Decision-making experiences related to mastectomy: A descriptive qualitative study
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AbstractAim: To obtain an in-depth understanding of women's decision-making experiences related to mastectomy.DesignA descriptive qualitative interview study.Methods: Individual semi-structured interviews were conducted face-to-face with 27 Chinese women with breast cancer who underwent mastectomy at two tertiary hospitals in mainland China between September 2020 and December 2021 after obtaining the appropriate ethical approvals. Interviews were conducted in Mandarin. Data were analysed using inductive content analysis.Results: Mean age of participants was 48 years (range 31-70). Most participants had low education, low monthly family income, had a partner and health insurance, had been diagnosed with early breast cancer, and had not undergone reconstructive surgery. Six categories related to decision-making experiences emerged: (1) Emotions affecting decision-making, (2) Information seeking for decision-making, (3) Beliefs about mastectomy and the breast, (4) Participation in decision-making, (5) People who influence decision-making, and (6) Post-decision reflection. Participants did not mention the role of nurses in their decision-making process for mastectomy.Conclusions: This study adds valuable insights into the limited evidence on women's experience with decision-making about mastectomy from a Chinese perspective, which is important given the continuing high prevalence of mastectomy in many regions. Future studies from other countries and ethnic groups are recommended to gain diverse knowledge.
Acceptance Date28/10/2023
All Author(s) ListLiu J., Chan S. W., Guo D., Lin Q., Hunter S., Zhu J., Lee R. L. T.
Journal nameJournal of Advanced Nursing
Year2024
Month5
Volume Number80
Issue Number5
PublisherWiley
Pages1967 - 1983
ISSN0309-2402
eISSN1365-2648
LanguagesEnglish-United Kingdom