Nápoles-Springer Anna M, Livaudais Jennifer C, Bloom Joan, Hwang Shelley, Kaplan Celia P
Medical Effectiveness Research Center for Diverse Populations, Department of Medicine, UCSF Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA 94143, USA.
J Psychosoc Oncol. 2007;25(4):19-36. doi: 10.1300/J077v25n04_02.
The natural history of ductal carcinoma in situ (DCIS) is largely unknown, and its optimal treatment remains controversial. Using semi-structured interviews, this study compared 18 White and 16 Latina women's understanding of their DCIS diagnosis, treatment decision-making processes, and satisfaction with care. Ethnic differences were observed in cognitive and emotional responses to DCIS, with White women generally reporting a better understanding of their diagnosis and treatment, and Latinas reporting more distress. Regardless of ethnicity, women with DCIS preferred that physicians discuss treatment options and attend to their informational and emotional needs. Satisfaction was associated with adequate information, expediency of care, and physicians' sensitivity to patients' emotional needs.
导管原位癌（DCIS）的自然病史在很大程度上尚不明确，其最佳治疗方案仍存在争议。本研究通过半结构化访谈，比较了18名白人女性和16名拉丁裔女性对DCIS诊断的理解、治疗决策过程以及对治疗的满意度。研究发现，白人和拉丁裔女性在对DCIS的认知和情感反应上存在种族差异，白人女性通常表示对自己的诊断和治疗有更好的理解，而拉丁裔女性则表示更多的痛苦。无论种族如何，DCIS女性患者都希望医生讨论治疗方案，并关注她们的信息需求和情感需求。满意度与充分的信息、治疗的及时性以及医生对患者情感需求的敏感度相关。
