Women's decision satisfaction following early breast cancer treatment

Budden, L.M., Hayes, B.A., and Buettner, P.G. (2013) Women's decision satisfaction following early breast cancer treatment. In: International Council of Nurses Quadrennial Congress. p. 1. From: ICN 25th Quadrennial Congress: equity and access to health care, 18-23 May 2013, Melbourne, Australia.

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Abstract

This prospective cross-sectional study investigated Australian women's (N= 104, M= 58 years) cancer treatment support, and decision satisfaction for early breast cancer, three to four months following surgery. Women's satisfaction was surveyed using the Treatment Decision Satisfaction Questionnaire. This instrument consisted on 16 items scored on a 7 point Likert scale and divided into two dimensions: Decision Process Satisfaction (α= 0.91); and Decision Outcome Satisfaction (α= 0.95).The combination of these dimensions forms the Global Decision Satisfaction (α = 0.95) score. The data was analysed using descriptive and inferential statistics. Over sixty percent of women (62.1%) indicated receiving Breast Conservation surgery with radiation. Women who lived alone (p=0.002, p=0.049, p=0.011, respectively) or worked as professionals (p<0.001, respectively) were statistically significantly less satisfied with the decision process, the decision outcome and with their overall treatment decision.

The majority of women reported they were "satisfied" or "very satisfied" with the family (82.7%), social (70.2%), nursing (68.9%) and informational (80.8%) support they received. Positive correlations were identified between the overall support satisfaction score and process decision satisfaction (r=0.52, p<0.001), outcome decision satisfaction (r=0.46, p<0.001), and global decision satisfaction (r=0.52, p<0.001). Evidenced based guidelines are required by nurses to help support women's during their process of decision making for early breast cancer treatment. Decision support consists of providing information and identifying those women at risk for developing psychological morbidity and referring them to specialist psychological services. If left untreated women's decision dissatisfaction could impact their psychological morbidity and quality of life.

Item ID: 27280
Item Type: Conference Item (Poster)
Keywords: breast cancer treatment, decision making, patient decision making
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Date Deposited: 03 Jun 2013 01:10
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care) @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920210 Nursing @ 100%
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