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Decision-making experience of older patients with cancer in choosing treatment: A qualitative meta-synthesis study

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KMID : 0895920210230040418
±èÀº¿µ ( Kim Eun-Young ) - Korea University College of Nursing Institute of Nursing Research

È«¼¼Áø ( Hong Se-Jin ) - Korea University College of Nursing Institute of Nursing Research

Abstract

Purpose: This study was conducted to analyze and synthesize the findings of qualitative studies related to the decision-making experience of older patients with cancer in choosing treatment.

Methods: We used the seven steps of Noblit and Hare¡¯s meta-ethnography to analyze and synthesize selected qualitative studies. Seven databases were used to search the literature that explored the decision-making experiences of older patients with cancer in choosing treatment: PubMed, CINAHL, Embase, Web of Science, Research Informations Sharing Service(RISS), Koreastudies Information Service System(KISS), and National Assembly Library.

Results: The final 11 studies were included in the analysis. Three themes emerged as result of synthesizing:¡°Checking the feasibility of treatment in one¡¯s own life¡±,¡°The constant weighing up the gains and losses of treatment¡±, and ¡°Having meanings to life¡±.

Conclusion: This study provides an in-depth understanding of treatment decision-making experiences of older patients with cancer and highlights the complex factors that influence their treatment decision-making process. This may contribute to the development of interventions that help older patients with cancer choose treatment during the decision-making process.
KeyWords
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Aged, Neoplasms, Decision Making, Qualitative Research, Systematic Review
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