护理学报2025，Vol.32Issue(13)：32-38,7.DOI:10.16460/j.issn2097-6569.2025.13.032
ICU患者家属代理决策干预方案的范围综述
Interventions for surrogate decision-making by families of ICU patients:a scoping review
摘要
Abstract
Objective To conduct a scoping review of research on interventions for surrogate decision-making by families of ICU pa-tients,and to summarize the content and form of intervention,outcome and intervention effect.Methods China National Knowledge Network(CNKI),Wanfang,VIP database,China Biomedical Abstracted Database,Pubmed,Embase,Web of Science,Ovid,EBSCO and Cochrane Library were searched for related literature from the inception of databases to July 20,2024.The data were screened and extracted,and the search results were standardized and reported.Results Thirty-one studies were included.The content of surro-gate decision-making included psychological intervention and decision information.The main forms of intervention were online deci-sion aid tools,family meetings,advance care planning,decision lists and information manuals.The evaluation of intervention effect in-cluded psychological assessment of surrogate decision maker,effectiveness of surrogate decision-making tools,implementation effect of surrogate decision-making and effect of surrogate decision-making on health outcome of ICU patients.Conclusion Surrogate deci-sion intervention scheme for family members of ICU patients is highly feasible,but its practical effect needs to be further verified.The interventions are diverse in form.In the future,personalized intervention designs and implementation should be tailored to the individu-al characteristics of surrogate decision-makers.关键词
ICU/代理决策/干预/范围综述Key words
intensive care unit/surrogate decision-making/intervention/scoping review分类
医药卫生引用本文复制引用
牛海娇,栾丽娜,朱劲松..ICU患者家属代理决策干预方案的范围综述[J].护理学报,2025,32(13):32-38,7.基金项目
教育部科技发展中心产学研创新基金资助课题(2021JH029) （2021JH029）
