Research on decision fatigue status and influencing factors in family caregivers of patients with colorectal cancer
Objective To investigate decision fatigue status in family caregivers of patients with colorectal cancer,and analyze influencing factors.Methods From April 2023 to January 2024,a convenience sampling method was used to select 149 patients with colorectal cancer admitted to Department of Oncology,Department of Gastrointestinal Surgery,and Department of Traditional Chinese Medicine Wards of Affiliated Provincial Hospital of Shandong First Medical University,as well as the family caregiver with the longest average daily care time as the research subjects.A multi-point cross-sectional study design was adopted,and a self-designed general situation questionnaire,decision fatigue scale(DFS),positive aspects of caregiving(PAC),perceived social support scale(PSSS),and simplified coping style questionnaire were used for face-to-face surveys.Multiple linear stepwise regression was used to analyze influencing factors of decision fatigue among family caregivers.Results DFS score of family caregivers for colorectal cancer patients was(9.19±2.52)points.The patient's gender,age and payment method for medical expenses,as well as the caregiver's age,work status,educational level,relationship with the patient,marital status,and average daily care time affected DFS score of family caregivers of colorectal cancer patients(P<0.05).PAC,PSSS,and their dimensions,as well as positive coping styles were negatively correlated with DFS(P<0.01),while negative coping style was positively correlated with DFS(P<0.01).The influencing factors of decision fatigue among family caregivers of colorectal cancer patients were average daily care time for caregivers,PSSS,caregiver age,and negative coping styles(P<0.05),accounting for 73.5%of total variation.Conclusion Decision fatigue among family caregivers of colorectal cancer patients is at a mild level,and the level of influencing factors varies.For the factors with high influence levels,active,and appropriate intervention is helpful to reduce the level of decision fatigue of family caregivers.