Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia
Identifieur interne : 007145 ( Istex/Corpus ); précédent : 007144; suivant : 007146Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia
Auteurs : Barbara Mastaglia ; Linda J. KristjansonSource :
- Journal of Advanced Nursing [ 0309-2402 ] ; 2001-09-04.
Abstract
Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia
Url:
DOI: 10.1046/j.1365-2648.2001.01921.x
Links to Exploration step
ISTEX:F1F69ECEB7BE1CB36CC0E316C189CB21263277FCLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</title><author><name sortKey="Mastaglia, Barbara" sort="Mastaglia, Barbara" uniqKey="Mastaglia B" first="Barbara" last="Mastaglia">Barbara Mastaglia</name><affiliation><mods:affiliation>PhD Candidate, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</mods:affiliation></affiliation></author><author><name sortKey="Kristjanson, Linda J" sort="Kristjanson, Linda J" uniqKey="Kristjanson L" first="Linda J." last="Kristjanson">Linda J. Kristjanson</name><affiliation><mods:affiliation>Professor, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:F1F69ECEB7BE1CB36CC0E316C189CB21263277FC</idno><date when="2001" year="2001">2001</date><idno type="doi">10.1046/j.1365-2648.2001.01921.x</idno><idno type="url">https://api.istex.fr/document/F1F69ECEB7BE1CB36CC0E316C189CB21263277FC/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">007145</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">007145</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</title><author><name sortKey="Mastaglia, Barbara" sort="Mastaglia, Barbara" uniqKey="Mastaglia B" first="Barbara" last="Mastaglia">Barbara Mastaglia</name><affiliation><mods:affiliation>PhD Candidate, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</mods:affiliation></affiliation></author><author><name sortKey="Kristjanson, Linda J" sort="Kristjanson, Linda J" uniqKey="Kristjanson L" first="Linda J." last="Kristjanson">Linda J. Kristjanson</name><affiliation><mods:affiliation>Professor, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Advanced Nursing</title><title level="j" type="alt">JOURNAL OF ADVANCED NURSING</title><idno type="ISSN">0309-2402</idno><idno type="eISSN">1365-2648</idno><imprint><biblScope unit="vol">35</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="836">836</biblScope><biblScope unit="page" to="847">847</biblScope><biblScope unit="page-count">12</biblScope><publisher>Blackwell Science Ltd</publisher><pubPlace>Oxford UK</pubPlace><date type="published" when="2001-09-04">2001-09-04</date></imprint><idno type="ISSN">0309-2402</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0309-2402</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>breast cancer</json:string><json:string>mhlc</json:string><json:string>mastectomy</json:string><json:string>wallston</json:string><json:string>degner</json:string><json:string>breast cancer surgery</json:string><json:string>blackwell science</json:string><json:string>surgical</json:string><json:string>decisionmaking</json:string><json:string>whilst</json:string><json:string>chlc</json:string><json:string>radiotherapy</json:string><json:string>ihlc</json:string><json:string>radical mastectomy</json:string><json:string>phlc</json:string><json:string>surgical treatment</json:string><json:string>orientated</json:string><json:string>mastaglia</json:string><json:string>kristjanson</json:string><json:string>western australia</json:string><json:string>surgery</json:string><json:string>factor list</json:string><json:string>cancer nursing</json:string><json:string>health outcomes</json:string><json:string>rural women</json:string><json:string>janis mann</json:string><json:string>locus</json:string><json:string>bilodeau degner</json:string><json:string>surgical choice</json:string><json:string>public health</json:string><json:string>mhlc scale</json:string><json:string>health locus</json:string><json:string>information source</json:string><json:string>decision factors</json:string><json:string>external factors</json:string><json:string>cancer recurrence</json:string><json:string>edith cowan university</json:string><json:string>england journal</json:string><json:string>breast</json:string><json:string>important factors</json:string><json:string>older women</json:string><json:string>information sources</json:string><json:string>degner russell</json:string><json:string>cancer registry</json:string><json:string>graling grant</json:string><json:string>treatment selection</json:string><json:string>health department</json:string><json:string>breast cancer treatment</json:string><json:string>general practitioner</json:string><json:string>emotional distress</json:string><json:string>nursing practice</json:string><json:string>rural areas</json:string><json:string>negative correlation</json:string><json:string>positive