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KMID : 0895920140160030266
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Journal of Korean Gerontological Nursing
2014 Volume.16 No. 3 p.266 ~ p.275
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Perception of Shared Decision-making and Conflict Decision-making related to Surgery in Elderly Patients with Cancer
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Yoon Young-Shin
Kim Myung-Hee
Park Jung-Ha
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Abstract
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Purpose: The purpose of this study was to identify shared decision-making between surgeons-patients (SDM S-P) and family-patients (SDM F-P), and to analyze predictive factors for decision-making conflict in surgery for elderly patients with cancer.
Methods: Participants were 109 elderly patients with cancer who were scheduled for surgery and did not have any other medical treatment. Data were collected through face to face interviews from November 15, 2012 to January 30, 2013 using the Shared Decision Making-9 questionnaire (SDM-Q-9) and Decisional Conflict Scale (DCS). Data were analyzed using descriptive statistics, t-test, one-way ANOVA and stepwise multiple regression with the IBM SPSS Statistics 19.
Results: Mean score for SDM S-P was 18.87 points which was very low, but significantly high compared to the score for SDM F-P. Mean score for decision-making conflict was 18.66 points which was also very low. SDM S-P was the strongest favorable factor in decision-making conflict related to surgery. Decision by family for surgery was the most negative factor.
Conclusion: In order to reduce decision-making conflict of patient for surgery, medical teams have to increase SDM S-P and let elderly patients with cancer make their own choices for surgery.
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KEYWORD
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Aged, Cancer, Conflict, Decision-making
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