Halkett G K B, Arbon P, Scutter S D, Borg M
Western Australian Centre for Cancer and Palliative Care, Curtin University of Technology, Health Research Campus, Perth, Western Australia, Australia.
Eur J Cancer Care (Engl). 2007 Jul;16(4):322-30. doi: 10.1111/j.1365-2354.2007.00778.x.
Breast cancer patients are faced with many decisions about their treatment, relationships and lives. The aims of this study were: to provide an understanding of the phenomenon of making decisions during the experience of early breast cancer, and to describe the types of decisions these patients are typically faced with. Previous research has focused largely on describing the different ways patients behave when making choices about treatment. However, few studies provide an understanding of the range of decisions women are likely to face, or describe what the experience of making these decisions is like. Hermeneutic phenomenology was used to inform the research. In-depth interviews were conducted with 18 breast cancer patients who had completed treatment. This study provides an understanding of the broad range of decisions with which women may be faced, and presents a new interpretation of what the experience of making decisions is like for women diagnosed with breast cancer. Five existential themes were found to be representative of the experience of making decisions: being challenged, getting ready, surviving, sharing the challenge and interrogating the future. Health professionals can use the understandings presented to improve their therapeutic relationships with patients and further assist women as they work through their experience of breast cancer.
乳腺癌患者在治疗、人际关系和生活方面面临着许多决策。本研究的目的是：深入了解早期乳腺癌患者在患病过程中做出决策的现象，并描述这些患者通常面临的决策类型。以往的研究主要集中在描述患者在选择治疗方案时的不同行为方式。然而，很少有研究能让我们了解女性可能面临的决策范围，或者描述做出这些决策的体验是怎样的。本研究采用诠释现象学方法。对18名已完成治疗的乳腺癌患者进行了深入访谈。本研究让我们了解了女性可能面临的广泛决策，并对被诊断为乳腺癌的女性做出决策的体验提出了新的解读。研究发现，有五个存在主义主题代表了做决策的体验：受到挑战、做好准备、生存下去、共同面对挑战以及审视未来。医疗专业人员可以利用这些研究结果改善与患者的治疗关系，并在女性应对乳腺癌经历的过程中进一步提供帮助。
