Truant T, Bottorff J L
Vancouver Cancer Centre, British Columbia Cancer Agency, 600 West 10th Avenue, Vancouver, BC, Canada V5Z 4E6.
Patient Educ Couns. 1999 Oct;38(2):131-42. doi: 10.1016/s0738-3991(99)00060-9.
The process by which women with breast cancer make decisions related to using complementary therapies was investigated using grounded theory. Open-ended interviews were conducted with 16 women receiving orthodox treatment from across the breast cancer trajectory and who used a wide range of complementary therapies. Constant comparative analysis revealed that decision making regarding complementary therapies involved three interconnected sequential phases: (1) Getting something in place: covering all the bases, (2) hand-picking complementary therapies that fit: getting a personalized regimen in place and (3) living with the security of complementary therapies: fine-tuning a regimen to live with. Factors that influenced the decision-making process, both positively and negatively, were identified. Decision making related to the use of complementary therapies was perceived as a means of regaining control during experiences of uncertainty associated with breast cancer; the outcome of which was the maintenance of hope. Implications for supporting women's decision-making efforts regarding complementary therapies are presented.
运用扎根理论研究了乳腺癌女性患者做出与使用补充疗法相关决策的过程。对16名处于乳腺癌治疗全过程且接受传统治疗并使用多种补充疗法的女性进行了开放式访谈。持续比较分析表明，关于补充疗法的决策涉及三个相互关联的连续阶段：（1）做好准备：全面考虑，（2）精心挑选合适的补充疗法：制定个性化方案，以及（3）带着补充疗法带来的安心生活：调整方案以适应生活。确定了对决策过程产生积极和消极影响的因素。与使用补充疗法相关的决策被视为在与乳腺癌相关的不确定性经历中重新获得控制权的一种方式；其结果是维持希望。文中还阐述了对支持女性在补充疗法决策方面所做努力的启示。
