Correlation between surgery control preference and perceived social support of lung cancer patients_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

MA Fengyan , REN Na , TIAN Mengbai ,  LIU Yan

Department of Thoracic Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, P. R. China;

Corresponding?author：

LIU Yan, Email: 15201119199@139.com

Keywords：

Lung cancer; surgery; control preference; perceived social support

DOI：

10.7507/1007-4848.202302029

Video：

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Objective To investigate the current status of control preference in the surgery of lung cancer patients and explore its correlation with perceived social support. Methods General information questionnaire, control preference scale, and perceived social support scale were used to investigate the lung cancer patients who underwent surgery in Beijing Cancer Hospital from February to May 2022. Results A total of 360 survey questionnaires were distributed, and 344 valid questionnaires were collected, with an effective rate of 95.6%. The expected participation style of patients was passive in 145 patients (42.2%), while the actual participation style was more inclined to be active in 154 (44.8%) patients. The compliance rate of patients’ expected and actual participation styles in the treatment control preference process was 61.9% (Kappa=0.437, P＜0.001). The results of the analysis of influencing factors showed that the level of cultural education was an influencing factor in the actual participation of lung cancer patients in surgery control preference (P=0.029). The results of Spearman's correlation analysis showed that the actual participation of lung cancer patients in surgery control preference was positively associated with perceived social support (r=0.159, P＜0.01), and its dimensions including family support (r=0.152, P＜0.01), friend support (r=0.133, P＜0.05), and other social support (r=0.142, P＜0.01). Conclusion Patients’ expected control preference style is generally consistent with their actual control preference style, which is influenced by their cultural education and positively correlated with perceived social support. Medical and nursing staff should pay attention to the participation style of patients taking surgery decisions, develop decision aids according to different education levels, and develop individualized interventions from the perspective of improving social support initially, to improve patients’ treatment compliance and treatment care satisfaction.

Citation： MA Fengyan, REN Na, TIAN Mengbai, LIU Yan. Correlation between surgery control preference and perceived social support of lung cancer patients. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(9): 1288-1293. doi: 10.7507/1007-4848.202302029 Copy

