Role of the family in Treatment Decision-Making process for Omani women diagnosed with breast cancer
Autor: | Mansour S. Al-Moundhri, Mohammed Al-Azri, Abdulrahim Al-Bahri, Zahid Al-Mandhari |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Oman Arabic Decision Making Breast Neoplasms Interviews as Topic Young Adult 03 medical and health sciences 0302 clinical medicine Breast cancer Formal education Humans Medicine Family 030212 general & internal medicine Aged business.industry Communication 030503 health policy & services Cancer Patient Preference General Medicine Odds ratio Middle Aged medicine.disease Confidence interval language.human_language Cross-Sectional Studies Socioeconomic Factors Family medicine language Female Treatment decision making Patient Participation 0305 other medical science Stage iv business |
Zdroj: | Patient Education and Counseling. 102:352-359 |
ISSN: | 0738-3991 |
Popis: | Objective There is limited number of studies from Arabic countries on the participation of family members in Treatment decision-making (TDM) process. The aim of this study is to evaluate the role of family members in the TDM process among adult Omani women diagnosed with breast cancer. Methods A cross-sectional study has been conducted with women diagnosed with breast cancer and their nominated family members. Results A total of 79 patients and their nominated family members participated. The family members who were most engaged in the TDM were more likely to be young, male, employed and first-degree relative. The following characteristics of patients associated with more family-controlled the TDM: being older (crude odds ratio [OR] = 7.71; 95% confidence interval [CI]: 2.28–22.20), no formal education (OR = 0.18; 95% CI: 0.54) and diagnosed at stage IV (OR = 6.55; 95% CI: 1.89–22.65). The family members who dominate communication with the oncologists were more likely to control the TDM (OR = 6.03; 95% CI: 1.78–20.42). Conclusion Several factors influence the TDM process including age, gender, employments status, educational level and capability of communication. Practice implications The TDM process is heavily involves family members. This should be taking in consideration by oncologists during counselling in order to reach the best treatment. |
Databáze: | OpenAIRE |
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