Krok-Schoen Jessica L, Palmer-Wackerly Angela L, Dailey Phokeng M, Wojno Julianne C, Krieger Janice L
1 The Ohio State University, Columbus, USA.
2 University of Nebraska-Lincoln, USA.
J Aging Health. 2017 Mar;29(2):187-205. doi: 10.1177/0898264316628488. Epub 2016 Jul 8.
The aim of this study was to examine the decision-making (DM) styles of younger (18-39 years), middle-aged (40-59 years), and older (≥60 years) cancer survivors, the type and role of social support, and patient satisfaction with cancer treatment DM.
Adult cancer survivors ( N = 604) were surveyed using Qualtrics online software.
Older adults reported significantly lower influence of support on DM than younger adults. The most common DM style for the age groups was collaborative DM with their doctors. Younger age was a significant predictor of independent ( p < .05), collaborative with family ( p < .001), delegated to doctor ( p < .01), delegated to family ( p < .001), and demanding ( p < .001) DM styles.
Despite having lower received social support in cancer treatment DM, older adults were more satisfied with their DM than younger and middle-aged adults. Health care workers should be aware of different DM styles and influence of social networks to help facilitate optimal patient DM and satisfaction.
本研究旨在探讨年轻（18 - 39岁）、中年（40 - 59岁）和老年（≥60岁）癌症幸存者的决策风格、社会支持的类型和作用，以及患者对癌症治疗决策的满意度。
使用Qualtrics在线软件对成年癌症幸存者（N = 604）进行调查。
老年人报告支持对决策的影响明显低于年轻人。各年龄组最常见的决策风格是与医生共同决策。年轻是独立决策（p <.05）、与家人共同决策（p <.001）、委托医生决策（p <.01）、委托家人决策（p <.001）和要求型决策风格（p <.001）的显著预测因素。
尽管老年人在癌症治疗决策中获得的社会支持较少，但他们对自己的决策比年轻和中年成年人更满意。医护人员应了解不同的决策风格和社会网络的影响，以帮助促进患者做出最佳决策并提高满意度。
