Status quo and influencing factors of decision fatigue among proxy decision-makers of patients with esophagogastric variceal bleeding
DU Xufang
ZHANG Huiling
LI Chao
YANG Liuqing
ZHAO Jie
Abstract：Objective:To investigate the current status of decision fatigue among proxy decision-makers of patients with esophagogastric variceal bleeding(EGVB)due to liver cirrhosis,and to analyze its influencing factors.Methods:By using the convenience sampling method,a total of 203 proxy decision-makers of patients with EGVB due to liver cirrhosis were selected as the research subjects.General information of the patients and proxy decision-makers was collected,and the scores of the Decision Fatigue Scale,Decision Self-Efficacy Scale,Decision Conflict Scale and Perceived Social Support Scale of the proxy decision-makers were investigated.Results:The score of the Decision Fatigue Scale of the proxy decision-makers in patients with EGVB was 15.41±1.52.The payment method of medical expenses for patients,the number of emergency hospitalization,the educational level of the acting decision-makers,their experience in disease decision-making,decision-making self-efficacy,decision-making predicament,and the level of perceived social support were the main influencing factors of decision-making fatigue of the proxy decision-makers of patients with EGVB due to liver cirrhosis(P<0.05).Conclusions:The decision fatigue of proxy decision-makers of patients with EGVB due to liver cirrhosis was at a relatively high level,and it was influenced by multiple factors.Medical staff should provide personalized decision-making support in a timely manner based on influencing factors to enhance decision-making efficiency,reduce decision-making fatigue,and thereby improve decision-making quality.
Keywords：esophagogastric variceal bleedingproxy decision-makersdecision fatiguesocial supportinfluencing factors
Publication Date：2025-12-25
Online Publishing Date：2025-12-30(First online date of this platform, not the publication date of the document)
Pages：7( 4182-4188 )