Current status and influencing factors of participating satisfaction during surgical treatment decision-making among breast cancer patients with immediate breast reconstruction

Yan Wang; Qingyue Zhang; Xiaoyuan Wang; Di Yan; Jian Yin; Shumei Zhuang; Wanmin Qiang

doi:10.1016/j.ejon.2023.102402

Current status and influencing factors of participating satisfaction during surgical treatment decision-making among breast cancer patients with immediate breast reconstruction

Eur J Oncol Nurs. 2023 Oct:66:102402. doi: 10.1016/j.ejon.2023.102402. Epub 2023 Jul 27.

Authors

Yan Wang¹, Qingyue Zhang¹, Xiaoyuan Wang¹, Di Yan¹, Jian Yin¹, Shumei Zhuang², Wanmin Qiang³

Affiliations

¹ Department of Breast Oncoplastic Surgery, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, 300060, China.
² Tianjin Medical University, Tianjin, 300000, China. Electronic address: snshumei@tmu.edu.cn.
³ Department of Breast Oncoplastic Surgery, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, 300060, China. Electronic address: lf13902189877@163.com.

PMID: 37738841
DOI: 10.1016/j.ejon.2023.102402

Abstract

Objective: Breast reconstruction (BR) is a positive contribution to aesthetic effect among breast cancer patients. Identification of influenced factors for participating satisfaction may provide insights on the decision-making theory to promote patient's autonomy in surgical choice. The purpose of this study was to examine the level of participating satisfaction with surgical treatment decision-making and its predictors among breast cancer patients with immediate BR.

Methods: A cross-sectional study was conducted including 163 breast cancer patients with immediate BR in Mainland China. Data was collected using patients' participation satisfaction in medical decision-making scale (PSMDS), Big five Short-Form (BFI) Scale, Patient Participation Competence Scale(PPCS) and Patients' Preference (MPP) scale. Descriptive, bivariate, and multivariate regression analyses were used.

Results: Scores of PSMD were 86.38 ± 15.74. Multiple regression analyses indicated autonomous decision-making, marital statue, information acquisition competence, agreeableness, and decision-making preferences as indicators, explaining 29.6% of the response variation (P < 0.05).

Conclusions: The level of PSMD in breast cancer patients with immediate BR need to be improved. Patients with greater autonomous decision-making, married, higher information acquisition competence, agreeableness, and collaborative role are more likely to have an preferable PSMD. A comprehensive assessment and effective decision-making support are needed initially for BC patients to promote positive participation when making surgical decision.

Keywords: Decision making; Immediate breast reconstruction.