护理学报2026，Vol.33Issue(6)：15-21,7.DOI:10.16460/j.issn2097-6569.2026.06.015
妇科恶性肿瘤患者手术决策冲突影响因素结构方程模型的构建
Construction of structural equation model for influencing factors of surgical decision conflict in patients with gynecological malignant tumor
摘要
Abstract
Objective To analyze the current situation and influencing factors of surgical decision-making conflicts in patients with gynecological malignant tumors with structural equation model constructed based on self-determination theory,and to lay a foundation for formulating plans to reduce decision-making conflicts and improve decision-making quality.Methods Convenience sampling was used to select 242 patients with gynecological malignant tumors who were treated in a tertiary grade-A specialized hospital in Urumqi,Xinjiang from October 2024 to March 2025.The General Information Questionnaire,Decision Conflict Scale,Decision Preparation scale,Chinese version of Comprehensive Health Literacy Scale,Decision Self-Efficacy Scale,Perceived Social Support Scale and Decision Expectation Scale were used to conduct the survey.AMOS4.0 software was used to construct a structural equation model.Results The score of surgical decision-making conflict in patients with gynecological malignant tumors was 31.25(26.56,39.06).The structural equation showed that perceived social support,decision-making self-efficacy,decision-making readiness,comprehensive health literacy,actual participation type and expected participation type were negatively correlated with decision-making conflict(P<0.05).Perceived social support,decision-making self-efficacy and decision-making readiness had a direct impact on decision-making conflict,and the direct effect values were-0.341,-0.313 and-0.271,respectively(P<0.05).Perceived social support,decision-making self-efficacy,comprehensive health literacy,expected participation type and actual participation type had indirect effects on decision-making con-flict,with indirect effect values of-0.292,-0.085,-0.105,-0.034 and-0.054,respectively(P<0.05).Conclusion Decision-making conflict of patients with gynecological tumor is at a moderate to high level.Perceived social support can directly and negatively predict decision-making conflict,and together with comprehensive health literacy,it affects decision-making conflict through multiple mediating effects of decision-making self-efficacy,decision-making expectation and decision-making readiness.关键词
妇科恶性肿瘤/手术/决策冲突/影响因素/结构方程模型Key words
gynecological malignant tumor/surgery/decision conflict/influencing factor/structural equation model分类
医药卫生引用本文复制引用
徐月曙,徐春艳,马文涓,李茹,李丽..妇科恶性肿瘤患者手术决策冲突影响因素结构方程模型的构建[J].护理学报,2026,33(6):15-21,7.基金项目
省部共建中亚高发病成因与防治国家重点实验室护理学专项项目(SKL-HIDCA-2023-HL13) （SKL-HIDCA-2023-HL13）
"天山英才"医药卫生高层次人才项目(TSYC202401A075) （TSYC202401A075）
