Decision-Making Readiness and Its Influencing Factors Among Lung Cancer Patients Receiving Chemotherapy: A Cross-Sectional Study.
Yan Wang, Jinping Li, Yumeng Quan and 6 others
PMID 42366843WHAT IT FOUND
Patients receiving chemotherapy for lung cancer scored a median 62.00 on a 20 to 100 decision-readiness scale, moderate.
Wanting to take part was linked with higher readiness, and conflict with lower. Nurses can assess and target support.
Key findings
01Among 452 patients, median decision-making readiness was 62.00 (56.00, 70.00) on a 20 to 100 scale, indicating moderate preparedness.
02Decision-making readiness was positively correlated with decision-making attitude (r = 0.382, p < 0.001) and negatively correlated with decisional conflict total score (r = -0.212 to -0.164, p < 0.001).
03Adding decisional conflict and attitude increased the explained variance to 31.1%, and economic status, place of residence, conflict, and attitude were significant predictors.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured readiness and factors at the same time, so it cannot show that attitude or conflict caused higher readiness. Participants came from a single cancer hospital in Beijing and were recruited by convenience, so results may not apply to other settings. All data were self-reported questionnaires, so responses may have been biased. The decision-regret questionnaire was unreliable in this sample, so regret-related findings are weak.
Declared interests
The authors declared no conflicts of interest. The work was funded by Chinese national, Beijing municipal, and cancer hospital research grants.
The easy way to misread this
Do not conclude that improving attitude or reducing conflict will increase decision readiness. This was an observational survey at a single time, and no intervention was tested.