Influencing factors of lung cancer patients' participation in shared decision-making: a cross-sectional study

Wang, Ying; Zhang, Jinna; Hu, Bo; Wang, Jizhe; Zhang, Laixiang; Li, Xiaohua; Zhu, Xiuli

doi:10.1007/s00432-022-04105-y

Cited by 9 publications

(5 citation statements)

References 40 publications

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“…A positive association between medical knowledge and SDM has been established in prior researches [7,41,42]. Shen et al considered that lower health knowledge undermines patients' self-con dence during communication with their doctors, which results in patients undervaluing the information they provide to doctors [43]. Additionally, poor comprehension of jargon terms acts as the barrier to decision-making [7], especially for those patients with lower medication knowledge.…”

Section: Discussionmentioning

confidence: 99%

“…This may be attributed to the severity of diseases, as patients with a disease course over 10 years are more likely to have a deteriorating condition, mainly manifested by cognition and sensory, which reduces patients' con dence to participate in SDM [49], as well as doctor's patience [41]. Apart from that, studies related to cancer patients' participation in SDM showed that Patients with terminal participated less in SDM, possibly due to limited treatment options for them [41,43].…”

Section: Discussionmentioning

confidence: 99%

“…There is no doubt that medication knowledge as an intervenable factor should be given su cient attention. PDAs are common tools that improve patients' related knowledge and help them to make better decisions with their doctors [43]. Canadian researchers had more practice in the development of PDAs [50].…”

Section: Discussionmentioning

confidence: 99%

“…Ottawa Hospital Research Association had established a website where we can browse PDAs of chronic diseases [43], apart from which, The Ottawa Decision Support Framework is a commonly used criterion for guiding the development of PDAs [51]. Decision coaching is another intervention for improving patients' knowledge [43], which is a process that a trained nurse or counselor conducts a short session before a clinical appointment. Previous studies showed that decision coaching has reached some success in patients' participation in SDM [10].…”

Section: Discussionmentioning

confidence: 99%

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What factors promote the chronic disease patients’ participation in shared decision making of medication: a cross-sectional survey in Hubei Province, China

Feng

Zong

et al. 2023

Preprint

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Background: Shared decision making (SDM) improves the health status of patients with chronic disease, especially in the condition of poly-medicated patients. This study aims to find the factors associated with chronic disease patients’ participation in SDM of medication. Methods: A total of 1,196 patients with chronic disease were selected using cluster sampling method. The random forest method was applied to sort the importance of independent variables by Mean Decrease Gini coefficient, and the multiple logistic regression was used to explore the key factors associated with patients’ medication decision-making. Results: In this study, 5.18% of patients used informed decision-making (IDM), 37.79% of patients used SDM, and 57.02% of patients used paternalistic model. The random forest showed that the top 10 important factors are exercise, age, education, drinking, disease course, medication knowledge, gender, depression, job type, and compliance. The multiple logistic regression showed that patients over 65 years old, drinking always, with depressive symptoms, poor knowledge and compliance of medication are more likely to use IDM compared to SDM. Moreover, compared to SDM, those patients over 65 years old, exercise infrequently, with disease course over 10 years, depressive symptoms, poor medication knowledge and an occupation of manual labor were more likely to use paternalistic model. Conclusion: Patients’ health behaviors and medication knowledge significantly influenced the patients’ participation in SDM of medication. Related interventions should be executed to ameliorate the health behaviors and medication knowledge of patients with chronic disease to promote them participating in SDM of medication

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

What factors promote the chronic disease patients’ participation in shared decision making of medication: a cross-sectional survey in Hubei Province, China

Feng

Zong

et al. 2023

Preprint

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“…Cancer is a leading cause of mortality, accounting for nearly 10 million annual deaths worldwide, i.e., 1 in 6 deaths [ 1 , 2 ]. Patients with advanced cancer always face a complex array of concerns and anguished choices, and they thereby require support and guidance from health care personnel [ 3 , 4 ]. Studies have emphasized the important role of health care providers in end-of-life conversations about patients’ preferences and wishes [ 5 , 6 ] since these end-of-life conversations have the potential to improve the quality of life and well-being of patients as well as their family members, reduce unwanted and aggressive treatments and enhance patient-centred care [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ self-regulation after engaging in end-of-life conversations with advanced cancer patients: a qualitative study

Du,

An,

Wang

et al. 2024

BMC Nurs

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Background Self-regulation is crucial for nurses who engage in in-depth end-of-life conversations with advanced cancer patients, especially in cultural contexts featuring death taboos. An improved understanding of the self-regulation process of nurses can help them address negative emotions and promote self-growth more effectively. Therefore, this study aimed to explore nurses’ self-regulation process after end-of-life conversations with advanced cancer patients. Methods This study employed a descriptive, qualitative approach. Seventeen nurses from four hospitals and a hospice unit in mainland China were interviewed between September 2022 and June 2023. Data were collected through face-to-face semistructured interviews. A thematic analysis method was used to analyse the data following the guidance of regulatory focus theory. Results Three main themes were developed: self-regulation antecedents include personality, experience, and support; promotion or prevention is a possible self-regulation process for nurses; both self-exhaustion and self-growth may be the outcomes of self-regulation, as did seven subthemes. Personality tendencies, life experience, and perceived support may affect nurses’ self-regulation, thereby affecting their self-regulation outcomes. Conclusions Nurses exhibit different self-regulatory tendencies and self-regulation outcomes. The provision of peer support and counselling support to nurses is highly important with regard to achieving good self-regulation outcomes.

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Status quo of advanced cancer patients participating in shared decision-making in China: a mixed study

Huang

Wang

et al. 2023

Support Care Cancer

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Patients with advanced cancer are usually willing to participate in shared decision-making (SDM), but in clinical practice, the participation of patients is easily ignored due to many factors. This study aimed to analyze the current status of SDM among patients with advanced cancer in China and the related factors affecting patient participation. MethodsA cross-sectional survey was conducted on 513 advanced cancer patients in 16 tertiary hospitals of China. The general situation questionnaire, the Control Preference Scale (CPS) and Perceived-involvement in Care Scale (PICS) were used to analyze the current status of SDM and in uencing factors. Based on the Ottawa Decision Support Framework (ODSF), 17 advanced cancer patients were interviewed to explore the perceptions of advanced cancer patients on SDM. ResultsThere is a difference between actual situation and expectation of patients' participation in decisionmaking tendency, and the statistically signi cant in uencing factors were age, payment, and whether worried about the therapeutic effect. We also found the dynamic change of decision-making mode, the acquisition of disease information, the obstacles of decision-making participation and the role of family members would effect the type of patients' SDM. ConclusionThe SDM status of advanced cancer patients in China is dominated by sharing, and in a continuous dynamic change. In uenced by Chinese traditional culture, family members play an important role in shared decision-making.

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Influencing factors of lung cancer patients' participation in shared decision-making: a cross-sectional study

Cited by 9 publications

References 40 publications

What factors promote the chronic disease patients’ participation in shared decision making of medication: a cross-sectional survey in Hubei Province, China

What factors promote the chronic disease patients’ participation in shared decision making of medication: a cross-sectional survey in Hubei Province, China

Nurses’ self-regulation after engaging in end-of-life conversations with advanced cancer patients: a qualitative study

Status quo of advanced cancer patients participating in shared decision-making in China: a mixed study

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