护理学报2025，Vol.32Issue(22)：43-49,7.DOI:10.16460/j.issn2097-6569.2025.22.043
决策冲突在晚期癌症患者代理决策者社会支持与决策疲劳间的中介作用
Mediating effect of decisional conflict between social support and decisional fatigue among proxy deci-sion-makers in patients with advanced cancer
摘要
Abstract
Objective To explore the mediating effect of decisional conflict between social support and decisional fatigue among proxy decision-makers in patients with advanced cancer.Methods Using convenience sampling,328 proxy decision-makers of ad-vanced cancer patients receiving treatment at one affiliated cancer hospital of certain medical university from March to July 2024 were selected as research subjects.They were surveyed using the General Information Questionnaire,Decisional Fatigue Scale,Decisional Conflict Scale,and Social Support Assessment Scale.A structural equation model was constructed using AMOS 26.0 and the mediation effect model was tested using Bootstrap method.Results The total scores of decisional fatigue,decisional conflict and social support among proxy decision-makers in patients with advanced cancer in this group were 15.03±2.16,28.21±4.96,and 36.51±8.81 respective-ly.The total score of decisional fatigue was positively correlated with that of decisional conflict(r=0.330,P<0.01),while negatively with that of social support(r=-0.208,P<0.01),and that of decisional conflict(r=-0.677,P<0.01).Decisional conflict partially mediated the relationship between social support and decisional fatigue among proxy decision-makers in patients with advanced cancer,with a medi-ation effect accounting for 47.5%.Conclusion Decisional conflict is a mediating variable between social support and decisional fa-tigue among proxy decision-makers in patients with advanced cancer.It is recommended that nursing managers not only focus on pro-viding direct social support to alleviate decisional fatigue when intervening with proxy decision-makers in patients with advanced can-cer,but also provide targeted counseling services to regulate and resolve decisional conflicts,helping proxy decision-makers reduce de-cisional fatigue.关键词
中介作用/决策疲劳/晚期癌症/代理决策者/社会支持/决策冲突Key words
mediating effect/decisional fatigue/advanced cancer/proxy decision-makers/social support/decisional conflict分类
医药卫生引用本文复制引用
李红贺,韩玉香,曹雨凝,袁立杰,宋冰冰..决策冲突在晚期癌症患者代理决策者社会支持与决策疲劳间的中介作用[J].护理学报,2025,32(22):43-49,7.基金项目
黑龙江省海燕科研基金(JJQN2022-17) （JJQN2022-17）
