急性缺血性脑卒中患者桥接治疗代理决策者决策延迟的影响因素  

Factors influencing delayed decision-making among surrogate decision-makersin acute ischemic stroke patients undergoing bridging therapy

作　　者：王爱民 王宪苓 王爱敏[1] WANG Aimin;WANG Xianling;WANG Aimin(School of Nursing,Qingdao University,Qingdao 266003,China;Department of Interventional Radiology,Jining First People′s Hospital,Jining 272011,China)

机构地区：[1]青岛大学护理学院,青岛266003 [2]济宁市第一人民医院介入放射科,济宁272011

出　　处：《济宁医学院学报》2025年第2期162-166,共5页Journal of Jining Medical University

摘　　要：目的探讨急性缺血性脑卒中(acute ischemic stroke,AIS)患者桥接治疗(bridging therapy,BT)代理决策者决策延迟的影响因素。方法采用便利抽样法招募研究对象,于2022年8月至2024年8月选取AIS患者BT代理决策者269例,运用多种问卷调查工具(包括一般资料调查问卷、多维感知社会支持量表、特质应对方式问卷和维克森林医师信任量表等),探究代理决策者决策延迟的影响因素。结果共收集有效问卷269份,其中代理决策延迟者139人(51.7%)。代理决策者年龄、性别、是否为本次医疗付费、维克森林信任分数以及患者月收入是影响代理决策者决策延迟的独立因素(P<0.05)。结论大多数AIS患者BT代理决策者存在决策延迟,医疗机构应针对代理决策者决策延迟的危险因素适当优化决策流程,医护人员应针对不同代理决策者的特征采用适当的沟通技巧提供决策辅助。Objective To investigate the factors influencing delayed decision-making among surrogate decision-makers for acute ischemic stroke(AIS)patients undergoing bridging therapy(BT).Methods This study employed a convenience sampling method to recruit 269 participants undergoing BT from August 2022 to August 2024,using multiple questionnaire tools(including a general demographic questionnaire,multidimensional scale of perceived social support,trait coping style questionnaire,and wake forest physician trust scale)to explore the factors influencing delayed decision-making among surrogate decision-makers.Results A total of 269 valid questionnaires were collected,of which 139(51.7%)were delayed in proxy decision-making.Surrogate decision maker′s age,gender,whether or not they paid for this medical treatment,wake forest trust score,and patient′s monthly income were independent influences on surrogate decision-making delays(P<0.05).Conclusion Most BT surrogate decision-makers of AIS patients have decision-making delays.Healthcare institutions should prioritize decision-making processes by addressing risk factors,while healthcare professionals should adopt tailored communication strategies to provide decision support for surrogate decision-makers with different characteristics.

关 键 词：急性缺血性脑卒中 桥接治疗 代理决策者 决策延迟 

分 类 号：R473.74[医药卫生—护理学]