1.	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2.	張金娜. 肺癌患者參與共享決策現狀及影響因素分析. 青島大學, 2020.Zhang JN. Analysis of current situation and influencing factors of participation of patients with lung cancer in shared decision-making. Qingdao University, 2020.
3.	Wang Y, Zhang J, Hu B, et al. Influencing factors of lung cancer patients’ participation in shared decision-making: A cross-sectional study. J Cancer Res Clin Oncol, 2022, 148(12): 3303-3312.
4.	Faiman B, Tariman JD. Shared decision making: Improving patient outcomes by understanding the benefits of and barriers to effective communication. Clin J Oncol Nurs, 2019, 23(5): 540-542.
5.	Niburski K, Guadagno E, Mohtashami S, et al. Shared decision making in surgery: A scoping review of the literature. Health Expect, 2020, 23(5): 1241-1249.
6.	Lofland JH, Johnson PT, Ingham MP, et al. Shared decision-making for biologic treatment of autoimmune disease: Influence on adherence, persistence, satisfaction, and health care costs. Patient Prefer Adherence, 2017, 11: 947-958.
7.	Sferra SR, Cheng JS, Boynton Z, et al. Aiding shared decision making in lung cancer screening: Two decision tools. J Public Health (Oxf), 2021, 43(3): 673-680.
8.	Housten AJ, Kozower BD, Engelhardt KE, et al. Developing an educational and decision support tool for stageⅠ lung cancer using decision science. Ann Thorac Surg, 2023, 115(2): 299-308.
9.	陳化, 劉珊. 知情同意的價值轉向與制度建構. 醫學與哲學, 2021, 42(23): 24-29.Chen H, Liu S. Value transition and institutional construction of informed consent. Med Philos, 2021, 42(23): 24-29.
10.	Yoo H, Shin DW, Jeong A, et al. Perceived social support and its impact on depression and health-related quality of life: A comparison between cancer patients and general population. Jpn J Clin Oncol, 2017, 47(8): 728-734.
11.	鐘夢詩, 李曉波, 唐楠, 等. 心理彈性在乳腺癌病人領悟社會支持與生活質量關系中的作用. 護理研究, 2019, 33(2): 237-240.Zhong MS, Li XB, Tang N, et al. Role of resilience in relationship between perceived social support and quality of life of breast cancer patients. Chin Nurs Res, 2019, 33(2): 237-240.
12.	Degner LF, Kristjanson LJ, Bowman D, et al. Information needs and decisional preferences in women with breast cancer. JAMA, 1997, 277(18): 1485-1492.
13.	徐小琳. 患者對醫療決策參與的滿意度量表的編制及信效度考評. 中南大學, 2010.Xu XL. Development, reliability and validity of patient satisfaction scale for medical decision-making participation. Central South University, 2010.
14.	Zimet GD, Dahlem NW, Zimet SG, et al. The multidimensional scale of perceived social support. J Pers Asses, 1988, 52(1): 30-41.
15.	姜乾金. 領悟社會支持量表. 中國行為醫學科學, 2001, 10(10): 41-43.Jiang QJ. Perceived social support scale. J Chin Behav Med Sci, 2001, 10(10): 41-43.
16.	鄭曉玲, 魏清風, 李蕾, 等. 婦科腫瘤患者參與手術治療決策的現狀研究. 護理管理雜志, 2015, 15(8): 538-540, 551.Zheng XL, Wei QF, Li L, et al. Investigation of participation on operation treatment decision-making of gynecologic tumor patients. J Nurs Adm, 2015, 15(8): 538.
17.	Tarabochia M, Menendez ME, Ring D. Health literacy and decisional preferences in hand surgery. J Hand Surg Am, 2021, 46(1): 70.e1-70.e8.
18.	Pan S, Mao J, Wang L, et al. Patient participation in treatment decision-making of prostate cancer: A qualitative study. Support Care Cancer, 2022, 30(5): 4189-4200.
19.	曹潔, 孫彩紅, 丁艷, 等. 前列腺癌病人手術決策類型及其影響因素. 護理研究, 2020, 34(11): 1878-1881.Cao J, Sun CH, Ding Y, et al. Types of surgical decision-making of patients with prostate cancer and its influencing factors. Chin Nurs Res, 2020, 34(11): 1878-1881.
20.	唐涵, 杜若飛, 董詩奇, 等. 乳腺癌患者的首次術式決策困境及相關因素. 中國心理衛生雜志, 2021, 35(1): 37-39.Tang H, Du RF, Dong SQ, et al. First surgical decision conflict and related factors in patients with breast cancer. Chin Ment Health J, 2021, 35(1): 37-39.
21.	Stacey D, Légaré F, Lewis K, et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev, 2017, 4(4): CD001431.
22.	Chang HL, Li FS, Lin CF. Factors influencing implementation of shared medical decision making in patients with cancer. Pat Pref Adh, 2019, 13: 1995-2005.
23.	孫雯雯, 王哲海. 癌癥患者及家屬對疾病相關信息告知態度的調查. 醫學與哲學, 2014, 35(3A): 23-24, 69.Sun WW, Wang ZH. Investigation on the cancer patients’ and their families’ attitudes toward cancer-related information disclosure. Med Philos, 2014, 35(3A): 23.
24.	宋金銘. 肺癌患者領悟社會支持、自我同情與生活質量的相關性研究. 延邊大學, 2022.Song JM. Correlation between perceived social support, self compassion and quality of life in patients with lung cancer. Yanbian University, 2022.
25.	吳秀梅, 彭美芳, 繆景霞, 等. 社會支持對癌癥患者醫患共同決策的影響: 醫患關系與醫療決策參與期望的鏈式多重中介作用. 重慶醫學, 2022, 51(21): 3771-3776.Wu XM, Peng MF, Miao JX, et al. The impact of social support on the doctor-patient joint decision-making of cancer patients: The chain multiple mediating effect between the doctor-patient relationship and the expectation of medical decision-making participation. Chongqing Med, 2022, 51(21): 3771-3776.
26.	Yi TW, Deng YT, Chen HP, et al. The discordance of information needs between cancer patients and their families in China. Patient Educ Couns, 2016, 99(5): 863-869.
27.	Cuypers M, Lamers RED, de Vries M, et al. Prostate cancer survivors with a passive role preference in treatment decision-making are less satisfied with information received: Results from the PROFILES registry. Urol Oncol, 2016, 34(11): 482. e11-482. e18.
28.	Gao Y, Shan Y, Wang S, et al. Decisional control preference among Chinese patients with advanced kidney disease: The role of mastery, perceived social support and self-efficacy. Psychol Health Med, 2022, 27(10): 2126-2137.
29.	Hu CW, Chang KH, Hsish HC, et al. Social support as a mediator of the relationship between hope and decisional conflict in patients deciding whether to receive dialysis. J Healthc Eng, 2021, 2021: 5607219.
30.	唐涵, 劉維, 肖涵, 等. 中青年乳腺癌患者手術方式決策困境及影響因素研究. 護理學雜志, 2020, 35(20): 14-17.Tang H, Liu W, Xiao H, et al. The level and determinants of conflict in decision making about breast cancer surgery among young and middle aged patients. J Nurs Sci, 2020, 35(20): 14-17.

1. Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2. 張金娜. 肺癌患者參與共享決策現狀及影響因素分析. 青島大學, 2020.Zhang JN. Analysis of current situation and influencing factors of participation of patients with lung cancer in shared decision-making. Qingdao University, 2020.
3. Wang Y, Zhang J, Hu B, et al. Influencing factors of lung cancer patients’ participation in shared decision-making: A cross-sectional study. J Cancer Res Clin Oncol, 2022, 148(12): 3303-3312.
4. Faiman B, Tariman JD. Shared decision making: Improving patient outcomes by understanding the benefits of and barriers to effective communication. Clin J Oncol Nurs, 2019, 23(5): 540-542.
5. Niburski K, Guadagno E, Mohtashami S, et al. Shared decision making in surgery: A scoping review of the literature. Health Expect, 2020, 23(5): 1241-1249.
6. Lofland JH, Johnson PT, Ingham MP, et al. Shared decision-making for biologic treatment of autoimmune disease: Influence on adherence, persistence, satisfaction, and health care costs. Patient Prefer Adherence, 2017, 11: 947-958.
7. Sferra SR, Cheng JS, Boynton Z, et al. Aiding shared decision making in lung cancer screening: Two decision tools. J Public Health (Oxf), 2021, 43(3): 673-680.
8. Housten AJ, Kozower BD, Engelhardt KE, et al. Developing an educational and decision support tool for stageⅠ lung cancer using decision science. Ann Thorac Surg, 2023, 115(2): 299-308.
9. 陳化, 劉珊. 知情同意的價值轉向與制度建構. 醫學與哲學, 2021, 42(23): 24-29.Chen H, Liu S. Value transition and institutional construction of informed consent. Med Philos, 2021, 42(23): 24-29.
10. Yoo H, Shin DW, Jeong A, et al. Perceived social support and its impact on depression and health-related quality of life: A comparison between cancer patients and general population. Jpn J Clin Oncol, 2017, 47(8): 728-734.
11. 鐘夢詩, 李曉波, 唐楠, 等. 心理彈性在乳腺癌病人領悟社會支持與生活質量關系中的作用. 護理研究, 2019, 33(2): 237-240.Zhong MS, Li XB, Tang N, et al. Role of resilience in relationship between perceived social support and quality of life of breast cancer patients. Chin Nurs Res, 2019, 33(2): 237-240.
12. Degner LF, Kristjanson LJ, Bowman D, et al. Information needs and decisional preferences in women with breast cancer. JAMA, 1997, 277(18): 1485-1492.
13. 徐小琳. 患者對醫療決策參與的滿意度量表的編制及信效度考評. 中南大學, 2010.Xu XL. Development, reliability and validity of patient satisfaction scale for medical decision-making participation. Central South University, 2010.
14. Zimet GD, Dahlem NW, Zimet SG, et al. The multidimensional scale of perceived social support. J Pers Asses, 1988, 52(1): 30-41.
15. 姜乾金. 領悟社會支持量表. 中國行為醫學科學, 2001, 10(10): 41-43.Jiang QJ. Perceived social support scale. J Chin Behav Med Sci, 2001, 10(10): 41-43.
16. 鄭曉玲, 魏清風, 李蕾, 等. 婦科腫瘤患者參與手術治療決策的現狀研究. 護理管理雜志, 2015, 15(8): 538-540, 551.Zheng XL, Wei QF, Li L, et al. Investigation of participation on operation treatment decision-making of gynecologic tumor patients. J Nurs Adm, 2015, 15(8): 538.
17. Tarabochia M, Menendez ME, Ring D. Health literacy and decisional preferences in hand surgery. J Hand Surg Am, 2021, 46(1): 70.e1-70.e8.
