前列腺癌病患參與治療決策過程的決策困難及其影響因素之探討

Decision Conflict and Associated Factors in Prostate Cancer Patients during the Decision-Making Process Period

本研究目的為瞭解前列腺癌病患在參與治療決策過程的決策困難及其相關因素。採前瞻性橫斷式研究設計，以立意取樣方式，於北部某醫學中心泌尿科門診收取癌症分期在T1-T3期的49位前列腺癌病患為研究對象。結果顯示：參與治療決策過程時，家庭生活、非共居家人及社會環境等方面的調適越差者，越容易感到決策困難；而其決策困難主要表現在對治療決定越感到不確定及感覺自己未獲得支持這兩方面。感覺自己未獲得相關資訊的人，大都屬於教育程度較低或偏好治療方式完全由醫師決定的病人。此研究結果能提供護理人員在協助此類病患進行治療決策時之參考依據，進而減少病患在進行治療決策時出現決策困擾。

The purpose of this prospective cross-sectional study was to investigate the decisional conflict and associated factors in patients with prostate cancer during their decision-making process. A Total 49 clinical staging T1-T3 prostate cancer patients were recruited by a purposive sampling method from urology outpatient clinics in a medical center. Results showed that patients with poor domestic environment, extended family relationship, and social environment adjustment have significant overall decisional conflict, especially in the subscales of uncertainty and feeling unsupported during the decision-making process period. Patients with lower educational background tended to felt that they were not sufficiently informed and preferred the treatment decision made by their doctor alone. The results of this study provided a reference for caring patients with prostate cancer and emphasized the need to decrease patient’s decision related distress before receiving treatment.