关键词: 肺结节, 决策困境, 调查研究, 影响因素, 决策辅助

Abstract: Objective: To investigate the current status of treatment decision-making dilemma in patients with pulmonary nodules and to analyze the influencing factors. Methods: A survey was conducted on 253 patients with pulmonary nodules using the general information questionnaire, Decision Conflict Scale (DCS), Hospital Anxiety and Depression Scale (HADS) and Perceived Social Support Scale (PSSS). Univariate and multiple linear regression analysis were used to analyze the influencing factors of treatment decision-making dilemma in patients with pulmonary nodules. Results: The mean DCS score for patients with pulmonary nodules was 30.03±8.28, with 187 patients (73.91%) scoring ≥25 points. Multiple linear regression analysis showed that cognition of the disease, anxiety score and social support level were influencing factors for decision-making dilemma. Conclusion: Treatment decision-making dilemma is prevalent among patients with pulmonary nodules. Clinicians and healthcare providers should pay attention to patients′ cognitive level of the disease and psychological characteristics, offering appropriate decision aids or psychological support to reduce decision difficulties.

Key words: Pulmonary nodules, Decision-making dilemma, Survey research, Influencing factors, Decision-making aid