correlation</json:string><json:string>centre</json:string><json:string>surgical decision</json:string><json:string>education level</json:string><json:string>holland rowland</json:string><json:string>accurate information</json:string><json:string>australian women</json:string><json:string>treatment group</json:string><json:string>adequate sample size</json:string><json:string>factors decisions</json:string><json:string>internal factors</json:string><json:string>demographic questionnaire</json:string><json:string>financial cost</json:string><json:string>particular surgery</json:string><json:string>pilot test</json:string><json:string>multidimensional health locus</json:string><json:string>nursing practice decision factors</json:string><json:string>frequency distribution</json:string><json:string>treatment characteristics</json:string><json:string>cent women</json:string><json:string>consecutive sample</json:string><json:string>bonferroni technique</json:string><json:string>internal health locus</json:string><json:string>mhlc beliefs</json:string><json:string>early stage breast cancer</json:string><json:string>preferred role</json:string><json:string>moderate correlation</json:string><json:string>chance health locus</json:string><json:string>particular type</json:string><json:string>body image</json:string><json:string>further surgery</json:string><json:string>family members</json:string><json:string>other persons</json:string><json:string>surgical groups</json:string><json:string>surgical procedures</json:string><json:string>long term</json:string><json:string>urban women</json:string><json:string>medicare statistics</json:string><json:string>remote areas</json:string><json:string>further investigation</json:string><json:string>powerful others health locus</json:string><json:string>other factors</json:string><json:string>powerful others</json:string><json:string>useful information</json:string><json:string>health professionals</json:string><json:string>support person</json:string><json:string>treatment plans</json:string><json:string>country areas</json:string><json:string>treatment decision</json:string><json:string>assessment methods</json:string><json:string>oncology nursing forum</json:string><json:string>early breast cancer</json:string><json:string>total mastectomy</json:string><json:string>many women</json:string><json:string>social science</json:string><json:string>surgical oncology</json:string><json:string>academic press</json:string><json:string>cancer</json:string></teeft></keywords><author><json:item><name>Barbara Mastaglia BNurs RN RM</name><affiliations><json:string>PhD Candidate, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</json:string></affiliations></json:item><json:item><name>Linda J. Kristjanson BN MN PhD RN</name><affiliations><json:string>Professor, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>breast cancer</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>modified radical mastectomy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>breast conserving treatment</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>decision‐making</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>choice of surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>conflict theory of decision‐making</value></json:item></subject><articleId><json:string>JAN1921</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><qualityIndicators><score>5.228</score><pdfVersion>1.2</pdfVersion><pdfPageSize>595 x 782 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>119</abstractCharCount><pdfWordCount>6719</pdfWordCount><pdfCharCount>41778</pdfCharCount><pdfPageCount>12</pdfPageCount><abstractWordCount>19</abstractWordCount></qualityIndicators><title>Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</title><genre><json:string>article</json:string></genre><host><title>Journal of Advanced Nursing</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1365-2648</json:string></doi><issn><json:string>0309-2402</json:string></issn><eissn><json:string>1365-2648</json:string></eissn><publisherId><json:string>JAN</json:string></publisherId><volume>35</volume><issue>6</issue><pages><first>836</first><last>847</last><total>12</total></pages><genre><json:string>journal</json:string></genre></host><categories><wos><json:string>social science</json:string><json:string>nursing</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>public health & health services</json:string><json:string>nursing</json:string></scienceMetrix></categories><publicationDate>2001</publicationDate><copyrightDate>2001</copyrightDate><doi><json:string>10.1046/j.1365-2648.2001.01921.x</json:string></doi><id>F1F69ECEB7BE1CB36CC0E316C189CB21263277FC</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/F1F69ECEB7BE1CB36CC0E316C189CB21263277FC/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/F1F69ECEB7BE1CB36CC0E316C189CB21263277FC/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/F1F69ECEB7BE1CB36CC0E316C189CB21263277FC/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</title></titleStmt><publicationStmt><publisher>Blackwell