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    题名: Regret about surgical decisions among early‐stage breast cancer patients
    作者: 許文耀
    Wang, Ashley Wei‐Ting
    Chang, Su‐Mei
    Chang, Cheng‐Shyong
    Chen, Shou‐Tung
    Hsu, Wen‐Yau
    贡献者: 心理系
    关键词: breast cancer;congruence between actual and preferred role;lumpectomy;mastectomy;oncology;regret
    日期: 2018-02
    上传时间: 2018-05-16 15:04:23 (UTC+8)
    摘要: Objective: Early‐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.
    Methods: In 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.
    Results: Role 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.
    Conclusions: Our 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, Volume27, Issue2, pp.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:[心理學系] 期刊論文

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