Women who undergo immediate mastectomy for breast cancer experience tremendous anxiety when faced with breast reconstruction and are often conflicted regarding which type of breast reconstruction to choose. This pilot study aimed to analyze the impact of a decision aid, adapted from Stanford University Breast Center, on decisional conflict in women with newly diagnosed breast cancer seeking breast reconstruction. Twenty newly-diagnosed breast cancer patients seeking breast reconstruction at a large academic healthcare center were randomized into two groups. Comparisons were made between women who reviewed the standard educational materials prior to initial consultation, and women who reviewed these materials and then reviewed a decision aid brochure at initial consultation and two weeks post consultation, utilizing the Decisional Conflict Scale. Technical issues halted data collection after only nine participants completed the study. Although no reliable findings could be interpreted from such a small sample size, the results suggest the decision aid as a valuable tool for patient education. Nurses may gain increased awareness of the emotional conflicts faced by newly diagnosed breast cancer patients when making decisions for breast reconstruction.
|Advisor:||Miketic, Joyce K.|
|Commitee:||Lewis, Laura, Zamboni, Beth|
|School Location:||United States -- Pennsylvania|
|Source:||DAI-B 79/09(E), Dissertation Abstracts International|
|Subjects:||Nursing, Health education, Oncology|
|Keywords:||Breast cancer, Breast reconstruction, Decision aid, Decision making, Decision support, Decisional conflict|
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