重症监护病房患者替代决策者信息超载现状及影响因素调查  

Investigation on level and influencing factors of information overload of intensive care unit patients′decision-making agents

作　　者：朱丽 牛宋颖 陶燕琳 董兰 余蕾 李金航 李文放 Zhu Li;Niu Songying;Tao Yanlin;Dong Lan;Yu Lei;Li Jinhang;Li Wenfang(Department of Emergency,the Second Affiliated Hospital of Naval Medical University of the People′s Liberation Army of China,Shanghai 200003,China)

机构地区：[1]中国人民解放军海军军医大学第二附属医院急救科,上海200003

出　　处：《中国实用护理杂志》2025年第6期437-444,共8页Chinese Journal of Practical Nursing

基　　金：上海市科技计划项目(22JC1403600)。

摘　　要：目的调查重症监护病房(ICU)患者替代决策者信息超载现状及其影响因素,为改善其信息超载现状提供积极的临床干预。方法采取便利抽样法,于2023年3月至2024年2月,对中国人民解放军海军军医大学第二附属医院ICU患者替代决策者302人采用基本情况问卷、信息超载量表、决策参与期待量表、多维度领悟社会支持量表、状态特质焦虑问卷、维克森林医师信任量表、决策准备量表、决策疲劳量表、信息素养量表进行横断面调查。结果共收回有效问卷297份,ICU患者替代决策者男172人,女125人,年龄28~69(47.94±8.71)岁,ICU患者替代决策者信息超载得分为(19.65±7.71)分,领悟社会支持得分为(52.34±7.87)分,状态焦虑得分为(60.88±6.16)分,特质焦虑得分为(60.09±5.49)分,医师信任得分为(35.34±4.30)分,决策准备得分为(27.90±3.01)分,决策疲劳得分为(20.61±3.30)分,信息素养得分为(56.18±11.46)分。线性回归分析可知,年龄、文化程度、有无共同决策者、已做出医疗决策次数、决策参与期待类型(合作型和主动型)、领悟社会支持、状态焦虑、对医师信任、决策准备、决策疲劳和信息素养均是ICU患者替代决策者信息超载的影响因素(t值为-6.76~7.57,均P<0.05)。结论ICU患者替代决策者信息超载处于中等偏上水平,ICU医护人员在与其沟通患者病情和邀请其参与决策时,应关注他们的信息超载水平,结合他们的自身特点和对信息处理能力,采取通俗简便的交流方式和内容,帮助其快速理解信息和作出决策。ObjectiveTo investigate level and influencing factors of information overload of intensive care unit(ICU)patients′decision-making agents in order to provide positive clinical interventions for improving their information overload.MethodsDuring March 2023 to February 2024,302 ICU patients′decision-making agents from the Second Affiliated Hospital of Naval Medical University of the People′s Liberation Army of China were cross-sectional surveyed by Basic Information Questionnaire,Information Overloading Scale,Decision Participation Expectancy Scale,Multidimensional Perceived Social Support Scale,State Trait Anxiety Inventory,Vickers Forest Physician Trust Scale,Decision Preparation Scale,Decision Fatigue Scale and Information Literacy Scale through convenience sampling methods.ResultsIn the valid 297 questionnaires,there were 172 males and 125 females in ICU patients′decision-making agents aged 28-69(47.94±8.71)years.The score of information overload was(19.65±7.71),the score of perceived social support was(52.34±7.87),the score of state anxiety was(60.88±6.16),the score of trait anxiety was(60.09±5.49),the score of physician trust was(35.34±4.30),the score of preparation of decision was(27.90±3.01),the score of decision fatigue was(20.61±3.30),and the score of information literacy was(56.18±11.46)in ICU patients′decision-making agents.Linear regression analysis showed that age,educational level,having a common decision-maker,times of making medical decisions,type of participating in medical decision(cooperative type and proactive type),perceived social support,state anxiety,physician trust,preparation for decision making,decision fatigue and information literacy were all significant influencing factors of information overload of ICU patients′decision-making agents(t values were-6.76 to 7.57,all P<0.05).ConclusionsThe level of information overload of ICU patients′decision-making agents was above average.Therefore,while educating them about patients′illness situation and inviting them to part

关 键 词：重症监护病房 替代决策者 信息超载 

分 类 号：R459.7[医药卫生—急诊医学]