Jiang Yun, Sereika Susan M, Bender Catherine M, Brufsky Adam M, Rosenzweig Margaret Q
University of Michigan School of Nursing in Ann Arbor.
Associate professors School of Nursing, University of Pittsburgh, Pennsylvania.
Oncol Nurs Forum. 2016 Mar;43(2):180-9. doi: 10.1188/16.ONF.180-189.
PURPOSE/OBJECTIVES: To examine beliefs regarding the necessity of chemotherapy and knowledge of breast cancer and its treatment in African American women with newly diagnosed breast cancer, and to explore factors associated with women's beliefs and knowledge. .
DESIGN: Descriptive, cross-sectional study. .
SETTING: Six urban cancer centers in Western Pennsylvania and Eastern Ohio. .
SAMPLE: 101 African American women with newly diagnosed breast cancer. .
METHODS: Secondary analysis using baseline data collected from participants in a randomized, controlled trial at their first medical oncology visit before the first cycle of chemotherapy. .
MAIN RESEARCH VARIABLES: Belief in chemotherapy, knowledge of cancer and recommended treatment, self-efficacy, healthcare system distrust, interpersonal processes of care, symptom distress, and quality of life. .
FINDINGS: African American women endorsed the necessity of chemotherapy. Most women did not know their tumor size, hormone receptors, specific therapy, or why chemotherapy was recommended to them. Women who perceived better interpersonal communication with physicians, less self-efficacy, or were less involved in their own treatment decision making held stronger beliefs about the necessity of chemotherapy. Women without financial difficulty or having stronger social functioning had more knowledge of their cancer and recommended chemotherapy. .
CONCLUSIONS: African American women with newly diagnosed breast cancer generally agreed with the necessity of chemotherapy. Knowledge of breast cancer, treatment, and risk reduction through adjuvant therapy was limited. .
Oncology nurses could help advocate for tailored educational programs to support informed decision making regarding chemotherapy acceptance for African American women.
目的/目标：探讨非裔美国新诊断乳腺癌女性对化疗必要性的看法以及对乳腺癌及其治疗的了解，并探究与女性看法和知识相关的因素。
描述性横断面研究。
宾夕法尼亚州西部和俄亥俄州东部的六个城市癌症中心。
101名新诊断乳腺癌的非裔美国女性。
使用在化疗第一周期前首次医学肿瘤学就诊时从一项随机对照试验参与者收集的基线数据进行二次分析。
对化疗的信念、对癌症和推荐治疗的了解、自我效能感、对医疗系统的不信任、人际护理过程、症状困扰和生活质量。
非裔美国女性认可化疗的必要性。大多数女性不知道自己的肿瘤大小、激素受体、具体治疗方法，也不知道为何推荐她们进行化疗。认为与医生人际沟通更好、自我效能感较低或较少参与自身治疗决策的女性，对化疗必要性的信念更强。没有经济困难或社会功能较强的女性对自己的癌症和推荐的化疗了解更多。
新诊断乳腺癌的非裔美国女性普遍认同化疗的必要性。对乳腺癌、治疗以及通过辅助治疗降低风险的了解有限。
肿瘤护士可协助倡导制定量身定制的教育项目，以支持非裔美国女性在接受化疗方面做出明智决策。
