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J Korean Gerontol Nurs > Volume 16(3):2014 > Article

Original Article

J Korean Gerontol Nurs. 2014 Dec;16(3):266-275. Korean.
Published online Dec 31, 2014.  http://dx.doi.org/10.17079/jkgn.2014.16.3.266
© 2014 Korean Gerontological Nursing Society
Perception of Shared Decision-making and Conflict Decision-making related to Surgery in Elderly Patients with Cancer
Young Shin Yoon,1Myung Hee Kim,*2and Jung Ha Park3
1Pusan National University Hospital, Busan, Korea.
2College of Nursing, Pusan National University, Yangsan, Korea.
3Department of Nursing, Dongseo University, Busan, Korea.

*Corresponding author: Kim, Myung Hee. College of Nursing, Pusan National University, 3-3 Beomeo-ri, Mulgeum-eup, Yangsan 620-870, Korea. Tel: +82-51-320-1698, Fax: +82-51-510-8308, Email: myung@pusan.ac.kr
Received May 04, 2014; Revised September 23, 2014; Accepted November 28, 2014.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



The purpose of this study was to identify shared decision-making between surgeons-patients (SDM S-P) and family-patients (SDM F-P), and to analyze predictive factors for decision-making conflict in surgery for elderly patients with cancer.


Participants were 109 elderly patients with cancer who were scheduled for surgery and did not have any other medical treatment. Data were collected through face to face interviews from November 15, 2012 to January 30, 2013 using the Shared Decision Making-9 questionnaire (SDM-Q-9) and Decisional Conflict Scale (DCS). Data were analyzed using descriptive statistics, t-test, one-way ANOVA and stepwise multiple regression with the IBM SPSS Statistics 19.


Mean score for SDM S-P was 18.87 points which was very low, but significantly high compared to the score for SDM F-P. Mean score for decision-making conflict was 18.66 points which was also very low. SDM S-P was the strongest favorable factor in decision-making conflict related to surgery. Decision by family for surgery was the most negative factor.


In order to reduce decision-making conflict of patient for surgery, medical teams have to increase SDM S-P and let elderly patients with cancer make their own choices for surgery.

Keywords: Aged, Cancer, Conflict, Decision-making.


Table 1
General Characteristics of Participants (N=109)

Table 2
Shared Decision-making with Doctor or Family and Decision-making Conflict of Patients related to Surgeries (N=109)

Table 3
Shared Decision-making and Decision-making Conflict related to Surgeries by General Characteristics (N=109)

Table 4
Correlations of Shared Decision-making and Decision-making Conflict related to Surgeries (N=109)

Table 5
Predictors of Decision-making Conflict related to Surgeries (N=109)

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