Ciambrone Desirée
Department of Sociiology, Rhode Island College, Providence, RI 02908, USA.
J Women Aging. 2006;18(4):31-47. doi: 10.1300/J074v18n04_04.
This study examined breast cancer treatment decision-making among older adults, including professional and lay involvement. Thirty respondents were interviewed for this study; cancer survivors (70%) and newly diagnosed (30%) women with breast cancer. Respondents reported making treatment decisions in consultation with their oncologists. However, women differed on the extent to which they perceived their participation in the treatment process. Respondents' oncologists appear to be the primary factor associated with older women's breast cancer surveillance decision-making and adherence. The influence of women's support systems on their treatment decisions and surveillance activities appears to be minimal. Informal support systems, however, likely enhance women's ability to be active participants in their care. The growing need for interventions which target older women has been indicated. Interventions, however, cannot be adequately developed without first identifying the physical and psychosocial phenomena which affect decision-making.
本研究调查了老年人乳腺癌治疗决策情况，包括专业人员和非专业人员的参与。本研究对30名受访者进行了访谈；其中包括癌症幸存者（70%）和新确诊的（30%）乳腺癌女性。受访者表示在与肿瘤学家协商后做出治疗决策。然而，女性在她们认为自己参与治疗过程的程度上存在差异。受访者的肿瘤学家似乎是与老年女性乳腺癌监测决策和依从性相关的主要因素。女性支持系统对其治疗决策和监测活动的影响似乎微乎其微。然而，非正式支持系统可能会增强女性积极参与自身护理的能力。已表明针对老年女性的干预措施需求日益增长。然而，在未首先确定影响决策的身体和心理社会现象的情况下，无法充分制定干预措施。