Science Ltd</publisher><pubPlace>Oxford UK</pubPlace><date type="published" when="2001-09-04"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</title><title level="a" type="short">Decision factors for breast cancer surgery</title><author xml:id="author-0000"><persName><forename type="first">Barbara </forename><surname>Mastaglia</surname><roleName type="degree">BNurs RN RM</roleName></persName><affiliation>PhD Candidate, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.<address><country key="AU"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Linda J. </forename><surname>Kristjanson</surname><roleName type="degree">BN MN PhD RN</roleName></persName><affiliation>Professor, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.<address><country key="AU"></country></address></affiliation></author><idno type="istex">F1F69ECEB7BE1CB36CC0E316C189CB21263277FC</idno><idno type="DOI">10.1046/j.1365-2648.2001.01921.x</idno><idno type="unit">JAN1921</idno><idno type="toTypesetVersion">file:JAN.JAN1921.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Advanced Nursing</title><title level="j" type="alt">JOURNAL OF ADVANCED NURSING</title><idno type="pISSN">0309-2402</idno><idno type="eISSN">1365-2648</idno><idno type="book-DOI">10.1111/(ISSN)1365-2648</idno><idno type="book-part-DOI">10.1111/jan.2001.35.issue-6</idno><idno type="product">JAN</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">35</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="836">836</biblScope><biblScope unit="page" to="847">847</biblScope><biblScope unit="page-count">12</biblScope><publisher>Blackwell Science Ltd</publisher><pubPlace>Oxford UK</pubPlace><date type="published" when="2001-09-04"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>
<hi rend="bold">Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</hi>
</p><p>
<hi rend="bold">Background.</hi> Internal and external factors have been reported to influence decision‐making by women for breast cancer surgery.</p><p>
<hi rend="bold">Aim of the study.</hi> The aim of the study was to describe the factors those women with Stage I or Stage II breast cancer, perceived to be important when selecting either modified radical mastectomy or breast conserving treatment.</p><p>
<hi rend="bold">Design/method.</hi> A descriptive correlational study was conducted. A consecutive sample of women with a diagnosis of breast cancer during a 6‐month period was selected from the Health Department of Western Australia Cancer Registry.</p><p>
<hi rend="bold">Results.</hi> Women who had breast conserving treatment rated the surgeon’s preference as a more important factor in decision‐making than women who had modified radical mastectomy. The lack of difference in long‐term survival between the types of surgery was also a more important influence on decision‐making for the breast conserving treatment group compared with women who had received modified radical mastectomy. Women in rural areas tended to choose modified radical mastectomy rather than breast conserving treatment. The surgeon, family and general practitioner were important sources of information. A significant association was found between women’s involvement in decision‐making and their use of a general practitioner as an information source. Many women wanted the decision about surgery to be entirely their own; the breast conserving treatment group preferred a more active role in decision‐making compared with those who chose modified radical mastectomy. Most women had participated in the decision‐making process as much as they wished, had enough time in which to make their decisions and had received sufficient information. A correlation between adequacy of information and sufficient time for decision‐making was found.</p><p>
<hi rend="bold">Conclusion.</hi> Findings may be useful to nurses and other health professionals who endeavour to provide adequate information and support to women during their initial treatment decision‐making experience.