婦女對子宮全切除術之決策型態探討

The Styles of Patients' Decision Making on Total Hysterectomy

本研究是探討婦女面臨子宮全切除術時，在決策過程中所顯現的決策型態。以立意取樣選取14位個案，採以參與觀察與深入訪談的質性研究方法進行資料收集。研究結果歸納出7項決策行為：權威意見再確認、身體不適的容忍、肌瘤惡化的恐懼、手術信心的補強、性徵喪失的遲疑、衝突訊息的整合與奇蹟機會的等待；並依個案對這些行為的輕重考量，可區分出三種決策型態：行動型（50%）、猶豫型（14%）及堅持型（36%）。本研究結果可提供醫護人員深入認職病人的決策過程，並提供適切性的照護措施，以確保病患有充份資訊做出合適、無悔的選擇。

Abstract: This study intends to understand the decision-making styles of women when facing the operation of total hysterectomy because of myoma or adenomyoma. Fourteen patients were selected as the subjects of this study by purpose sampling. Participative observation and depth interviews were adopted to gather data. There are 7 decision-making behaviors induced from study results—reconfirmation of authority’s opinion, tolerance of physical discomfort, fear of malignancy, confidence enhancement on the operation, hesitation about losing sexuality, integration of the conflicting information and waiting for a turning point. In addition, considering the different behavior combination of each subject, the decision-making styles were devided into 3 patterns—action taking (50%), hesitation (14%) and persistence (36%). The study results may provide nurses and doctors with a better understanding about patient’s decision-making process, help them to offer patients with adequate nursing intervention and ensure patients having sufficient information to make the best and unregretful choice.