Ying Wang1, Jinna Zhang2, Bo Hu3, Jizhe Wang4, Laixiang Zhang5, Xiaohua Li2, Xiuli Zhu6. 1. School of Nursing, Qingdao University, No. 38, Dengzhou Road, North District, Qingdao, 266012, China. 2. Affiliated Hospital of Qingdao University, No. 1677 Wutaishan Road, Huangdao District, Qingdao, Shandong Province, 266555, China. 3. Thoracic Surgery Department, Qingdao Municipal Hospital Group, No. 25 Donghai Middle Road, Shinan District, Qingdao, Shandong Province, 266011, China. 4. School of Nursing, Qingdao University, No. 15 Ningde Road, Shinan District, Qingdao, Shandong Province, 266071, China. 5. Hepatobiliary and Vascular Surgery Department, Central Hospital of Qingdao, No. 127 siliu South Road, Sifang District, Qingdao, Shandong Province, 266042, China. 6. School of Nursing, Qingdao University, No. 15 Ningde Road, Shinan District, Qingdao, Shandong Province, 266071, China. 15820022927@163.com.
Abstract
PURPOSE: The purpose of this study was to investigate and analyze the level of actual participation and perceived importance of shared decision-making on treatment and care of lung cancer patients, to compare their differences and to explore their influencing factors. METHODS: A total of 290 lung cancer patients were collected from oncology and thoracic surgery departments of a comprehensive medical center in Qingdao from October 2018 to December 2019. Participants completed a cross-sectional questionnaire to assess their actual participation and perceived importance in shared decision-making on treatment and care. Descriptive analysis and non-parametric tests were carried out to assess the status quo of patients' shared decision-making on treatment and care. Binary logistic regression analysis with a stepwise back-wards was applied to predict factors that affected patients' participation in shared decision-making. RESULTS: The results showed that patients with lung cancer had a low degree of participation in shared decision-making. There were significant differences between actual participation and perceived importance of shared decision-making on treatment and care. Education level, age, gender, income, marital status, personality, the course of the disease (> 6 months), and the pathological TNM staging (III) affected patient's level of participation in shared decision-making. CONCLUSION: Actual participation in shared decision-making on the treatment and care of lung cancer patients was low and considered unimportant. We could train oncology nurses to use patient decision aids to help patients and families participate in shared decision-making on patients' value, preferences and needs.
PURPOSE: The purpose of this study was to investigate and analyze the level of actual participation and perceived importance of shared decision-making on treatment and care of lung cancer patients, to compare their differences and to explore their influencing factors. METHODS: A total of 290 lung cancer patients were collected from oncology and thoracic surgery departments of a comprehensive medical center in Qingdao from October 2018 to December 2019. Participants completed a cross-sectional questionnaire to assess their actual participation and perceived importance in shared decision-making on treatment and care. Descriptive analysis and non-parametric tests were carried out to assess the status quo of patients' shared decision-making on treatment and care. Binary logistic regression analysis with a stepwise back-wards was applied to predict factors that affected patients' participation in shared decision-making. RESULTS: The results showed that patients with lung cancer had a low degree of participation in shared decision-making. There were significant differences between actual participation and perceived importance of shared decision-making on treatment and care. Education level, age, gender, income, marital status, personality, the course of the disease (> 6 months), and the pathological TNM staging (III) affected patient's level of participation in shared decision-making. CONCLUSION: Actual participation in shared decision-making on the treatment and care of lung cancer patients was low and considered unimportant. We could train oncology nurses to use patient decision aids to help patients and families participate in shared decision-making on patients' value, preferences and needs.
Authors: Jolanda H H M Friesen-Storms; Gerrie J J W Bours; Trudy van der Weijden; Anna J H M Beurskens Journal: Int J Nurs Stud Date: 2014-07-05 Impact factor: 5.837
Authors: Alison T Brenner; Teri L Malo; Marjorie Margolis; Jennifer Elston Lafata; Shynah James; Maihan B Vu; Daniel S Reuland Journal: JAMA Intern Med Date: 2018-10-01 Impact factor: 21.873
Authors: Glyn Elwyn; Marie Anne Durand; Julia Song; Johanna Aarts; Paul J Barr; Zackary Berger; Nan Cochran; Dominick Frosch; Dariusz Galasiński; Pål Gulbrandsen; Paul K J Han; Martin Härter; Paul Kinnersley; Amy Lloyd; Manish Mishra; Lilisbeth Perestelo-Perez; Isabelle Scholl; Kounosuke Tomori; Lyndal Trevena; Holly O Witteman; Trudy Van der Weijden Journal: BMJ Date: 2017-11-06
Authors: Marie-Anne Durand; Renata W Yen; A James O'Malley; Danielle Schubbe; Mary C Politi; Catherine H Saunders; Shubhada Dhage; Kari Rosenkranz; Julie Margenthaler; Anna N A Tosteson; Eloise Crayton; Sherrill Jackson; Ann Bradley; Linda Walling; Christine M Marx; Robert J Volk; Karen Sepucha; Elissa Ozanne; Sanja Percac-Lima; Emily Bergin; Courtney Goodwin; Caity Miller; Camille Harris; Richard J Barth; Rebecca Aft; Sheldon Feldman; Amy E Cyr; Christina V Angeles; Shuai Jiang; Glyn Elwyn Journal: Cancer Date: 2020-11-10 Impact factor: 6.860