另一方预防性乳房切除术决策:合作伙伴的观点
Amanda L Nash1,2, Diane L Bloom3, Brittany M Chapman4
1Department of Surgery, Duke University Medical Center, Durham, NC, USA. amanda.nash@duke.edu.
Annals of surgical oncology
|August 12, 2023
概括
接受逆向预防性乳房切除术 (CPM) 的女性的伴侣经常将这一决定视为生死关键,在沟通身体和情感变化方面扎. 包括合作伙伴在咨询中可能会改善结果.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 手术瘤学手术瘤学
背景情况:
- 反侧预防性乳房切除 (CPM) 率正在增加,但没有生存益处.
- CPM带来了手术并发症的风险,并对生活质量产生了负面影响.
- 这项研究调查了那些妻子接受了CPM的伴侣的观点.
研究的目的:
- 探索接受CPM的女性男性伴侣的经历和看法.
- 了解合作伙伴在CPM决策过程中的作用.
- 确定夫妇在CPM后面临的亲密性和恢复方面的挑战.
主要方法:
- 定性研究,涉及与早期,低遗传风险单边乳腺癌妇女的伴侣进行深入采访.
- 用于面试的半结构化主题指南.
- 对面试数据进行主题分析.
主要成果:
- 采访了15名男性伴侣;大多数人认为他们的角色是强有力的和合乎逻辑的.
- 合作伙伴经常将CPM的决定定为生与死,掩盖了美学问题.
- 伴侣在讨论身体/情绪变化时遇到困难,这影响了夫妇的亲密性和沟通.
- 一些伴侣报告说,在早期康复期间,压力管理家庭生活.
结论:
- 男性伴侣的经验提供了对夫妇在复杂的治疗决策中进行导航的见解.
- 涉及合作伙伴的术前和术后咨询可以减轻关于CPM结果的错误沟通.
- 解决合作伙伴的观点对于整体的患者护理和支持至关重要.
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