18. Pan S, Mao J, Wang L, et al. Patient participation in treatment decision-making of prostate cancer: A qualitative study. Support Care Cancer, 2022, 30(5): 4189-4200.
19. 曹潔, 孫彩紅, 丁艷, 等. 前列腺癌病人手術決策類型及其影響因素. 護理研究, 2020, 34(11): 1878-1881.Cao J, Sun CH, Ding Y, et al. Types of surgical decision-making of patients with prostate cancer and its influencing factors. Chin Nurs Res, 2020, 34(11): 1878-1881.
20. 唐涵, 杜若飛, 董詩奇, 等. 乳腺癌患者的首次術式決策困境及相關因素. 中國心理衛生雜志, 2021, 35(1): 37-39.Tang H, Du RF, Dong SQ, et al. First surgical decision conflict and related factors in patients with breast cancer. Chin Ment Health J, 2021, 35(1): 37-39.
21. Stacey D, Légaré F, Lewis K, et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev, 2017, 4(4): CD001431.
22. Chang HL, Li FS, Lin CF. Factors influencing implementation of shared medical decision making in patients with cancer. Pat Pref Adh, 2019, 13: 1995-2005.
23. 孫雯雯, 王哲海. 癌癥患者及家屬對疾病相關信息告知態度的調查. 醫學與哲學, 2014, 35(3A): 23-24, 69.Sun WW, Wang ZH. Investigation on the cancer patients’ and their families’ attitudes toward cancer-related information disclosure. Med Philos, 2014, 35(3A): 23.
24. 宋金銘. 肺癌患者領悟社會支持、自我同情與生活質量的相關性研究. 延邊大學, 2022.Song JM. Correlation between perceived social support, self compassion and quality of life in patients with lung cancer. Yanbian University, 2022.
25. 吳秀梅, 彭美芳, 繆景霞, 等. 社會支持對癌癥患者醫患共同決策的影響: 醫患關系與醫療決策參與期望的鏈式多重中介作用. 重慶醫學, 2022, 51(21): 3771-3776.Wu XM, Peng MF, Miao JX, et al. The impact of social support on the doctor-patient joint decision-making of cancer patients: The chain multiple mediating effect between the doctor-patient relationship and the expectation of medical decision-making participation. Chongqing Med, 2022, 51(21): 3771-3776.
26. Yi TW, Deng YT, Chen HP, et al. The discordance of information needs between cancer patients and their families in China. Patient Educ Couns, 2016, 99(5): 863-869.
27. Cuypers M, Lamers RED, de Vries M, et al. Prostate cancer survivors with a passive role preference in treatment decision-making are less satisfied with information received: Results from the PROFILES registry. Urol Oncol, 2016, 34(11): 482. e11-482. e18.
28. Gao Y, Shan Y, Wang S, et al. Decisional control preference among Chinese patients with advanced kidney disease: The role of mastery, perceived social support and self-efficacy. Psychol Health Med, 2022, 27(10): 2126-2137.
29. Hu CW, Chang KH, Hsish HC, et al. Social support as a mediator of the relationship between hope and decisional conflict in patients deciding whether to receive dialysis. J Healthc Eng, 2021, 2021: 5607219.
30. 唐涵, 劉維, 肖涵, 等. 中青年乳腺癌患者手術方式決策困境及影響因素研究. 護理學雜志, 2020, 35(20): 14-17.Tang H, Liu W, Xiao H, et al. The level and determinants of conflict in decision making about breast cancer surgery among young and middle aged patients. J Nurs Sci, 2020, 35(20): 14-17.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Correlation between surgery control preference and perceived social support of lung cancer patients

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