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新诊断乳腺癌患者及其陪同人员对乳腺癌多模式治疗的认知与态度

Knowledge and Attitude of Newly Diagnosed Breast Cancer Patients and Their Accompanying Attendants About Multimodality Treatment for Breast Cancer.

作者信息

Ruby Nahan Siddique, Vijayakumar Chellappa, Sundaramurthi Sudharsanan, Sureshkumar Sathasivam, Kumbhar Uday, Balasubramanian Gopal

机构信息

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IND.

出版信息

Cureus. 2020 May 1;12(5):e7915. doi: 10.7759/cureus.7915.

Abstract

Introduction This study was done to estimate the level of knowledge and attitude about the multimodality treatment (MMT) of breast cancer among the newly diagnosed breast cancer patients and accompanying attendants. Apart from the lack of knowledge, it is equally important to consider their accompanying attendant's knowledge, which changes the patient's attitude. Methodology This was a cross-sectional analytic study, including all newly diagnosed breast cancer patients of age above 18 years. The initial questionnaire one (Q1) was about their overall knowledge of carcinoma breast treatment options. Subsequent questionnaire two (Q2) were asked about MMT for breast cancer at eliciting their attitudes about MMT. After explaining about MMT for breast cancer, they were asked to indicate if they had a positive/negative attitude about MMT by questionnaire three (Q3). Results A total of 84 patients was included in the study. The results indicate a significant association between the relation of the attendant to the patient and their level of knowledge of MMT (p<0.001). Approximately 62% of study patients preferred a passive role in making their treatment decisions of MMT, with nearly 26.2% preferring their treating doctor to make all decisions while 36.7% preferred decisions by accompanying attendants. None of the patients had a negative attitude about MMT. Conclusion The treating surgeon should analyse the patient's knowledge of MMT and their attitude toward involving their accompanying attendants in making MMT decisions. It is necessary to administer adequate knowledge regarding MMT and discuss the various treatment options for breast cancer with the ailing patient, along with the accompanying attendants.

摘要

引言 本研究旨在评估新诊断乳腺癌患者及其陪护人员对乳腺癌多模式治疗(MMT)的知识水平和态度。除了患者自身知识的欠缺外,考虑其陪护人员的知识同样重要,因为这会改变患者的态度。

方法 这是一项横断面分析研究,纳入所有年龄在18岁以上的新诊断乳腺癌患者。初始问卷一(Q1)是关于他们对乳腺癌治疗方案的总体知识。随后的问卷二(Q2)是在引出他们对MMT的态度时询问关于乳腺癌的MMT。在解释了乳腺癌的MMT后,通过问卷三(Q3)询问他们对MMT是否有积极/消极态度。

结果 本研究共纳入84例患者。结果表明,陪护人员与患者的关系及其对MMT的知识水平之间存在显著关联(p<0.001)。约62%的研究患者在MMT治疗决策中倾向于被动角色,近26.2%的患者希望其主治医生做出所有决策,而36.7%的患者希望由陪护人员做出决策。没有患者对MMT持消极态度。

结论 主治外科医生应分析患者对MMT的知识以及他们对让陪护人员参与MMT决策的态度。有必要向患者及其陪护人员提供关于MMT的充分知识,并与患病患者讨论乳腺癌的各种治疗选择。

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