Holland Fiona, Archer Stephanie, Montague Jane
University of Derby, UK
Imperial College London, UK.
J Health Psychol. 2016 Aug;21(8):1688-99. doi: 10.1177/1359105314562085. Epub 2014 Dec 16.
Most women do not reconstruct their breast(s) post-mastectomy. The experiences of younger women who maintain this decision, although important to understand, are largely absent in the research literature. This interview-based study uses interpretative phenomenological analysis to explore the experiences of six women, diagnosed with primary breast cancer in their 30s/40s, who decided against delayed reconstruction. Findings reported here focus on one superordinate theme (decision-making) from a larger analysis, illustrating that the women's drive to survive clearly influenced their initial decision-making process. Their tenacity in maintaining their decision is highlighted, despite non-reconstruction sometimes being presented negatively by medical teams. Patient-centred support recommendations are made.
大多数女性在乳房切除术后不会进行乳房重建。对于坚持这一决定的年轻女性的经历，尽管理解起来很重要，但研究文献中却基本没有涉及。这项基于访谈的研究采用解释现象学分析方法，探究了6名30多岁或40多岁被诊断为原发性乳腺癌且决定不进行延迟重建的女性的经历。此处报告的研究结果聚焦于一项更广泛分析中的一个上位主题（决策制定），表明这些女性求生的动力明显影响了她们最初的决策过程。尽管医疗团队有时对不进行重建持负面态度，但她们坚持这一决定的坚韧精神得到了凸显。文中还提出了以患者为中心的支持建议。
