Research progress and nursing inspiration on decision fatigue in cancer patients

doi:10.3761/j.issn.0254-1769.2024.08.007

Abstract

Abstract:

There are many treatment options for cancer，and patients need to repeatedly weigh the pros and cons when choosing，consider various health risks and the impact on their families，and are prone to decision-making fatigue，which not only affects their decision-making judgment，but also may affect their physical and mental health. This paper summarizes the concept，theoretical model，and evaluation tools of decision fatigue，and summarizes the influencing factors and coping strategies of decision fatigue in cancer patients，which can provide a reference for domestic medical staff to further develop personalized decision support tools and carry out relevant clinical practice and scientific research.

Key words: Cancer, Decision Fatigue, Ego Depletion, Self Control, Review, Nursing Care

摘要：

癌症的治疗方案具有多样性，患者在选择时需要反复权衡利弊，考虑各种健康风险以及对家庭的影响，易出现决策疲劳，不仅影响其决策判断，还可能影响其身心健康。该文概述了决策疲劳的概念、理论模型、评估工具，总结了癌症患者决策疲劳的影响因素及应对策略，可为国内医护人员进一步制订个性化的决策辅助工具、开展相关临床实践和科学研究提供参考。

关键词: 癌症, 决策疲劳, 自我损耗, 自我控制, 综述, 护理

FANG Yu, HAO Yuanyuan, ZHANG Chen, DONG Ying, WU Yingxin, JIANG Guichun. Research progress and nursing inspiration on decision fatigue in cancer patients[J]. Chinese Journal of Nursing, 2024, 59(8): 941-946.

房钰, 郝媛媛, 张晨, 董莹, 吴赢鑫, 姜桂春. 癌症患者决策疲劳的研究进展及护理启示[J]. 中华护理杂志, 2024, 59(8): 941-946.

