ICU无行为能力患者替代决策的研究进展

Review on surrogate decision-making for incapacitated patients in ICU

ICU无行为能力患者由于病情危重或深度镇静无法做出治疗决定,该群体医疗决策选择是临床实践的难点。该文综述了替代决策的概念、主体和内容,分析了替代决策的影响因素,提出了替代决策的引导策略,包括加强替代决策者教育、加强医护人员培训、加强沟通交流和决策辅助4个方面,可为替代决策者做出最优选择及替代决策的相关研究发展提供参考依据。

Incapacitated patients in ICU are unable to make treatment decisions due to critically ill condition or deep sedation,and their choice of medical decisions is a difficult point in clinical practice.This paper introduces the concept,main body and contents of surrogate decision-making,analyzes the factors affecting surrogate decisionmaking,and proposed four guiding strategies of surrogate decision-making including strengthening the education of surrogate decision makers and medical staff,strengthening communication and decision aids.It can provide some reference for surrogate decision maker to make the optimal choice and the related research development of surrogate decision.