女,从事专业工作并且没有医生参与决策过程的妇女对她们的决策过程,结果和整体治疗决策不太满意。治疗后,有26.0%的妇女苦恼; 18.3%的人感到焦虑; 19.2%的躯体化;和27.9%的抑郁症。经历过躯体化的女性与报告心理困扰的女性(P = 0.020)相比,对治疗决定的满意度更高(P = 0.003)。参与选择治疗方法的妇女对其决定更为满意。许多妇女在接受乳腺癌治疗后感到困扰,可能需要转诊进行心理评估,管理和长期支持。经历过困扰的妇女更可能对治疗决定不满意(反之亦然)。

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