妇女在乳腺癌后主动选择"平地生活"时的决策过程:一个基于构造主义理论的理论研究
Anna Paganini1,2,3, Linda Myrin Westesson4,5, Emma Hansson6,7
1Region Västra Götaland, Department of Plastic and Reconstructive Surgery, Sahlgrenska University hospital, Gothenburg, Sweden. anna.paganini@gu.se.
BMC women's health
|March 16, 2024
概括
面临乳腺癌的女性可能会选择没有重建的乳房切除术 ("变平"). 这一决定受到个人动机和对重建性手术的担忧的影响,通过不同的阶段演变.
科学领域:
- 在瘤学瘤学.
- 定性研究是指质量研究.
- 妇女健康 妇女健康
背景情况:
- 乳腺癌的诊断往往需要艰难的治疗决策.
- 重建性手术是乳房切除术后的常见选择,但并非普遍选择.
- 了解没有重建的乳腺切除术的决策过程对于患者的支持至关重要.
研究的目的:
- 描述女性选择乳房切除术后平坦的决策过程的概念模型.
- 阐明影响选择放弃重建性手术的因素.
主要方法:
- 使用构造主义立足理论进行定性设计.
- 在数据和之前,与18名女性进行了个别采访.
- 面试数据的持续比较代分析.
主要成果:
- 这一决定过程分为三个阶段:"面对癌症"",反思健康和动机"和"霍布森的选择".
- 确定的核心类别是"建立和维护所选择的自我",这是决定的基础.
结论:
- 这种决定深深植根于个体女性的动机.
- 对女性的个人观点和对重建性手术的担忧显著影响了这一选择.
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