{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:12:49Z","timestamp":1790140369840,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","issue":"16","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the current status of decisional conflict in lung cancer patients receiving systemic therapy and to analyze its influencing factors, with the aim of providing a basis for developing decision support strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From August to September 2024, a convenience sample of 500 patients receiving systemic therapy for lung cancer at the Department of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences, was surveyed. Data were collected using a general information questionnaire, the Decisional Conflict Scale (<jats:styled-content style=\"fixed-case\">DCS<\/jats:styled-content>), Cancer Patient's Involvement in Treatment Decision\u2010Making Scale (<jats:styled-content style=\"fixed-case\">CPITDM<\/jats:styled-content>), Preparation for Decision\u2010Making Scale (<jats:styled-content style=\"fixed-case\">PreDM<\/jats:styled-content>), and Decisional Regret Scale (<jats:styled-content style=\"fixed-case\">DRS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>The mean <jats:styled-content style=\"fixed-case\">DCS<\/jats:styled-content> score was 47.28\u2009\u00b1\u200915.83, with subscale scores ranking from highest to lowest as decision support\/effectiveness, decision uncertainty, and information\/values. The mean <jats:styled-content style=\"fixed-case\">CPITDM<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">PreDM<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">DRS<\/jats:styled-content> scores were 28.56\u2009\u00b1\u20093.91, 63.02\u2009\u00b1\u200911.65, and 9.46\u2009\u00b1\u20092.62, respectively. <jats:styled-content style=\"fixed-case\">DCS<\/jats:styled-content> was negatively correlated with <jats:styled-content style=\"fixed-case\">CPITDM<\/jats:styled-content> (<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.188, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and <jats:styled-content style=\"fixed-case\">PreDM<\/jats:styled-content> (<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.303, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) but positively correlated with <jats:styled-content style=\"fixed-case\">DRS<\/jats:styled-content> (<jats:italic>r<\/jats:italic>\u2009=\u20090.342, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Multiple regression identified occupation, medical payment, treatment line, pathology, medication type, patient involvement, and preparedness as significant influencing factors (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), explaining 59.9% of variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lung cancer patients receiving systemic therapy experience a relatively high level of decisional conflict, with many exhibiting delayed decision\u2010making. Healthcare providers should identify high\u2010risk patients early based on key influencing factors and explore practical clinical decision support interventions. Enhancing decision readiness and reducing decision regret may help to improve quality of life and reduce decisional conflict.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.70150","type":"journal-article","created":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T05:59:10Z","timestamp":1755323950000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Current Status and Influencing Factors of Decisional Conflict in Lung Cancer Patients Receiving Systemic Therapy: A Cross\u2010Sectional Analysis"],"prefix":"10.1111","volume":"16","author":[{"given":"Weicai","family":"Su","sequence":"first","affiliation":[{"name":"Department of Nursing Beijing Health Vocational College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1972-5525","authenticated-orcid":false,"given":"Jinping","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minfeng","family":"Zhai","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panrong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuenan","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1582-1317","authenticated-orcid":false,"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn112152\u201020240119\u201000035"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jncc.2024.01.006"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.16073\/j.cnki.cjcpt.2025.09.03"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.12019\/j.issn.1671\u20105144.2023.05.010"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.13723\/j.yxysh.2023.11.016"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/1878\u20100261.13038"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.0254\u20101769.2022.14.003"},{"key":"e_1_2_10_9_1","unstructured":"H.Mamti \u201cCorrelation Between Serum Tumor Markers and Genemutation Types in Patients With Lung Adenocarcinom \u201d2021 Xinjiang China: Xinjiang Medical Uni https:\/\/doi.org\/10.27433\/d.cnki.gxyku.2021.001025."},{"key":"e_1_2_10_10_1","unstructured":"H.Duan \u201cRetrospective Study on Survival of 227 Patients With Stage IIIb\/lV Non\u2010Small Cell Lung Cancer \u201d2018 Beijing China: Beijing University of Chinese Medicine."},{"key":"e_1_2_10_11_1","first-page":"15","volume-title":"Decision Making: A Psychological Analysis of Conflict, Choice and Commitment","author":"Janis I. 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