The mediating role of decision-making conflict in the association between patient's participation satisfaction and distress during medical decision-making among Chinese patients with pulmonary nodules.

Autor: Yuan J; Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China; Health Science Center, Yangtze University, Jingzhou, China., Wang J; Department of Pulmonary and Critical Care Medicine, Shaanxi Provincial Second People's Hospital, Xi'an, China., Sun Y; Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China., Zhou H; Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China., Li D; Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China., Zhang J; Department of Thoracic Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China., Ren X; International Exchange Office, The First Affiliated Hospital of Xi'an Jiaotong Univeristy, Xi'an, China., Chen M; Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. Electronic address: chenmingwei@xjtu.edu.cn., Ren H; Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China; International Exchange Office, The First Affiliated Hospital of Xi'an Jiaotong Univeristy, Xi'an, China; Department of Talent Highland, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. Electronic address: renhui@xjtufh.edu.cn.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2022 Dec; Vol. 105 (12), pp. 3466-3472. Date of Electronic Publication: 2022 Sep 12.
DOI: 10.1016/j.pec.2022.09.005
Abstrakt: Objective: When diagnosed as having pulmonary nodules, patients may be mired in the conflict of medical decision-making and suffered from distress. The purpose of this study was to investigate the mediating role of decision-making conflict in the relationship between participation satisfaction in medical decision-making (PSMD) and distress among Chinese patients with incidental pulmonary nodules.
Methods: A total of 163 outpatients with incidental pulmonary nodules detected in a tertiary hospital were recruited and investigated by Impact of Event Scale (IES), Decision Conflict Scale (DCS), participation satisfaction in medical decision-making Scale (PSMDS), and demographic questionnaire.
Results: The mean IES score was 37.35 ± 16.65, representing a moderate level. PSMD was negatively associated with distress, while decision-making conflict was positively associated with distress. The final regression model contained three factors: having a first-degree relative diagnosed with lung cancer, worrying about getting lung cancer someday, and decision-making conflict. These three factors explained 49.4 % of the variance of distress. The total effect of PSMD on distress and indirect effect of SPMD on distress caused-by decision-making conflict were significant (P < 0.05). However, the direct effect of PSMD on distress was not significant.
Conclusions: Participation of patients in medical decision-making can lower their distress by reducing patient's decision-making conflict.
Practice Implications: Interventions targeting at the decision-making conflict will help alleviate the distress level of patients with pulmonary nodules.
Data Availability: The data that support the findings of this study are available on request from the corresponding author.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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