侷限性前列腺癌病患參與治療決策過程相關經驗探討

The Participation Experiences of Localized Prostate Cancer Patients in the Treatment Decision-Making Process

本研究目的在探討接受根除性前列腺切除術或高劑量後荷式近接治療之侷限性前列腺癌病患參與治療決策過程的相關經驗。自民國94年3月至5月期間，於北部某醫學中心之門診及病房，採立意取樣，選取符合條件之受訪者，共計收案10人。以質性研究方法，採半結構式訪談指引深入訪談進行資料收集。訪談內容採用內容分析法加以分析歸納。研究結果發現侷限性前列腺癌病患在參與治療決策過程中的相關經驗包括關心之事項及導致難以決定治療方式的因素。研究結果可做為未來協助此類病患參與治療決策之醫護人員的參考依據。

The purpose of this study was to investigate the participatory experience in the treatment related decision-making process of patients receiving radical prostatectomy or high-dosage brachytherapy for localized prostate cancer. Between March 2005 and May 2005, ten patients diagnosed with localized prostate cancer were recruited by purposive sampling at a medical center outpatient department and ward and included in this study, based on a qualitative study design. Semi-structured, guided interviews were employed to collect data. Data were analyzed by content analysis. Results showed that the decision-making experience of these localized prostate cancer patients included the items of greatest concern to patients as well as addressed the factors that made treatment decision-making difficult. Findings may be referenced by medical personnel when they are charged to select optimal treatment options for patients with prostate cancer.