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">breast cancer</term><term xml:id="k2">modified radical mastectomy</term><term xml:id="k3">breast conserving treatment</term><term xml:id="k4">decision‐making</term><term xml:id="k5">choice of surgery</term><term xml:id="k6">conflict theory of decision‐making</term></keywords><classCode scheme="tocHeading1">Issues and innovations in nursing practice</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/F1F69ECEB7BE1CB36CC0E316C189CB21263277FC/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Science Ltd</publisherName><publisherLoc>Oxford UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2648</doi><issn type="print">0309-2402</issn><issn type="electronic">1365-2648</issn><idGroup><id type="product" value="JAN"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF ADVANCED NURSING">Journal of Advanced Nursing</title></titleGroup></publicationMeta><publicationMeta level="part" position="09006"><doi origin="wiley">10.1111/jan.2001.35.issue-6</doi><numberingGroup><numbering type="journalVolume" number="35">35</numbering><numbering type="journalIssue" number="6">6</numbering></numberingGroup><coverDate startDate="2001-09-04">September 2001</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0083600" status="forIssue"><doi origin="wiley">10.1046/j.1365-2648.2001.01921.x</doi><idGroup><id type="unit" value="JAN1921"></id></idGroup><countGroup><count type="pageTotal" number="12"></count></countGroup><titleGroup><title type="tocHeading1">Issues and innovations in nursing practice</title></titleGroup><eventGroup><event type="firstOnline" date="2001-12-20"></event><event type="publishedOnlineFinalForm" date="2001-12-20"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-06"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-28"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="836">836</numbering><numbering type="pageLast" number="847">847</numbering></numberingGroup><correspondenceTo>
Barbara Mastaglia,
School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia 6018, Australia. E‐mail: <email>B.Mastaglia@ecu.edu.au</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JAN.JAN1921.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="0"></count><count type="referenceTotal" number="36"></count><count type="linksPubMed" number="25"></count><count type="linksCrossRef" number="2"></count></countGroup><titleGroup><title type="main">Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</title><title type="shortAuthors">B. Mastaglia and L.J. Kristjanson</title><title type="short">Decision factors for breast cancer surgery</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Barbara </givenNames><familyName>Mastaglia</familyName><degrees>BNurs RN RM</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Linda J. </givenNames><familyName>Kristjanson</familyName><degrees>BN MN PhD RN</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="AU"><unparsedAffiliation>PhD Candidate, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="AU"><unparsedAffiliation>Professor, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">breast cancer</keyword><keyword xml:id="k2">modified radical mastectomy</keyword><keyword xml:id="k3">breast conserving treatment</keyword><keyword xml:id="k4">decision‐making</keyword><keyword xml:id="k5">choice of surgery</keyword><keyword xml:id="k6">conflict theory of decision‐making</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p> <b>Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</b> </p><p> <b>Background.</b> Internal and external factors have been reported to influence decision‐making by women for breast cancer surgery.</p><p> <b>Aim of the study.</b> The aim of the study was to describe the factors those women with Stage I or Stage II breast cancer, perceived to be important when selecting either modified radical mastectomy or breast conserving treatment.</p><p> <b>Design/method.</b> A descriptive correlational study was conducted. A consecutive sample of women with a diagnosis of breast cancer during a 6‐month period was selected from the Health Department of Western Australia Cancer Registry.</p><p> <b>Results.</b> Women who had breast conserving treatment rated the surgeon’s preference as a more important factor in decision‐making than women who had modified radical mastectomy. The lack of difference in long‐term survival between the types of surgery was also a more important influence on decision‐making for the breast conserving treatment group compared with women who had received modified radical mastectomy. Women in rural areas tended to choose modified radical mastectomy rather than breast conserving treatment. The surgeon, family and general practitioner were important sources of information. A significant association was found between women’s involvement in decision‐making and their use of a general practitioner as an information source. Many women wanted the decision about surgery to be entirely their own; the breast conserving treatment group preferred a more active role in decision‐making compared with those who chose modified radical mastectomy. Most women had participated in the decision‐making process as much as they wished, had enough time in which to make their decisions and had received sufficient information. A correlation between adequacy of information and sufficient time for decision‐making was found.