| Summary: | 碩士 === 國立陽明大學 === 臨床護理研究所 === 105 === Objective: After being diagnosed with early breast cancer, women need to make a surgical decision, such as mastectomy, breast conserving surgery (BCS), or breast reconstruction for breast cancer treatment. This decision may give these women psychological distress. The result of surgery affects their body image and causes regret. Through the advancement of Internet technology, the study aims to explore whether a surgery decision support website developed by the research team can effectively improve women’s body image and reduce their feelings of regret.
Methods: A quasi-experimental design was conducted, and the surgery decision support website was used as an intervention before surgical treatment for breast cancer. The questionnaire on demographic variables, decision regret scale, body image scale and body image visual analog scale (BIVAS) were assessed.
Results: Among the 48 participants (33 in the control group, 15 in the experimental group), the results showed, compared to the time before surgery, their body image one month after surgery was more positive and reached a significant level. Among them, the experimental group showed a greater gap. Besides, the results of decisional regret showed no significant differences between the control group and experimental group. However, there was a significant difference in the level of regret between breast reconstruction and BCS. In addition, the marriage, occupation and surgical types in this study are also related to body image. Those who are married are more positive than those who are divorced. Those not working are more positive than full-time workers. Those who chose mastectomy or BCS are more positive than those who chose reconstruction. When the patient has a more negative body image, they have a greater chance of feeling regret. In this study, decision preference was not significantly associated with body image and decisional regret.
Conclusion: Women with newly diagnosed breast cancer may face greater challenges. Use of an interactive surgery decision support website can provide them information to help their body image trends become more positive. Both control and experimental group did not show significant differences in surgery decisional regret after one month. In addition, the measurement of body image and decisional regret may relate to the experience and expression of culture, emotions, language and context. With the development of technology, the people’s website style of use also changed. We suggest a longer longitudinal study to follow up the decision-making process of women with early stage breast cancer in the future and develop more strategies to enhance women's decision-making quality and physical and mental conditioning. The study also suggests establishing domestic decision-making aids which are more convenient and can be used easily in the future.
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