Analysis of the Status Quo and Influencing Factors of Decision Conflict Regarding Venous Access in Chemotherapy Patients with Hematologic Malignancies

ZHOU Hualu; HE Xifei; ZHENG Yunyan; CUI Yishuang; ZHANG Shiyi; WU Defang; WAN Ying; CHEN Ya'nan

doi:10.13730/j.issn.2097-2148.2025.03.007

Abstract：Objective To investigate the status quo of decision conflict regarding venous access in patients with he-matological malignancies undergoing chemotherapy and analyze its influencing factors.Methods The cancer patients with intravenous chemotherapy in the department of hematology of 2 grade A tertiary general hospitals in Wuhan,Hubei Prov-ince,were selected as the survey objects from December 2022 to October 2023 by convenience sampling method.General information questionnaires,decision conflict scale(DCS),general self-efficacy scale(GSES),social support scale and de-cision readiness scale were used for the investigation,the influencing factors of decision conflict regarding venous access in patients with hematological malignancies undergoing chemotherapy were analyzed.Results A total of 291 valid question-naires were obtained.The results showed that the DCS score of venous access in patients with hematological malignancies undergoing chemotherapy was(38.63±9.58),among which the DCS score of 16 patients(5.50％)was less than 25.0,indicating no decision conflict,and 148 patients had the DCS score of more than 37.5,indicating a high level of decision conflict.The DCS score was negatively correlated with the total scores of social support,GSES and decision readiness scale(r=-0.277,-0.249,-0.591,all P＜0.001).The results of multiple linear regression analysis showed that the patients'working status,realizing central venous catheter could be indwelling for a long time to protect blood vessels,and the score of decision readiness scale were the influencing factors of decision conflict of venous access in patients with he-matological malignancies undergoing chemotherapy(all P＜0.05).Conclusion Patients with hematological malignancies undergoing chemotherapy have a high level of decision conflict in the selection of venous access.Targeted meas-ures are needed to reduce the level of decision conflict in patients and improve their medical outcomes.