</p><p> <b>Conclusion.</b> Findings may be useful to nurses and other health professionals who endeavour to provide adequate information and support to women during their initial treatment decision‐making experience.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Decision factors for breast cancer surgery</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</title></titleInfo><name type="personal"><namePart type="given">Barbara</namePart><namePart type="family">Mastaglia</namePart><namePart type="termsOfAddress">BNurs RN RM</namePart><affiliation>PhD Candidate, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Linda J.</namePart><namePart type="family">Kristjanson</namePart><namePart type="termsOfAddress">BN MN PhD RN</namePart><affiliation>Professor, School of Nursing and Public Health, Edith Cowan University, Churchlands, Western Australia, Australia.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Science Ltd</publisher><place><placeTerm type="text">Oxford UK</placeTerm></place><dateIssued encoding="w3cdtf">2001-09-04</dateIssued><copyrightDate encoding="w3cdtf">2001</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="references">36</extent></physicalDescription><abstract>Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia</abstract><abstract>Background. Internal and external factors have been reported to influence decision‐making by women for breast cancer surgery.</abstract><abstract>Aim of the study. The aim of the study was to describe the factors those women with Stage I or Stage II breast cancer, perceived to be important when selecting either modified radical mastectomy or breast conserving treatment.</abstract><abstract>Design/method. A descriptive correlational study was conducted. A consecutive sample of women with a diagnosis of breast cancer during a 6‐month period was selected from the Health Department of Western Australia Cancer Registry.</abstract><abstract>Results. Women who had breast conserving treatment rated the surgeon’s preference as a more important factor in decision‐making than women who had modified radical mastectomy. The lack of difference in long‐term survival between the types of surgery was also a more important influence on decision‐making for the breast conserving treatment group compared with women who had received modified radical mastectomy. Women in rural areas tended to choose modified radical mastectomy rather than breast conserving treatment. The surgeon, family and general practitioner were important sources of information. A significant association was found between women’s involvement in decision‐making and their use of a general practitioner as an information source. Many women wanted the decision about surgery to be entirely their own; the breast conserving treatment group preferred a more active role in decision‐making compared with those who chose modified radical mastectomy. Most women had participated in the decision‐making process as much as they wished, had enough time in which to make their decisions and had received sufficient information. A correlation between adequacy of information and sufficient time for decision‐making was found.</abstract><abstract>Conclusion. Findings may be useful to nurses and other health professionals who endeavour to provide adequate information and support to women during their initial treatment decision‐making experience.</abstract><subject lang="en"><genre>keywords</genre><topic>breast cancer</topic><topic>modified radical mastectomy</topic><topic>breast conserving treatment</topic><topic>decision‐making</topic><topic>choice of surgery</topic><topic>conflict theory of decision‐making</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Advanced Nursing</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0309-2402</identifier><identifier type="eISSN">1365-2648</identifier><identifier type="DOI">10.1111/(ISSN)1365-2648</identifier><identifier type="PublisherID">JAN</identifier><part><date>2001</date><detail type="volume"><caption>vol.</caption><number>35</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>836</start><end>847</end><total>12</total></extent></part></relatedItem><identifier type="istex">F1F69ECEB7BE1CB36CC0E316C189CB21263277FC</identifier><identifier type="DOI">10.1046/j.1365-2648.2001.01921.x</identifier><identifier type="ArticleID">JAN1921</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Science Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 007145 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 007145 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:F1F69ECEB7BE1CB36CC0E316C189CB21263277FC
|texte= Factors influencing women’s decisions for choice of surgery for Stage I and Stage II breast cancer in Western Australia
}}
| This area was generated with Dilib version V0.6.31. |  |