中华护理杂志 ›› 2023, Vol. 58 ›› Issue (8): 949-955.DOI: 10.3761/j.issn.0254-1769.2023.08.008

• 专科实践与研究 • 上一篇    下一篇

ICU患者替代决策者决策疲劳现状及影响因素分析

安晓(), 薛雅婷, 夏雨, 王红()   

  1. 250014 济南市 山东第一医科大学第一附属医院护理部
  • 收稿日期:2022-11-28 出版日期:2023-04-20 发布日期:2023-04-19
  • 通讯作者: 王红,E-mail:hongwang1971@163.com
  • 作者简介:安晓:女,本科(硕士在读),护士,E-mail:xiaooann96@163.com
  • 基金资助:
    山东省重点研发计划(软科学项目)(2020RKB14106)

Current status of decision fatigue among substitutive decision makers of ICU patients and its influencing factors

AN Xiao(), XUE Yating, XIA Yu, WANG Hong()   

  • Received:2022-11-28 Online:2023-04-20 Published:2023-04-19

摘要:

目的 调查ICU患者替代决策者决策疲劳现状并分析其影响因素。方法 采用便利抽样法,2022年1月—10月,选取山东省某三级甲等医院314名ICU患者的替代决策者为调查对象。使用一般资料调查表、决策疲劳量表、决策准备量表、家庭成员决策自我效能量表、社会支持评定量表进行调查。结果 ICU患者的替代决策者决策疲劳量表得分为(12.33±4.88)分。多重线性回归分析结果显示,患者入住ICU天数、家庭人均月收入、替代决策者性别、文化程度、职业状态、是否了解该疾病、决策准备度、决策自我效能及主观支持是决策疲劳的影响因素。结论 ICU患者替代决策者决策疲劳处于中等水平;患者入住ICU天数较长、家庭人均月收入低、女性、文化程度高、在职、不了解该疾病的替代决策者的决策疲劳水平较高,提高决策准备度、决策自我效能感及主观支持水平有利于减轻替代决策者决策疲劳,改善其决策质量。

关键词: 重症监护病房, 替代决策者, 决策疲劳, 决策准备, 决策自我效能, 社会支持, 护理

Abstract:

Objective To investigate the current status of decision fatigue of substitutive decision-makers in ICU patients,and to analyze its influencing factors. Methods By the convenient sampling method,314 substitutive decision-makers of ICU patients were selected from February to October 2022 in a tertiary hospital in Shandong. General information questionnaire,decision fatigue scale,preparation for decision making scale,family decision making self-efficacy scale,and social support rating scale were used for investigation. Results The score of decision fatigue scale for substitutive decision-makers in ICU patients was(12.33±4.88). The results of multiple linear regression analysis showed that the number of days patients stayed in the ICU,gender of the substitutive decision-makers,education level,per capita monthly income of the family,occupational status,whether they knew about the disease,decision-making readiness,decision-making self-efficacy and subjective support were the influencing factors of decision fatigue. Conclusion The decision fatigue of substitutive decision-makers in ICU patients was at a middle level. Patients with long stay in ICU,female substitutive decision-makers,high education level,low per capita monthly income of families,being employed,and not knowing about the disease have a high level of decision fatigue tended to have a higher level of decision fatigue. The improvement of decision-making readiness,decision-making self-efficacy,and subjective support level is conducive to reducing the decision-making fatigue level of substitutive decision-makers and improving their decision-making quality.

Key words: Intensive Care Unit, Substitutive Decision Makers, Decision Fatigue, Preparation for Decision Making, Decision Making Self-Efficacy, Social Support, Nursing Care