Academic Journal

Decision regret related to urinary diversion choices after cystectomy among Chinese bladder cancer patients

التفاصيل البيبلوغرافية
العنوان: Decision regret related to urinary diversion choices after cystectomy among Chinese bladder cancer patients
المؤلفون: Yinmeng Hou, Yiqian Chen, Shicong Lai, Samuel Seery, Ling Wang, Xiaodan Li, Huixin Liu, Caipeng Qin, Wei Li, Xiangyun Lu, Chunxia Liu, Jia Wang, Tao Xu
المصدر: Cancer Medicine, Vol 12, Iss 4, Pp 4786-4793 (2023)
بيانات النشر: Wiley, 2023.
سنة النشر: 2023
المجموعة: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
مصطلحات موضوعية: China, conflict, decision making, perception, quality of life, urinary bladder neoplasia, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
الوصف: Abstract Aim To explore factors associated with decision regret after cystectomy among Chinese bladder cancer patients. Methods This cross‐sectional study involved 112 patients, who had received radical bladder cancer resection. Participants were recruited from August 2021 until January 2022. The decision regret scale (DRS), decision conflict scale (DCS), and the Functional Assessment of Cancer Therapy–Bladder cancer (FACT‐BL) form were used to measure decision regret, decision conflict, and quality of life. Investigator‐designed items further explored perceptions involved in decision‐making participation and outcomes. Results The average score for decision regret was 26.21 (SD 15.886), while decision conflict was 20.27 (SD 13.375) and quality of life was 94.74 (SD 20.873). 57.1% of our participants had a little knowledge about the quality of life of patients who chose an alternate urinary diversion method; however, only 13.4% reported having a clear understanding. In addition, 8.9%, 26.8%, and 36.6% thought that quality of life related to alternate decisions was poor, average, or good, respectively. Multiple regression analysis suggested that decision regret is associated with decision conflict, quality of life, and the perceptions that others (who took alternate urinary diversion decisions) had a better quality of life. Conclusion Decision regret is common among Chinese bladder cancer patients, after cystectomy. The prevalence of regret appears to be much higher in Chinese bladder cancer patients compared to similar studies from other regions. Decisions in mainland China are often made by the treating physician or by family members which may cause more profound regret. However, education and economic status are positively related to higher levels of regret which creates questions around knowing, participation, and expectations, which must be explored.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2045-7634
Relation: https://doaj.org/toc/2045-7634
DOI: 10.1002/cam4.5281
URL الوصول: https://doaj.org/article/759695549cef40eab5e8078c59b3d459
رقم الانضمام: edsdoj.759695549cef40eab5e8078c59b3d459
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20457634
DOI:10.1002/cam4.5281