Decision Aid Interventions for Contralateral Prophylactic Mastectomy in Women of Average Risk: An Integrative Review.

IF 1.4 4区 医学 Q2 NURSING
Crystal Chu, Lynn T Dengel, Gina R Petroni, Patricia J Hollen, Randy A Jones
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引用次数: 0

Abstract

Problem identification: The use of a decision aid (DA) for women facing the decision of contralateral prophylactic mastectomy (CPM) is limited. This article aimed to examine the literature for studies testing a DA for patients diagnosed with unilateral breast cancer considering CPM.

Literature search: A comprehensive search was conducted in CINAHL®, Ovid MEDLINE®, PubMed®, Web of Science, PsycINFO®, and Cochrane Library databases from 2017 to 2024.

Data evaluation: The studies were assessed for relevance in testing a patient DA for CPM in patients diagnosed with unilateral breast cancer. Studies were evaluated using the Mixed Methods Appraisal Tool, version 2018.

Synthesis: Five studies met inclusion criteria. These studies included one pre-/postassessment cohort pilot study, one randomized controlled trial, two mixed-methods studies, and one qualitative study. Studies included 370 patients and 50 clinicians in the breast oncology setting.

Implications for practice: Oncology nurses can play a key role in advocating for shared decision-making for patients considering CPM. Additional testing of a DA for patients diagnosed with unilateral breast cancer considering CPM should be considered.

平均风险女性对侧预防性乳房切除术的决策辅助干预:一项综合综述。
问题识别:对于面临对侧预防性乳房切除术(CPM)决定的妇女,决策辅助(DA)的使用是有限的。这篇文章的目的是检查文献研究测试DA诊断单侧乳腺癌考虑CPM的患者。文献检索:综合检索2017 - 2024年CINAHL®、Ovid MEDLINE®、PubMed®、Web of Science、PsycINFO®和Cochrane Library数据库。资料评价:评估这些研究在诊断为单侧乳腺癌的患者中检测患者DA与CPM的相关性。使用混合方法评估工具(2018版)对研究进行评估。综合:5项研究符合纳入标准。这些研究包括一项评估前/评估后队列先导研究、一项随机对照试验、两项混合方法研究和一项定性研究。研究包括370名患者和50名乳腺肿瘤学临床医生。对实践的启示:肿瘤护士可以发挥关键作用,倡导共同决策的患者考虑CPM。对于诊断为单侧乳腺癌且考虑CPM的患者,应考虑进行DA的额外检测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Oncology nursing forum
Oncology nursing forum 医学-护理
CiteScore
3.20
自引率
0.00%
发文量
76
审稿时长
>12 weeks
期刊介绍: The mission of the Oncology Nursing Forum, an official publication of ONS, is to Convey research information related to practice, technology, education, and leadership. Disseminate oncology nursing research and evidence-based practice to enhance transdisciplinary quality cancer care. Stimulate discussion of critical issues relevant to oncology nursing.
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