References 38

[1]	Hickman RL Jr, Pignatiello GA, Tahir S. Evaluation of the De-cisional Fatigue Scale among surrogate decision makers of the critically ill[J]. West J Nurs Res, 2018, 40(2):191-208. DOI PMID
[2]	Pignatiello GA, Martin RJ, Hickman RL Jr. Decision fatigue:a conceptual analysis[J]. J Health Psychol, 2020, 25(1):123-135. DOI PMID
[3]	Goldbach PD. Decision making by patients and physicians together[J]. Health Aff, 2012, 31(8):1909.
[4]	Baumeister RF, Bratslavsky E, Muraven M, et al. Ego depletion:is the active self a limited resource?[J]. J Pers Soc Psychol, 1998, 74(5):1252-1265. DOI PMID
[5]	Vohs KD, Baumeister RF, Schmeichel BJ, et al. Making choices impairs subsequent self-control:a limited-resource account of decision making,self-regulation,and active initiative[J]. J Pers Soc Psychol, 2008, 94(5):883-898. DOI URL
[6]	Tierney J. Do you suffer from decision fatigue?[N]. New York Times,2011-08-17(3).
[7]	Riedel J, Colao R. Change is hard:the promise of behavioral economics[J]. Am J Health Promot, 2014, 28(6):TAHP8-TAHP11.
[8]	Augenblick N, Nicholson S. Ballot position,choice fatigue,and voter behaviour[J]. Rev Econ Stud, 2016, 83(2):460-480. DOI URL
[9]	Zheng B, Kwok E, Taljaard M, et al. Decision fatigue in the emergency department:how does emergency physician decision making change over an eight-hour shift?[J]. Am J Emerg Med, 2020, 38(12):2506-2510. DOI PMID
[10]	Persson E, Barrafrem K, Meunier A, et al. The effect of decision fatigue on surgeons’ clinical decision making[J]. Health Econ, 2019, 28(10):1194-1203. DOI PMID
[11]	Pignatiello GA, Tsivitse E, O’Brien J, et al. Decision fatigue among clinical nurses during the COVID-19 pandemic[J]. J Clin Nurs, 2022, 31(7/8):869-877. DOI URL
[12]	梅思娟, 段培蓓, 王晓庆, 等. 晚期癌症患者决策疲劳现状及影响因素研究[J]. 护理学杂志, 2022, 37(22):51-53.
	Mei SJ, Duan PB, Wang XQ, et al. Current state and influencing factors of decision fatigue in terminal ill cancer patients[J]. J Nurs Sci, 2022, 37(22):51-53.
[13]	Slovic P, Finucane ML, Peters E, et al. Risk as analysis and risk as feelings:some thoughts about affect,reason,risk,and rationality[J]. Risk Anal, 2004, 24(2):311-322. DOI PMID
[14]	Inzlicht M, Schmeichel BJ. What is ego depletion? Toward a mechanistic revision of the resource model of self-control[J]. Perspect Psychol Sci, 2012, 7(5):450-463. DOI PMID
[15]	Koppel L, Andersson D, Västfjäll D, et al. No effect of ego depletion on risk taking[J]. Sci Rep, 2019, 9(1):9724. DOI PMID
[16]	潘国翠, 李梅. 决策疲劳量表的汉化及其应用于ICU患者家属的信度效度评价[J]. 护理学报, 2020, 27(12):38-41.
	Pan GC, Li M. The sinicization of Decision Fatigue Scale and its reliability and validity evaluation for family members of ICU patients[J]. J Nurs(China), 2020, 27(12):38-41.
[17]	张源慧, 唐龙, 王凤艳, 等. FOUCS模式联合ATDE对老年COPD病人照顾者决策疲劳的影响[J]. 护理研究, 2022, 36(6):1114-1116.
	Zhang YH, Tang L, Wang FY, et al. Effect of FOUCS model combined with ATDE on decision fatigue of caregivers of elderly patients with COPD[J]. Chin Nurs Res, 2022, 36(6):1114-1116.
[18]	Nes LS, Ehlers SL, Whipple MO, et al. Self-regulatory fatigue in chronic multisymptom illnesses:scale development,fatigue,and self-control[J]. J Pain Res, 2013,6:181-188.
[19]	王利刚, 张静怡, 王佳, 等. 自我调节疲劳量表中文版测评青年人的效度与信度[J]. 中国心理卫生杂志, 2015, 29(4):290-294.
	Wang LG, Zhang JY, Wang J, et al. Validity and reliability of Self-Regulating Fatigue Scale Chinese to evaluate young people[J]. Chin Men Heal J, 2015, 29(4):290-294.
[20]	徐凌霞, 李爱仙. 自我调节疲劳量表用于腹膜透析患者的信度效度分析[J]. 护理学报, 2021, 28(20):11-15.
	Xu LX, Li AX. Validity and reliability of Self-Regulatory Fatigue Scale in peritoneal dialysis patients[J]. J Nurs(China), 2021, 28(20):11-15.
[21]	吕文梅, 陈鹏宇, 曾英, 等. 维持性血液透析患者自我调节疲劳现状及影响因素分析[J]. 华西医学, 2022, 37(7):1022-1026.
	Lü WM, Chen PY, Zeng Y, et al. Analysis of current situation and influencing factors of self-regulatory fatigue in maintenance hemodialysis patients[J]. West Chin Med J, 2022, 37(7):1022-1026.
[22]	马倩倩, 任美玲, 马海红. 首次确诊肾癌病人自我调节疲劳现状及影响因素分析[J]. 全科护理, 2023, 21(1):141-144.
