Meadows Rachel, Padamsee Tasleem J, Paskett Electra D
a Division of Epidemiology, College of Public Health, Comprehensive Cancer Center , the Ohio State University , Columbus , Ohio , USA.
b Division of Health Services Management and Policy, College of Public Health, Comprehensive Cancer Center , The Ohio State University , Columbus , Ohio , USA.
Health Care Women Int. 2018 May;39(5):595-616. doi: 10.1080/07399332.2018.1424855. Epub 2018 Feb 2.
Women known to have significantly elevated ovarian cancer risk due to genetic mutations or family history can reduce this risk by surgically removing both ovaries and fallopian tubes (RRBSO, risk-reducing bilateral salpingo-oophorectomy). We used interpretive phenomenological analysis (IPA) to explore the psychosocial experiences of women who chose RRBSO for cancer prevention. We extended the traditional use of IPA to compare the experiences of women who chose RRBSO for cancer prevention to those of women who underwent similar gynecologic surgery for benign indications. The analysis resulted in three superordinate themes describing women's psychosocial experiences related to RRBSO: (a) psychological facets of cancer risk (b) social support and (c) shared medical decision making. Findings illustrate that women choosing RRBSO for cancer prevention experience heightened psychosocial challenges before and after surgery compared to women undergoing surgery for benign indication. Furthermore, they may need distinct types of information and support from healthcare providers.
已知因基因突变或家族病史而卵巢癌风险显著升高的女性，可以通过手术切除双侧卵巢和输卵管（RRBSO，降低风险的双侧输卵管卵巢切除术）来降低这种风险。我们采用解释现象学分析（IPA）来探究选择RRBSO进行癌症预防的女性的心理社会经历。我们扩展了IPA的传统用途，将选择RRBSO进行癌症预防的女性的经历与因良性指征接受类似妇科手术的女性的经历进行比较。分析得出了三个描述女性与RRBSO相关的心理社会经历的上位主题：（a）癌症风险的心理层面；（b）社会支持；（c）共同的医疗决策。研究结果表明，与因良性指征接受手术的女性相比，选择RRBSO进行癌症预防的女性在手术前后经历了更大的心理社会挑战。此外，她们可能需要医疗服务提供者提供不同类型的信息和支持。
