ICU患者替代决策者决策疲劳现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2023.08.008

摘要/Abstract

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

安晓, 薛雅婷, 夏雨, 王红. ICU患者替代决策者决策疲劳现状及影响因素分析[J]. 中华护理杂志, 2023, 58(8): 949-955.

AN Xiao, XUE Yating, XIA Yu, WANG Hong. Current status of decision fatigue among substitutive decision makers of ICU patients and its influencing factors[J]. Chinese Journal of Nursing, 2023, 58(8): 949-955.

图/表 4

表1 ICU患者替代决策者一般资料及决策疲劳的单因素分析（n=314）

Table 1 Univariate analysis of the general information on the decision fatigue（n=314）

表2 ICU患者替代决策者决策疲劳量表、决策准备量表、家庭成员决策自我效能量表及社会支持评定量表得分（n=314，分，$\bar{x}±s$）

Table 2 The scores of decision fatigue, preparation for decision making, family decision making self-efficacy and social support of substitutive decision makers of ICU patients（n=314，score，$\bar{x}±s$）

表3 自变量赋值情况

Table 3 Assignment of independent variables

表4 ICU患者替代决策者决策疲劳影响因素的多重线性回归分析

Table 4 Multiple linear regression analysis of decision fatigue in substitutive decision makers of ICU patients

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