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    题名: Regret about surgical decisions among early-stage breast cancer patients: Effects of the congruence between patients` preferred and actual decision-making roles
    作者: Wang, AWT;Chang, SM;Chang, CS;Chen, ST;Chen, DR;Fan, F;Antoni, MH;Hsu, WY
    Hsu, Wen‐Yau
    許文耀
    贡献者: 心腦中心
    关键词: breast cancer;congruence between actual and preferred role;lumpectomy;mastectomy;oncology;regret
    日期: 2018-02
    上传时间: 2018-10-26 17:22:11 (UTC+8)
    摘要: ObjectiveEarly-stage breast cancer patients generally receive either a mastectomy or a lumpectomy, either by their own choice or that of their surgeon. Sometimes, there is regret about the decision afterward. To better understand regret about surgical decisions, this study examined 2 possibilities: The first is that women who take a dominant or collaborative role in decision making about the surgery express less regret afterward. The second is that congruence between preferred role and actual role predicts less regret. We also explored whether disease stage moderates the relationship between role congruence and decisional regret. MethodsIn a cross-sectional design, 154 women diagnosed with breast cancer completed a survey assessing decisional role preference and actual decisional role, a measure of post-decision regret, and a measure of disturbances related to breast cancer treatment. Hierarchical regression was used to investigate prediction of decisional regret. ResultsRole congruence, not actual decisional role, was significantly associated with less decisional regret, independent of all the control variables. The interaction between disease stage and role congruence was also significant, showing that mismatch relates to regret only in women with more advanced disease. ConclusionsOur findings suggest that cancer patients could benefit from tailored decision support concerning their decisional role preferences in the complex scenario of medical and personal factors during the surgical decision.
    關聯: PSYCHO-ONCOLOGY, 27(2), 508-514
    数据类型: article
    DOI 連結: http://dx.doi.org/10.1002/pon.4522
    DOI: 10.1002/pon.4522
    显示于类别:[心智‧大腦與學習研究中心 ] 期刊論文

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