Related Experiment Video
Updated: Sep 11, 2025
Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
Current Status and Influencing Factors of Decisional Conflict in Lung Cancer Patients Receiving Systemic Therapy: A
Weicai Su1, Jinping Li2, Minfeng Zhai2
1Department of Nursing, Beijing Health Vocational College, Beijing, China.
Objective:
To investigate the current status of decisional conflict in lung cancer patients receiving systemic therapy and to analyze its influencing factors, with the aim of providing a basis for developing decision support strategies.
Methods:
From August to September 2024, a convenience sample of 500 patients receiving systemic therapy for lung cancer at the Department of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences, was surveyed. Data were collected using a general information questionnaire, the Decisional Conflict Scale (DCS), Cancer Patient's Involvement in Treatment Decision-Making Scale (CPITDM), Preparation for Decision-Making Scale (PreDM), and Decisional Regret Scale (DRS).
Result:
The mean DCS score was 47.28 ± 15.83, with subscale scores ranking from highest to lowest as decision support/effectiveness, decision uncertainty, and information/values. The mean CPITDM, PreDM, and DRS scores were 28.56 ± 3.91, 63.02 ± 11.65, and 9.46 ± 2.62, respectively. DCS was negatively correlated with CPITDM (r = -0.188, p < 0.001) and PreDM (r = -0.303, p < 0.001) but positively correlated with DRS (r = 0.342, p < 0.001). Multiple regression identified occupation, medical payment, treatment line, pathology, medication type, patient involvement, and preparedness as significant influencing factors (p < 0.05), explaining 59.9% of variance.
Conclusion:
Lung cancer patients receiving systemic therapy experience a relatively high level of decisional conflict, with many exhibiting delayed decision-making. Healthcare providers should identify high-risk patients early based on key influencing factors and explore practical clinical decision support interventions. Enhancing decision readiness and reducing decision regret may help to improve quality of life and reduce decisional conflict.
More Related Videos
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
08:54Treatment of Liver Metastases Using an Internal Target Volume Method for Stereotactic Body Radiotherapy
Published on: May 8, 2018
Related Concept Videos
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
02:49Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
01:27Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
01:29Chronic Obstructive Pulmonary Disease-V: Management
Smoking Cessation
01:27Ethical Issues
Ethical Concerns in Healthcare:
02:57Targeted Cancer Therapies
There are several types of targeted therapies against...