以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (21): 67-70.doi: 10.16460/j.issn1008-9969.2022.21.067

• 临床护理-外科护理 • 上一篇    下一篇

老年乳腺癌患者乳房重建决策体验的质性研究

刘月, 张青月, 于林桐, 王慧清, 王燕   

  1. 天津医科大学肿瘤医院 国家恶性肿瘤临床医学研究中心 天津市恶性肿瘤临床医学研究中心 天津肿瘤防治重点实验室 乳腺癌防治教育部重点实验室 中俄乳腺肿瘤整形联合研究中心 乳房再造科,天津 300060
  • 收稿日期:2022-07-14 出版日期:2022-11-10 发布日期:2022-12-07
  • 通讯作者: 王燕（1981-）,女,湖北武汉人,硕士,副主任护师。E-mail:yanwangtj@126.com
  • 作者简介:刘月（1988-）,女,辽宁抚顺人,本科学历,护师。
  • 基金资助:
    天津医科大学肿瘤医院院级课题（H2104）,天津市医学重点学科（专科）建设项目资助（TJYXZDXK-011A）

Breast Reconstruction Decision-making Experience in Elderly Patients with Breast Cancer: A Qualitative Study

LIU Yue, ZHANG Qing-yue, YU Lin-tong, WANG Hui-qing, WANG Yan   

  1. Department of Breast Oncoplastic Surgery, Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer; Tianjin’s Clinical Research Center for Cancer; Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education; Sino-Russian Joint Research Center for Oncoplastic Breast Surgery; Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin300060, China
  • Received:2022-07-14 Online:2022-11-10 Published:2022-12-07

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摘要： 目的 了解我国老年乳腺癌患者乳房重建手术决策过程的体验。方法 采用目的抽样法选取2021年4月—2022年5月在天津某三级甲等医院就诊的乳腺癌患者进行半结构式访谈。运用Clolaizzi 7步分析法对资料进行整理分析,进行主题描述。结果 提炼出4个主题：内心感知的痛苦;决策的困境;决策的动机;期待决策支持。结论 本研究深入探索我国老年乳腺癌患者乳房重建决策体验,为向老年乳腺癌患者开展更具有针对性决策辅助干预措施提供理论依据。

关键词: 乳腺癌, 乳房重建, 老年患者, 决策体验, 质性研究

Abstract: Objective To understand the decision-making process of breast reconstruction surgery in elderly breast cancer patients in China. Methods The purposeful sampling method was used to select breast cancer patients who were treated in a tertiary grade-A hospital in Tianjin from April 2021 to May 2022 for semi-structured interviews. Clolaizzi 7-step analysis method was used to analyze the data, and the themes were described. Results Four themes were extracted: the pain of inner perception; the dilemma of decision making; motivation for decision-making; and expectation of decision-making support. Conclusion This study deeply explores the breast reconstruction decision-making experience of elderly breast cancer patients in China, and provides reference for providing targeted decision-making interventions for elderly breast cancer patients.

Key words: breast cancer, breast reconstruction, elderly patien, decision-making experience, qualitative research

中图分类号: 

  • R473.6
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