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KMID : 1035120170170020069
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Asian Oncology Nursing
2017 Volume.17 No. 2 p.69 ~ p.78
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Factors Influencing Conflicts of Chemotherapy Decision Making among Pre-Operative Cancer Patients
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Koo Nam-Yee
Lee Ji-Hyun
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Abstract
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Purpose: This study was attempted to grasp the factors affecting the decision-making conflicts of preoperative cancer patients.
Methods: The subjects of this study were 110 cancer patients scheduled to undergo surgeries at K university hospital. Data were collected utilizing scales for decision-making conflicts and anxiety state, and measurement tools for attitude toward treatment and, shared decision-making.
Results: The level of decision-making conflicts over cancer treatment of preoperative cancer patients turned out to be slightly lower than the median. There were significant correlations between shared decision-making between physicians and patients, and quality of life which was a subdomain of attitude toward treatment. In multiple regression analysis, the most powerful predictor was the shared decision-making of physicians and patients. Overall, the explanatory power of the measured variables for decisionmaking conflicts about cancer therapy was 20%.
Conclusion: The study highlights the importance of shared decision-making and quality of life which involves attitude toward treatment. Thereby, it is deemed to be necessary to develop intervention strategies regarding decision-making conflicts about cancer treatment in consideration of these variables.
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KEYWORD
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Neoplasms, Decision Making, Conflict, Attitude, Anxiety
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