NICU危重新生儿父母决策现状及影响因素分析  

Analysis on the status quo and influencing factors of parental decision-making of critically ill neonates in NICU

作　　者：吴静 张先红[1] 魏璐 朱小川 WU Jing;ZHANG Xianhong;WEI Lu;ZHU Xiaochuan(Newborn Diagnosis and Treatment Center,Children’s Hospital of Chongqing Medical University/Key Laboratory of Child Developmental Diseases,Ministry of Education/National Clinical Research Center for Child Health and Disease/National Base for the International Scientific and Technological Cooperation in Major Developmental Diseases in Children/Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院新生儿诊治中心/儿童发育疾病研究教育部重点实验室/国家儿童健康与疾病临床医学研究中心/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室,重庆400014

出　　处：《重庆医学》2024年第3期344-348,共5页Chongqing medicine

基　　金：重庆市科卫联合医学科研项目(2021MSXM119)。

摘　　要：目的了解新生儿重症监护室(NICU)危重新生儿父母决策现状及影响因素。方法采用便利抽样法选取2022年11至2023年3月该院181例NICU危重新生儿父母为研究对象,对其采用一般资料调查表、决策参与量表及决策冲突量表进行问卷调查。结果71例(39.2%)父母期望与医生共享决策,但实际决策中112例(61.9%)为被动决策。危重新生儿父母决策冲突得分为(34.43±14.21)分。多元线性回归分析显示,胎龄<32周、产重低体重、有先天性疾病、文化程度为高中/中专及以下、非主干家庭、重度治疗负担是危重新生儿父母决策冲突的危险因素(P<0.05)。结论医护人员应针对影响因素采取有效的干预措施以提高父母决策质量。Objective To understand the status quo and influencing factors of parental decision-making of critically ill neonates in neonatal intensive care unit(NICU).Methods A total of 181 parents of critically ill neonates in NICU from November 2022 to March 2023 were selected by convenient sampling method,and they were investigated by general information questionnaire,decision-making participation scale and decision-making conflict scale.Results A total of 71 cases(39.2%)parents expected to share decision-making with doctors,but 112 cases(61.9%)made passive decisions in actual decision-making.The score of parents’decision-making conflict of critically ill neonates was(34.43±14.21).Multiple linear regression analysis showed that gestational age<32 weeks,low birth weight,congenital diseases,high school/technical secondary school education or below,non-main family and heavy treatment burden were the risk factors for parental decision-making conflict of critically ill neonates(P<0.05).Conclusion Medical staff should take effective intervention measures to improve the quality of parental decision-making.

关 键 词：危重新生儿父母 决策参与 决策冲突 影响因素 横断面研究 

分 类 号：R473.72[医药卫生—护理学]