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[专家对乳腺钼靶筛查乳腺癌的风险与获益沟通的看法]

[Experts' views on the communication of risks and benefits of mammography to detect breast cancer].

作者信息

Dois Angelina, Bravo Paulina, Fernández-González Loreto, Uribe Claudia

机构信息

Departamento de Salud del Adulto y Senescente, Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile.

Departamento de Salud de la Mujer, Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Rev Med Chil. 2021 Feb;149(2):196-202. doi: 10.4067/s0034-98872021000200196.

DOI:10.4067/s0034-98872021000200196
PMID:34479263
Abstract

BACKGROUND

Breast cancer (BC) has a high mortality rate in developing countries due to a scarcity of early detection. Risk communication is critical to support women who face the decision to undertake BC screening. Thus, they can balance their perceived and real risk, and make informed choices.

AIM

To describe experts' views on how the provision of information related to BC screening should be made.

MATERIAL AND METHODS

A qualitative study with focus groups with national experts was conducted. Open coding was performed.

RESULTS

Four categories on the way information about BC screening should be provided emerged: to communicate about the need of the exam; the pros and cons of the test; fear as a barrier for understanding; and involving women in the decision-making process.

CONCLUSIONS

These findings emphasize the need to include risk communication strategies in the patient-provider relationship and encourage and respect women's autonomy when facing the BC screening decision.

摘要

背景

由于早期检测手段匮乏,乳腺癌在发展中国家具有较高的死亡率。风险沟通对于支持面临乳腺癌筛查决策的女性至关重要。这样,她们能够权衡感知到的风险和实际风险,并做出明智的选择。

目的

描述专家对于应如何提供与乳腺癌筛查相关信息的看法。

材料与方法

对国家专家进行了焦点小组定性研究,并进行了开放式编码。

结果

出现了关于应如何提供乳腺癌筛查信息的四类情况:传达检查的必要性;检查的利弊;恐惧作为理解的障碍;以及让女性参与决策过程。

结论

这些发现强调了在医患关系中纳入风险沟通策略的必要性,并在面对乳腺癌筛查决策时鼓励和尊重女性的自主权。

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Rev Med Chil. 2021 Feb;149(2):196-202. doi: 10.4067/s0034-98872021000200196.
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Key Elements of Mammography Shared Decision-Making: a Scoping Review of the Literature.乳腺 X 线摄影共享决策的关键要素:文献的范围综述。
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The role of communication in breast cancer screening: a qualitative study with Australian experts.沟通在乳腺癌筛查中的作用:一项对澳大利亚专家的定性研究。
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Women's participation in breast cancer screening in France--an ethical approach.法国女性参与乳腺癌筛查的伦理探讨
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Decision-making about mammographic screening: pursuing informed choice.关于乳腺钼靶筛查的决策:追求知情选择。
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[Eliciting women’s preferences for breast cancer screening].[了解女性对乳腺癌筛查的偏好]
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Preconceptions influence women's perceptions of information on breast cancer screening: a qualitative study.先入之见影响女性对乳腺癌筛查信息的认知:一项定性研究。
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