Crystal Chu, Lynn T Dengel, Gina R Petroni, Patricia J Hollen, Randy A Jones
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引用次数: 0
摘要
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。
Decision Aid Interventions for Contralateral Prophylactic Mastectomy in Women of Average Risk: An Integrative Review.
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.
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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