评价乳腺癌术后妇女治疗决策结果的问题提示列表:一项随机对照试验

IF 0.4 Q4 ONCOLOGY

International Journal of Cancer Management Pub Date : 2023-08-14 DOI:10.5812/ijcm-131091

R. Negarandeh, Z. Yazdani, R. Lehto, M. Lashkari

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引用次数: 0

摘要

背景:随着乳腺癌医疗管理的医疗选择的进步，治疗决策变得更加复杂。目的:在自我效能理论的指导下，研究问题提示列表(QPL)对伊朗乳腺癌术后妇女决策结果的影响。方法:在伊朗德黑兰的一家综合癌症中心进行了一项随机对照试验。50例患者随机分为常规护理QPL组(n = 25)和常规护理组(n = 25)。治疗前后数据收集采用:9项共享决策问卷;决策自我效能量表;以及控制偏好量表。运用SPSS 26软件，采用描述性检验、Shapiro-Wilk检验、独立t检验、Fisher’s Exact检验和Mann-Whitney U检验。结果:常规护理组与QPL组在主要研究结构上无差异(P > 0.05)。结论:QPL对乳腺癌术后妇女的各种决策结果没有影响。跨文化研究需要更大的样本来进一步检验决策辅助工具(如QPL)对乳腺癌女性决策结果的影响。

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Evaluation of a Question Prompt List on Treatment Decision-making Outcomes in Women Following Surgery for Breast Cancer: A Randomized Controlled Trial

Background: With advances in healthcare options for the medical management of breast cancer, treatment decision-making has become more complex. Objectives: Guided by self-efficacy theory, the study investigated the impact of a question prompt list (QPL) on decision-making outcomes among women with breast cancer in Iran who were post-surgery. Methods: A randomized controlled trial was conducted at a comprehensive cancer center in Tehran, Iran. Fifty patients were randomized to either a QPL with usual care (n = 25) or to a usual care (n = 25) condition. Data were collected pre- and post-treatment utilizing: 9-item Shared Decision-Making Questionnaire; Decision Self-efficacy Scale; and the Control Preferences Scale. Utilizing SPSS 26 software, descriptive, Shapiro-Wilk test, independent t-test, Fisher's Exact test, and Mann-Whitney U test were used. Results: No differences between the usual care and QPL groups on major study constructs were found (P > 0.05). Conclusions: The QPL did not impact various decision-making outcomes among women with breast cancer post-surgery. Cross-cultural research is needed with larger samples to further examine the impact of decision aids such as QPL on decision-making outcomes for women with breast cancer.

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来源期刊

International Journal of Cancer Management ONCOLOGY-

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： International Journal of Cancer Management (IJCM) publishes peer-reviewed original studies and reviews on cancer etiology, epidemiology and risk factors, novel approach to cancer management including prevention, diagnosis, surgery, radiotherapy, medical oncology, and issues regarding cancer survivorship and palliative care. The scope spans the spectrum of cancer research from the laboratory to the clinic, with special emphasis on translational cancer research that bridge the laboratory and clinic. We also consider original case reports that expand clinical cancer knowledge and convey important best practice messages.