學術產出-Periodical Articles

Article View/Open

Publication Export

Google ScholarTM

政大圖書館

Citation Infomation

題名 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
貢獻者 心理系
關鍵詞 breast cancer; congruence between actual and preferred role; lumpectomy; mastectomy; oncology;regret
日期 2018-02
上傳時間 16-May-2018 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
資料類型 article
DOI http://dx.doi.org/10.1002/pon.4522
dc.contributor 心理系zh_TW
dc.creator (作者) 許文耀zh_TW
dc.creator (作者) Wang, Ashley Wei‐Tingen_US
dc.creator (作者) Chang, Su‐Meien_US
dc.creator (作者) Chang, Cheng‐Shyongen_US
dc.creator (作者) Chen, Shou‐Tungen_US
dc.creator (作者) Hsu, Wen‐Yauen_US
dc.date (日期) 2018-02
dc.date.accessioned 16-May-2018 15:04:23 (UTC+8)-
dc.date.available 16-May-2018 15:04:23 (UTC+8)-
dc.date.issued (上傳時間) 16-May-2018 15:04:23 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/117173-
dc.description.abstract (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.
en_US
dc.format.extent 242986 bytes-
dc.format.mimetype application/pdf-
dc.relation (關聯) Psycho-oncology, Volume27, Issue2, pp.508-514zh_TW
dc.subject (關鍵詞) breast cancer; congruence between actual and preferred role; lumpectomy; mastectomy; oncology;regreten_US
dc.title (題名) Regret about surgical decisions among early‐stage breast cancer patientsen_US
dc.type (資料類型) article
dc.identifier.doi (DOI) 10.1002/pon.4522
dc.doi.uri (DOI) http://dx.doi.org/10.1002/pon.4522