Advanced SearchSearch Tips
Staged Improvement in Awareness of Disease for Elderly Cancer Patients in Southern China
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
 Title & Authors
Staged Improvement in Awareness of Disease for Elderly Cancer Patients in Southern China
Li, Xing; Dong, Min; Wen, Jing-Yun; Wei, Li; Ma, Xiao-Kun; Xing, Yan-Fang; Deng, Yun; Chen, Zhan-Hong; Chen, Jie; Ruan, Dan-Yun; Lin, Ze-Xiao; Wang, Tian-Tian; Wu, Dong-Hao; Liu, Xu; Hu, Hai-Tao; Lin, Jia-Yu; Li, Zhuang-Hua; Liu, Yuan-Chao; Xia, Qing; Jia, Chang-Chang; Wu, Xiang-Yuan; Lin, Qu;
  PDF(new window)
Background: In mainland China, awareness of disease of elderly cancer patients largely relies on the patients` families. We developed a staged procedure to improve their awareness of disease. Materials and Methods: Participants were 224 elderly cancer patients from 9 leading hospitals across Southern China. A questionnaire was given to the oncologists in charge of each patient to evaluate the interaction between family and patients, patient awareness of their disease and participation in medical decision-making. After first cycles of treatment, increased information of disease was given to patients with cooperation of the family. Then patient awareness of their disease and participation in medical decision-making was documented. Results: Among the 224 cancer elderly patients, 26 (11.6%) made decisions by themselves and 125 (55.8%) delegated their rights of decision-making to their family. Subordinate family members tended to play a passive role in decision-making significantly. Patients participating more in medical decision-making tended to know more about their disease. However, in contrast to the awareness of disease, patient awareness of violation of medical recommendations was reversely associated with their participation in medical decision-making. Improvement in awareness of diagnosis, stages and prognosis was achieved in about 20% elderly cancer patients. About 5% participated more actively in medical decision-making. Conclusions: Chinese elderly cancer patient awareness of disease and participation in medical decision-making is limited and relies on their family status. The staged procedure we developed to improve patient awareness of disease proved effective.
Decision making;cancer;Confucian philosophy;patient relationships;family;disease awareness;
 Cited by
Ahmad MM, Al-Gamal E (2014). Predictors of cancer awareness among older adult individuals in Jordan. Asian Pac J Cancer Prev, 15, 10927-32.

Aydogan U, Doganer YC, Kilbas Z, et al (2015). Predictors of knowledge level and awareness towards breast cancer among Turkish females. Asian Pac J Cancer Prev, 16, 275-82. crossref(new window)

Chan TE, Peart NS, Chin J (2013). Evolving legal responses to dependence on families in New Zealand and Singapore healthcare. J Med Ethics.

Chen X, Fan R (2010). The family and harmonious medical decision making: cherishing an appropriate Confucian moral balance. J Med Philos, 35, 573-86. crossref(new window)

Cheng KY, Ming T, Lai A (2012). Can familism be justified? Bioethics, 26, 431-9. crossref(new window)

Fan R (2011). The Confucian bioethics of surrogate decision making: its communitarian roots. Theor Med Bioeth, 32, 301-13. crossref(new window)

Fan R, Yu E 2011. The renaissance of Confucianism in contemporary China.

Goss PE, Strasser-Weippl K, Lee-Bychkovsky BL, et al (2014). Challenges to effective cancer control in China, India, and Russia. Lancet Oncol, 15, 489-538. crossref(new window)

Koerner SS, Shirai Y (2012). The negative impact of global perceptions of and daily care-related family conflict on Hispanic caregivers: familism as a potential moderator. Aging Ment Health, 16, 486-99. crossref(new window)

Lam W, Fielding R, Chan M, et al (2003). Participation and satisfaction with surgical treatment decision-making in breast cancer among Chinese women. Breast Cancer Res Treat, 80, 171-80. crossref(new window)

Li EC, Wen CF (2010). Should the confucian familydetermination model be rejected? A case study. J Med Philos, 35, 587-99. crossref(new window)

Li X, Deng Y, Chen J, et al (2014). Deceptive information and the financial burden for Chinese cancer patients. Lancet Oncol, 15, 299.

Li X, Dong J (2011). The loss of health trust in China: actualities and causes. computer science and service system (CSSS), 2011 international conference on. IEEE, 2737-40.

Li X, Xing YF, Chen ZH, et al (2013). Palliative care in urban areas of China. Lancet Oncol, 14, 339.

Say R, Murtagh M, Thomson R (2006). Patients' preference for involvement in medical decision making: a narrative review. Patient Educ Couns, 60, 102-14. crossref(new window)

Sessums LL, Zembrzuska H, Jackson JL (2011). Does this patient have medical decision-making capacity? JAMA, 306, 420-7. crossref(new window)

Tariman JD, Berry DL, Cochrane B, et al (2010). Preferred and actual participation roles during health care decision making in persons with cancer: a systematic review. Ann Oncol, 21, 1145-51. crossref(new window)

Yang T, Zhang H, Shen F, et al (2013). Appeal from Chinese doctors to end violence. Lancet, 382, 1703-4. crossref(new window)