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Factors associated with family decision-making self-efficacy among family members of patients with advanced cancer in mainland China.
Hu, Yangfan; Wang, Wenxia; Jiang, Yali; Wang, Xixi; Peng, Xuelan; Xin, Mingzhu; Zhao, Juanjuan.
Affiliation
  • Hu Y; School of Nursing, Sun Yat-sen University, Guangzhou, China.
  • Wang W; School of Nursing, Sun Yat-sen University, Guangzhou, China.
  • Jiang Y; School of Nursing, Sun Yat-sen University, Guangzhou, China.
  • Wang X; School of Nursing, Sun Yat-sen University, Guangzhou, China.
  • Peng X; Intensive Care Unit, Sun Yat-sen University Cancer Center, Guangzhou, China.
  • Xin M; Nursing Department, Sun Yat-sen University Cancer Center, Guangzhou, China.
  • Zhao J; School of Nursing, Sun Yat-sen University, Guangzhou, China.
Palliat Support Care ; : 1-7, 2024 May 13.
Article in En | MEDLINE | ID: mdl-38736428
ABSTRACT

OBJECTIVES:

In Chinese culture, family members are the main decision maker on end-of-life (EoL) issues for patients with advanced cancer. Yet little is known about Chinese families' confidence in making EoL decisions and its associated factors. This study aims to investigate the status and associated factors of Chinese family members' confidence in making EoL decisions for patients with advanced cancer.

METHODS:

This cross-sectional study used a convenience sample of 147 family members of patients with stage III or stage IV cancer from a tertiary cancer center in Guangzhou, China. The questionnaires included demographic information of patients and their family members, patients' EoL preferences, and the Chinese version of the Family Decision-Making Self-Efficacy (FDMSE) Scale.

RESULTS:

A total of145 family members (98.64%) completed the questionnaires. The average score of FDMSE was 3.92 ± 0.53. A multiple regression analysis showed that the factors associated with FDMSE included patients' duration of disease, health insurance, participation in EoL decision-making, the expression of unfilled wishes, and family members' employment status. SIGNIFICANCE OF

RESULTS:

Chinese family members were not confident enough in making EoL decisions for patients with advanced cancer. It is recommended to develop cultural-tailored advanced care planning models to clarify patient preferences and to enhance the family members' self-efficacy in making EoL decisions with or for patients with advanced cancer.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Palliat Support Care Journal subject: TERAPEUTICA Year: 2024 Document type: Article Affiliation country: China Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Palliat Support Care Journal subject: TERAPEUTICA Year: 2024 Document type: Article Affiliation country: China Country of publication: United kingdom