[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-433952-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-433952-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","decisional-conflict-among-chinese-family-caregivers-prior-to-ecmo-initiation-a-cross-sectional-study","Decisional conflict among Chinese family caregivers prior to ECMO initiation - a cross-sectional study","","Extracorporeal membrane oxygenation (ECMO) initiation for critically ill patients demands complex, high-stakes decisions by family caregivers who are often unprepared. This cross-sectional study assessed decisional conflict prevalence among 169 Chinese family members prior to ECMO start and evaluated biopsychosocial correlates. Using validated scales and logistic regression, decisional conflict was reported by 63.3% of participants. Higher decision fatigue increased conflict, while lower ECMO understanding, lower physician trust, and weaker social support were associated with greater conflict.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/decisional-conflict-among-chinese-family-caregivers-prior-to-ecmo-initiation-a-cross-sectional-study/433952/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/decisional-conflict-among-chinese-family-caregivers-prior-to-ecmo-initiation-a-cross-sectional-study/433952.png","ImageObject",300,407,{"name":42,"@type":43},"Riley","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-04","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What was the purpose of the study on ECMO-related decisional conflict?","Question",{"text":63,"@type":64},"To determine how common decisional conflict is among Chinese family caregivers before ECMO initiation and to examine associated biopsychosocial factors.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How many participants were included and where were they recruited?",{"text":68,"@type":64},"A convenience sample of 169 family members of patients for whom ECMO initiation was considered necessary was recruited from a tertiary hospital in Jiangxi Province, China.",{"name":70,"@type":61,"acceptedAnswer":71},"Which factors were linked to increased decisional conflict in multivariate analysis?",{"text":72,"@type":64},"Higher decision fatigue, lower understanding of ECMO, lower physician trust scores, and lower social support were significantly associated with increased decisional conflict.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},433952,1790765557,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":116,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},1374391975076,"https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051","[www. nature.com/scientificreports](www. nature.com/scientificreports)  \nOPEN  \nDecisional conflict among Chinese family caregivers prior to ECMO initiation: a cross-sectional study  \nSuqin Xiao1,3, Hongsuo Liu1􀀍, Lingpeng Tang1, Qin Xiong1, Rong Jiang1,3􀀍 & Du Hong2  \nThe initiation of extracorporeal membrane oxygenation (ECMO) therapy for critically ill patients often requires complex and high-stakes decision-making by family members, who are frequently unprepared for such situations. This study aimed to determine the prevalence of decisional conflict among Chinese family caregivers prior to ECMO initiation and to examine associated biopsychosocial factors. A convenience sample of 169 family members of patients for whom ECMO initiation was deemed necessary by the treating team was recruited from a tertiary hospital in Jiangxi Province, China. Data were collected using validated instruments, including the Decisional Conflict Scale, Decision Preparedness Scale, Decision Fatigue Scale, Social Support Scale, and Wake Forest Physician Trust Scale. Univariate and multivariate logistic regression analyses were used to identify factors associated with decisional conflict. Decisional conflict was reported by 63.3% of participants. In univariate analyses, conflict was associated with family income, understanding of the patient’s condition and ECMO, decision fatigue, decision preparedness, physician trust, and social support (all P \u003C 0.05). In multivariate analyses, higher decision fatigue was associated with greater decisional conflict (OR = 1.44, 95% CI 1.00–2.06). Lower understanding of ECMO (OR = 0.18, 95% CI 0.06–0.58), lower physician trust scores (indicating higher trust; OR = 3.15, 95% CI 1.51–6.57), and lower social support (OR = 0.443, 95% CI 0.280–0.70) were significantly associated with increased decisional conflict. A substantial proportion of Chinese family caregivers of ECMO patients experience decisional conflict prior to treatment initiation. Clinical practice must uphold the ethical obligation of providing complete and comprehensible information to patients or surrogates. Beyond this baseline, structured communication strategies (e.g., family meetings, standardized ECMO information sheets) and decision-support tools may help families understand patients’ presumed wishes and reduce decisional conflict under time-pressured ICU conditions. Where feasible, interventions to alleviate decision fatigue, strengthen physician–family trust, and reinforce available social support resources may further support surrogate decision-making. Clinical trial number Not applicable.  \nKeywords Extracorporeal membrane oxygenation, Decisional conflict, Family caregivers, Surrogate decision-making, Critical care, Cross-sectional study  \nBackground  \nDecisional conflict, a pivotal concept in healthcare decision-making, refers to the psychological distress experienced when individuals face choices involving inherent risks, uncertain outcomes, and potential conflicts with personal values1. It is characterized by uncertainty about options, inadequate information, ambiguity in personal values, and perceived external pressures2. Elevated decisional conflict has been linked to delayed choices, post-decision regret, and strained clinician–family relationships, all of which can compromise care quality3. In critical care, where life-altering decisions must be made rapidly, decisional conflict may be particularly pronounced4.  \nExtracorporeal membrane oxygenation (ECMO) is an advanced life-support modality that provides temporary respiratory and/or circulatory support for patients with severe cardiopulmonary failure via a membrane oxygenator5. Once experimental, ECMO is now an established rescue therapy for refractory  \n1Department of Critical Care Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi, China. 2Department of Operating Room, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi,","cbCaiv1pwfaRB6Q2","https://ap.wps.com/l/cbCaiv1pwfaRB6Q2","pdf",1575712,"English","# Background\n## Decisional conflict in healthcare decision-making\n## ECMO context and decision challenges\n## Role of family surrogate decision-makers\n## Limited evidence on decisional conflict during ECMO initiation","[{\"question\":\"What was the purpose of the study on ECMO-related decisional conflict?\",\"answer\":\"To determine how common decisional conflict is among Chinese family caregivers before ECMO initiation and to examine associated biopsychosocial factors.\"},{\"question\":\"How many participants were included and where were they recruited?\",\"answer\":\"A convenience sample of 169 family members of patients for whom ECMO initiation was considered necessary was recruited from a tertiary hospital in Jiangxi Province, China.\"},{\"question\":\"Which factors were linked to increased decisional conflict in multivariate analysis?\",\"answer\":\"Higher decision fatigue, lower understanding of ECMO, lower physician trust scores, and lower social support were significantly associated with increased decisional conflict.\"}]","Decisional conflict among Chinese family caregivers prior to ECMO initiation - a cross-sectional study | PDF",1790666383,23]