Montbriand M J
University of Saskatchewan, Saskatoon, Canada.
Cancer Nurs. 1995 Apr;18(2):104-17.
What common sense decision strategies do patients with cancer use when they are making health care choices that include alternate therapies? Existing research indicates that oncology patients are making alternate choices while associated with biomedicine. Often patients' decision strategies are exploited by the alternate system to promote and market alternate products. Although some of these practices are benign, others are dangerous or may interfere or delay successful treatment in biomedicine. Therefore, it seems important for biomedical professionals to understand patients' common sense decision patterns. A decision tree model, outlining patients' decision strategies, has recently been developed through intensive interviews with 300 patients who were diagnosed with cancer of the respiratory and digestive systems. The two-phase methodology included, first, a context sensitive approach to develop the model, followed by a predictive approach testing the model developed in the first phase on a separate yet similar random sample of patients. The discussion in this article focuses on the research, the patterns of the decision tree model, and the implications and adaptability of this model to nursing practice.
癌症患者在做出包括替代疗法在内的医疗保健选择时会采用哪些常识性决策策略？现有研究表明，肿瘤患者在选择替代疗法时往往与生物医学相关联。替代疗法体系常常利用患者的决策策略来推广和营销替代产品。虽然其中一些做法并无危害，但其他一些则很危险，或者可能干扰或延误生物医学的成功治疗。因此，生物医学专业人员了解患者的常识性决策模式似乎很重要。最近通过对300名被诊断患有呼吸道和消化系统癌症的患者进行深入访谈，开发了一个概述患者决策策略的决策树模型。两阶段方法包括，首先，采用情境敏感方法来开发模型，然后采用预测方法在另一组但类似的随机患者样本上测试第一阶段开发的模型。本文的讨论重点是该研究、决策树模型的模式，以及该模型对护理实践的影响和适用性。
