Sun Mengying, Liu Chunlei, Zhang Peng, Song Yanru, Bian Ying, Ke Sangsang, Lu Yanjuan, Lu Qian
School of Nursing, Hebei University, Baoding, Hebei Province, China.
Department of Breast Surgery, Affiliated Hospital of Hebei University, Baoding, Hebei Province, China.
Asia Pac J Oncol Nurs. 2024 Jun 28;11(8):100548. doi: 10.1016/j.apjon.2024.100548. eCollection 2024 Aug.
To explore the perspectives and needs related to fertility preservation decision-making in patients of childbearing age with breast cancer.
Semistructured face-to-face interviews were conducted in a tertiary hospital in Baoding, China from July to October 2023. Purposive sampling was used to ensure the diversity of samples. The interview guide is based on the literature review and the discussions within the research team. A traditional content analysis approach was used for data analysis.
A total of 18 participants were interviewed. Three themes emerged from the data: conflicts between subjective desires and concerns, coexistence of objective benefits and challenges, and decision-making support needs. The conflicts between subjective desires and concerns included five sub-themes, the coexistence of objective benefits and challenges also included five sub-themes, and the decision-making support needs included two sub-themes.
Patients faced a difficult trade-off between desires and concerns, benefits, and challenges regarding fertility preservation decisions, with numerous unmet needs. Healthcare professionals should prioritize patients' fertility desires, providing timely fertility preservation information and adequate counseling after a cancer diagnosis. This approach can help alleviate unnecessary concerns, facilitate satisfactory decision-making, and improve patients' quality of life.
探讨育龄期乳腺癌患者在生育力保存决策方面的观点和需求。
2023年7月至10月在中国保定的一家三级医院进行了半结构化面对面访谈。采用目的抽样以确保样本的多样性。访谈指南基于文献综述和研究团队内部的讨论。采用传统的内容分析方法进行数据分析。
共访谈了18名参与者。数据中出现了三个主题：主观愿望与担忧之间的冲突、客观益处与挑战的并存以及决策支持需求。主观愿望与担忧之间的冲突包括五个子主题，客观益处与挑战的并存也包括五个子主题，决策支持需求包括两个子主题。
患者在生育力保存决策的愿望与担忧、益处和挑战之间面临艰难的权衡，存在众多未满足的需求。医疗保健专业人员应优先考虑患者的生育愿望，在癌症诊断后及时提供生育力保存信息和充分的咨询。这种方法有助于减轻不必要的担忧，促进满意的决策制定，并提高患者的生活质量。
