天津护理2023，Vol.31Issue(6)：669-673,5.DOI:10.3969/j.issn.1006-9143.2023.06.009
乳腺癌相关性淋巴水肿患者治疗决策辅助需求的混合研究
A mixed study on the needs of treatment decision support in patients with breast cancer associated lymphedema
摘要
Abstract
Objective:To determine the current status of treatment decision-making dilemma in patients with breast cancer-related lymphedema,so as to provide reference for the implementation of decision support for medical staffs.Methods:Quantitative and qualitative mixed research methods were adopted.In the quantitative study,purposive sampling method was used and 190 patients with breast cancer-related lymphedema were included from May 2021 to May 2022 in a Class A tertiary cancer hospital in Tianjin.Through puiposive sampling and maximum difference sampling,patients with decision-making dilemma in the questionnaire survey were selected for qualitative interview.Results:A total of 187 valid questionnaires(98.42％)were collected,and the score of decision-making dilemma was 26.56(16.06,38.28)points.Among them,45 patients(24.1％)had a score of more than 37.5 points,indicating decision-making delay,and 102 patients(54.5％)had a score of more than 25 points,indicating decision-making dilemma.Qualitative research extracted four themes,which were insufficient knowledge of breast cancer related lymphedema and treatment,lack of professional decision-making information,the impact of negative emotions,and lack of support system.Conclusion:Patients with breast cancer-related lymphedema generally have treatment decision-making difficulties.Medical staffs should pay attention to health education and psychological support of patients,and give appropriate interventions.关键词
乳腺癌相关性淋巴水肿/决策困境/混合研究方法Key words
Lymphedema of breast cancer/Decision dilemma/Mixed research methods分类
医药卫生引用本文复制引用
林玲,孔轻轻,武佩佩,王娴,郑妍丽..乳腺癌相关性淋巴水肿患者治疗决策辅助需求的混合研究[J].天津护理,2023,31(6):669-673,5.基金项目
天津市医学重点学科建设项目(TJYXZDXK-011A) （TJYXZDXK-011A）
