Halkett G K B, Arbon P, Scutter S D, Borg M
Division of Health Sciences, University of South Australia, Australia.
Eur J Cancer Care (Engl). 2005 Jul;14(3):249-55. doi: 10.1111/j.1365-2354.2005.00565.x.
Women who are making decisions about treatment for early stage breast cancer interact with a number of people when they are considering their treatment options and the impact breast cancer will have on their lives. Previous research has considered patient preferences for involvement in treatment decision-making and proposed factors that may influence breast cancer treatment decisions. However, to date, there has been a paucity of research focusing on the experience of making treatment decisions from the women's perspective. The aim of this paper is to describe the relationships between the women, the medical practitioners and other people, and to consider features that may be influential in the experience of making treatment decisions. Two models are proposed to represent concepts that are linked to the experience of making treatment decisions. The first model proposed has been formulated to represent factors that may influence the treatment decision. The second model highlights aspects of the women's lives that may be affected. This paper discusses concepts that are presented in the conceptual models and makes suggestions for future studies relating to the experience of making treatment decisions for women with breast cancer.
对于早期乳腺癌治疗方案做出决策的女性,在考虑治疗选择以及乳腺癌对其生活的影响时,会与许多人进行交流。先前的研究探讨了患者参与治疗决策的偏好,并提出了可能影响乳腺癌治疗决策的因素。然而,迄今为止,从女性视角出发,聚焦于治疗决策体验的研究尚显匮乏。本文旨在描述女性、医生及其他人之间的关系,并考量在治疗决策体验中可能具有影响力的特征。文中提出了两个模型来呈现与治疗决策体验相关的概念。所提出的第一个模型旨在体现可能影响治疗决策的因素。第二个模型则突出了女性生活中可能受到影响的方面。本文讨论了概念模型中呈现的概念,并为未来关于乳腺癌女性治疗决策体验的研究提出了建议。