	Ma QQ, Ren ML, Ma HH. Analysis of self-regulated fatigue status and influencing factors in patients with renal cell carcinoma diagnosed for the first time[J]. Chin Gen Pract Nurs, 2023, 21(1):141-144.
[23]	务俊宁. 结直肠癌化疗患者自我调节疲劳状况及其影响因素分析[J]. 现代诊断与治疗, 2022, 33(3):433-435.
	Wu JN. Analysis of self-regulated fatigue and its influencing factors in patients with colorectal cancer undergoing chemotherapy[J]. Mod Diagn Treat, 2022, 33(3):433-435.
[24]	朱丽婷, 濮家琳, 李春, 等. 决策准备对食管癌患者决策疲劳的影响路径研究:决策冲突的中介效应和参与决策期望的调节效应[J]. 护士进修杂志, 2023, 38(21):1954-1959.
	Zhu LT, Pu JL, Li C, et al. Study on the influence path of decision preparation on decision fatigue in esophageal cancer patients:the mediating effect of decision conflict and the moderating effect of participation in decision-making expectations[J]. J Nurs Train, 2023, 38(21):1954-1959.
[25]	Johnson SK, Bautista CA, Hong SY, et al. An empirical study of surrogates’ preferred level of control over value-laden life support decisions in intensive care units[J]. Am J Respir Crit Care Med, 2011, 183(7):915-921. DOI URL
[26]	田茜. 健康中国背景下全民医保制度创新研究[J]. 中外企业家, 2019(11):235.
	Tian Q. Research on the innovation of universal medical insurance system in the context of healthy China[J]. Chin Fore Entre, 2019(11):235.
[27]	Szproch AK, Maguire R. A systematic review of the factors associated with regret post-cancer treatment[J]. J Psychosoc Oncol, 2022, 40(1):1-25. DOI URL
[28]	刘维, 哈敏文, 张锦英. 肿瘤决策:无效治疗与有效治疗的选择[J]. 医学与哲学, 2016, 37(20):5-8.
	Liu W, Ha MW, Zhang JY. Decision making of tumor:choice of futile treatment and effective treatment[J]. Med Philos, 2016, 37(20):5-8.
[29]	赵丽华, 屈欢, 李娇娇, 等. 晚期癌症患者的替代决策者姑息照护决策冲突的调查研究[J]. 中华护理杂志, 2022, 57(14):1683-1690. DOI URL
	Zhao LH, Qu H, Li JJ, et al. Analysis on status and influencing factors of palliative care decisions conflict among substitutive decision-makers of advanced cancer patients[J]. Chin J Nurs, 2022, 57(14):1683-1690. DOI URL
[30]	Boyd EA, Lo B, Evans LR, et al. “It’s not just what the doctor tells me:” factors that influence surrogate decision-makers’ perceptions of prognosis[J]. Crit Care Med, 2010, 38(5):1270-1275. DOI URL
[31]	Elwyn G, O’Connor AM, Bennett C, et al. Assessing the quality of decision support technologies using the International Patient Decision Aid Standards instrument(IPDASi)[J]. PLoS One, 2009, 4(3):e4705. DOI URL
[32]	Whelan T, Levine M, Willan A, et al. Effect of a decision aid on knowledge and treatment decision making for breast cancer surgery:a randomized trial[J]. JAMA, 2004, 292(4):435-441. DOI URL
[33]	Wang S, Lu Q, Ye Z, et al. Effects of a smartphone application named “shared decision making assistant” for informed patients with primary liver cancer in decision-making in China:a quasi-experimental study[J]. BMC Med Inform Decis Mak, 2022, 22(1):145. DOI
[34]	曲瑞杰, 程秋泓, 王海播, 等. 中年肺癌化疗患者参与跨专业共享决策方案的制订及实施[J]. 护理学杂志, 2022, 37(23):25-28.
	Qu RJ, Cheng QH, Wang HB, et al. Development and practice of an interprofessional shared decision-making program for middle-aged lung cancer patients undergoing chemotherapy[J]. J Nurs Sci, 2022, 37(23):25-28.
[35]	李玉, 叶志霞, 刘佩玉, 等. 癌症患者治疗决策辅助的研究进展[J]. 中华护理杂志, 2017, 52(1):28-33.
	Li Y, Ye ZX, Liu PY, et al. Research progress of treatment decision-making assistance for cancer patients[J]. Chin J Nurs, 2017, 52(1):28-33.
[36]	Lam WW, Chan M, Or A, et al. Reducing treatment decision conflict difficulties in breast cancer surgery:a randomized controlled trial[J]. J Clin Oncol, 2013, 31(23):2879-2885. DOI URL
[37]	王露, 陈英, 崔金锐, 等. 直肠癌术式患者决策辅助方案的制订及应用研究[J]. 中华护理杂志, 2019, 54(3):338-343. DOI URL
	Wang L, Chen Y, Cui JR, et al. Development of rectal cancer surgery decision aid and its application in decision making among rectal cancer patients[J]. Chin J Nurs, 2019, 54(3):338-343. DOI URL
[38]	王燕, 王小媛, 石立元, 等. 乳腺癌乳房再造手术患者决策辅助方案的构建及应用[J]. 中华护理杂志, 2020, 55(1):90-95. DOI URL
	Wang Y, Wang XY, Shi LY, et al. Development and application of decision aid of breast reconstruction surgery among breast cancer patients[J]. Chin J Nurs, 2020, 55(1):90-95. DOI URL