Lally Robin M
School of Nursing, University of Buffalo, New York, USA.
Oncol Nurs Forum. 2009 Sep;36(5):E257-65. doi: 10.1188/09.ONF.E257-E265.
PURPOSE/OBJECTIVES: To explore the pretreatment thoughts and behaviors of women newly diagnosed with breast cancer regarding their surgical treatment decision-making experience.
Qualitative, descriptive.
A multispecialty breast center in the midwestern region of the United States.
18 English-speaking women, aged 37-87 years, mean of 12 days postdiagnosis of clinical stage 0-11 breast cancer.
Open to semistructured interviews were conducted during the period following surgical consultation but prior to surgical treatment. Transcribed interviews, originally analyzed to identify the psychological processes of women in response to breast cancer diagnosis, were additionally analyzed using directed content analysis focusing on women's thoughts and behaviors related to their surgical treatment decision-making process.
Breast cancer surgery and decision making pretreatment.
Women's pretreatment thoughts and behaviors related to surgical treatment decision making were characterized by information processing, contemplating options, and interacting with others. Breast cancer information was used by women before the surgical consultation and after treatment decisions had been made. Treatment options were contemplated and preferences formed often before the initial surgical consultation. Women associated having options with a better prognosis. Age was a factor primarily in the type of information women desired.
Most women made their own surgical treatment decisions with ease, supported by the confidence instilled by their surgeons and oncology nurses.
The findings provide oncology nurses with insight regarding women's desire for and use of information and their contemplation of surgical options, therefore suggesting areas on which to focus clinical assessment and to test tailored interventions.
目的/目标：探讨新诊断为乳腺癌的女性在手术治疗决策过程中的术前想法和行为。
定性、描述性研究。
美国中西部地区的一家多专科乳腺中心。
18名讲英语的女性，年龄在37 - 87岁之间，临床分期为0 - Ⅱ期乳腺癌，确诊后平均12天。
在手术咨询后但手术治疗前进行开放式至半结构式访谈。转录的访谈最初用于识别女性对乳腺癌诊断的心理反应过程，此外还采用定向内容分析法，重点分析女性与手术治疗决策过程相关的想法和行为。
乳腺癌手术及术前决策。
女性术前与手术治疗决策相关的想法和行为的特点是信息处理、考虑选择以及与他人互动。女性在手术咨询前和做出治疗决定后都会使用乳腺癌相关信息。在初次手术咨询前，女性通常就会考虑治疗方案并形成偏好。女性认为有更多选择意味着预后更好。年龄主要影响女性所需信息的类型。
在外科医生和肿瘤护士给予的信心支持下，大多数女性轻松地做出了自己的手术治疗决定。
研究结果为肿瘤护士提供了有关女性对信息的需求和使用以及对手术选择的考虑方面的见解，从而提示了临床评估的重点领域以及测试针对性干预措施的方向。
