ICU患者家属决策困境研究现状及启示OACSTPCD
Research status and inspiration on decision-making dilemmas on family members of intensive care unit patients
由于 ICU 环境的特殊性,家属探视时间被严格限制,家属不能与患者及时沟通以了解其意愿偏好,且疾病的突发性和临床的不确定性容易导致家属在决策时产生矛盾心理,从而陷入决策困境.概述了关于 ICU患者家属决策困境的概念、评估工具、决策困境产生的原因、由于决策困境产生的影响,以及决策困境的应对策略,以期为未来 ICU患者家属决策困境的干预提供理论依据,提高 ICU患者家属代理决策质量,缩短患者住院时间,改善患者健康结局,从而提高医疗护理满意度.
Due to the particularity of the Intensive Care Unit(ICU)environment,the visiting time of family members is strictly limited,resulting in family members being unable to communicate with patients in time to understand their wishes and preferences.Moreover,the sudden onset of the diseases and clinical uncertainty can easily lead to ambivalence among family members in decision-making,leading to decision-making dilemmas.This paper reviewed the concepts,assessment tools,causes,effects,and coping strategies of decision-making dilemmas for family members of ICU patients,with a view to providing a theoretical basis for future intervention in decision-making dilemmas for family members of ICU patients,improving their quality of agency decision-making,shortening patient hospitalization time,improving the health outcomes of patients,and ultimately increasing the satisfaction of medical and nursing.
朱向伟;卢根娣
上海中医药大学附属曙光医院,上海 201203
ICU患者家属代理决策决策困境道德困境决策冲突
family members of intensive care unit patientsagency decision-makingdecision-making dilemmamoral dilemmadecision conflict
《中国医学伦理学》 2024 (002)
168-176 / 9
国家社会科学基金一般项目(22BZX024)
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