目的 调查肺癌化疗患者决策准备度现状，并分析其影响因素，为临床实施辅助决策干预提供参考。方法 2022年1-12月，采用便利抽样法选取郑州市某三级甲等医院呼吸内科、胸外科收治的肺癌化疗患者366例为调查对象，采用决策准备量表、参与治疗决策态度问卷、决策困境量表以及感知社会支持量表对其进行问卷调查。结果 共纳入肺癌化疗患者366例，其决策准备度、治疗决策态度、决策困境、社会支持得分分别为（63.68±5.56）分、（23.00±4.20）分、（34.21±7.67）分、（60.92±5.46）分。不同年龄、文化程度、分期、治疗方式等的肺癌化疗患者，其决策准备度得分差异均有统计学意义（均P＜0.01）。决策准备度与治疗决策态度呈正相关（r=0.800）、与决策困境呈负相关（r=-0.405）；与社会支持呈正相关（r=0.528）。年龄、文化程度、疾病分期、治疗方式、治疗决策态度、决策困境状态、社会支持是决策准备度的影响因素（均P＜0.05），解释总变异的68.5%。结论 肺癌化疗患者的决策准备度处于中等水平；医护人员应重点关注年龄大、文化程度低、治疗方式多样及疾病分期晚的患者，帮助其树立积极的决策态度，改善其决策困境状况。

Objective To explore the status quo of decision-making readiness in lung cancer chemotherapy patients and its influencing factors，and to provide reference for clinical implementation of auxiliary decision-making interventions.Methods From January to December 2022,366 patients with lung cancer chemotherapy admitted to the Respiratory Department and Thoracic Surgery Department of a tertiary A hospital in Zhengzhou City were selected by the convenience sampling method.The questionnaire survey was conducted using the Preparation for Decision Making Scale,Treatment Decision-making Attitude Scare,Perceived Social Support Scale,and Decisional Conflict Scale.Results A total of 366 patients with lung cancer chemotherapy were included.The scores of decision readiness,treatment decision attitude,decision dilemma and social support were (63.68±5.56),(23.00±4.20),(34.21±7.67) and (60.92±5.46),respectively.There were significant differences in decision readiness scores among patients with different age,education,stage and treatment mode (all P＜0.01).Decision readiness was positively correlated with treatment decision attitude (r=0.800) and negatively correlated with decision dilemma (r=-0.405).It was positively correlated with social support (r=0.528).Age,education level,disease stage,treatment style,treatment decision attitude,decision dilemma state and social support were the influencing factors of decision readiness (all P＜0.05),accounting for 68.5% of the total variation.Conclusion The decision readiness of lung cancer patients undergoing chemotherapy was at a medium level.Medical staff should focus on patients with advanced age,low education level,various treatment methods and late disease stages to help them establish a positive decision-making attitude and improve their decision-making dilemma.

R473.73

河南省科技攻关项目（1721102310050）