神经外科重症患者家属决策冲突现状及其影响因素分析  

Current status and influencing factors of decision conflicts among family members of Neurosurgical Intensive Care Unit patients

作　　者：李淼 战一鸣 蔡卫新[1] 许丽杰[2] 袁媛[3] 张冉[1] Li Miao;Zhan Yiming;Cai Weixin;Xu Lijie;Yuan Yuan;Zhang Ran(Nursing Department,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;School of Nursing,Capital Medical University,Beijing 100069,China;Intensive Care Unit,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院护理部,北京100070 [2]首都医科大学护理学院,北京100069 [3]首都医科大学附属北京天坛医院重症医学科,北京100070

出　　处：《中华现代护理杂志》2025年第6期718-723,共6页Chinese Journal of Modern Nursing

基　　金：北京市医院管理中心"青苗"计划专项(QML20230515)。

摘　　要：目的了解神经外科重症患者家属决策冲突现状及其影响因素,为满足神经外科重症患者家属决策需求提供参考。方法采用便利抽样法,于2024年3—5月选取首都医科大学附属北京天坛医院收治的神经外科重症患者家属150名为研究对象。采用一般资料调查表、决策冲突量表、决策参与期望量表、决策准备度量表以及事件影响量表对研究对象进行调查。采用多重线性回归分析神经外科重症患者家属决策冲突的影响因素。结果共发放问卷150份,剔除答案呈现明显规律的问卷6份,回收有效问卷144份,问卷有效回收率为96.0%(144/150)。神经外科重症患者家属决策冲突量表总分为(34.95±9.99)分。多重线性回归分析结果显示,神经外科重症患者家属的决策准备度及事件影响情况是其决策冲突的影响因素(P<0.05)。结论神经外科重症患者家属存在一定的决策冲突,医护人员应对其决策准备度及事件影响情况予以关注,制定更具针对性的决策干预措施,减少家属决策冲突,以促进医疗决策过程的顺利进行。ObjectiveTo explore the current status of decision conflicts among family members of Neurosurgical Intensive Care Unit patients and its influencing factors,so as to provide a reference for meeting the decision needs of family members of Neurosurgical Intensive Care Unit patients.MethodsConvenience sampling was used to select 150 family members of Neurosurgical Intensive Care Unit patients from Beijing Tiantan Hospital affiliated with Capital Medical University from March to May 2024 for the study.General Information Questionnaire,Decisional Conflict Scale,Control Preference Scale,Preparation Decision Making,and Impact of Event Scale were used to survey the study participants.Multiple linear regression was used to analyze the factors influencing decision conflicts among family members of Neurosurgical Intensive Care Unit patients.ResultsA total of 150 questionnaires were distributed,six questionnaires whose answers showed obvious patterns were excluded,144 valid questionnaires were recovered,and the effective recovery rate of the questionnaires was 96.0%(144/150).The total score of the Decisional Conflict Scale of family members of Neurosurgical Intensive Care Unit patients was(34.95±9.99).Multiple linear regression analysis showed that decision readiness and impact of events were influencing factors of decision conflicts among family members of Neurosurgical Intensive Care Unit patients,and the difference was statistically significant(P<0.05).ConclusionsThere are certain decision conflicts among family members of Neurosurgical Intensive Care Unit patients.Healthcare professionals should pay attention to family members'decision readiness and the impact of events,and develop targeted decision interventions to reduce decision conflicts of family members in order to promote a smooth medical decision process.

关 键 词：神经外科 重症护理 家属 决策冲突 决策准备度 

分 类 号：R47[医药卫生—护理学]