危重症患儿父母对复苏陪伴的态度及其影响因素分析

Analysis on parents'attitudes to resuscitation companionship in critically ill children and its influencing factors

目的探讨危重症患儿父母对复苏陪伴的态度及影响因素,旨在为改善患儿及家属在复苏过程的体验提供科学依据。方法采用横断面调查的方法,方便抽样选取郑州大学附属儿童医院2018年8月—2019年8月住院的危重症患儿父母为研究对象,采用一般资料调查表、家属版复苏陪伴利弊评估量表(FPDR-BRS)对危重症患儿父母对复苏陪伴的态度进行调查,并分析其影响因素。共发放问卷200份,回收有效问卷189份,有效回收率为94.5%。结果189名危重症患儿父母FPDR-BRS总分为(74.75±22.54)分;单因素分析显示,危重症患儿父母FPDR-BRS总分在与患儿的关系、父母职业、文化水平、有无复苏经历方面差异有统计学意义(P<0.05);多重线性回归分析显示,与患儿的关系、父母职业和文化水平是复苏陪伴态度的影响因素(P<0.05)。结论危重症患儿父母对复苏陪伴的认同度处于中等水平,与患儿的关系、父母职业和文化水平是影响复苏陪伴态度的因素,医护人员应根据复苏陪伴态度的影响因素制订针对性的干预措施以改善患儿及家属在复苏过程中的体验。

Objective To explore the attitudes of parents of critically ill children to resuscitation companionship and its influencing factors so as to provide a scientific basis for improving the experience of children and their families in the rehabilitation process.Methods A cross-sectional survey method was used,and parents of critically ill children who were hospitalized in Children's Hospital Affiliated to Zhengzhou University from August 2018 to August 2019 were selected by convenience sampling.The general data questionnaire and Family Presence During Resuscitation Benefits-Risks(FPDR-BRS)were used to investigate the attitudes of parents of critically ill children to the resuscitation companion and influencing factors were analyzed.A total of 200 questionnaires were distributed,189 of which were effective,with an effective recovery rate of 94.5%.Results The total scores of FPDR-BRS of 189 parents of critically ill children were(74.75±22.54)points.Univariate analysis showed that the total scores of FPDR-BRS of parents of critically ill children had statistically significant differences in the relationship with children,parents'occupations,cultural level and presence or absence of resuscitation experience(P<0.05).Multiple linear regression analysis showed that the relationship with children,parents'occupation and cultural level were the influencing factors of attitude to resuscitation companionship(P<0.05).Conclusions Parents of critically ill children have a moderate level of recognition for resuscitation companionship.The relationship with children,parents'occupation and cultural level are factors that influence the attitude to resuscitation companionship.Medical staff should formulate targeted interventions based on the influencing factors of attitude to resuscitation companionship so as to improve the experience of children and their families during the resuscitation process.