重症监护室患者家属决策冲突现状及影响因素分析

Analysis of the status quo and influencing factors of family decision conflict of patients in intensive care unit

目的 分析重症监护室(ICU)患者家属决策冲突现状及影响因素。方法 采用便利抽样法,选取2022年4月至2023年4月温州医科大学附属第一医院ICU患者193名家属为研究对象,采用一般情况调查表、决策冲突量表(DCS)、决策准备度(Prep DM)量表进行调查,采用单因素分析、多重线性回归分析ICU患者家属决策冲突影响因素。结果 本研究共发放问卷193份,回收有效问卷为184份,有效回收率为95.34%。184名ICU患者家属DCS总分为(33.17±6.09)分,整体处于决策冲突中等水平。单因素分析显示,不同年龄、文化程度、月收入的家属DCS总分比较,差异有统计学意义(P<0.05)。相关性分析显示,DCS总分与Prep DM量表总分呈负相关(r=-0.334,P<0.05)。多重线性回归方程:DCS总分=45.061+1.145×年龄-2.989×文化程度-2.078×月收入-0.081×Prep DM量表总分(R~2=0.391,调整后R~2=0.377,F=28.700,P<0.05)。结论 ICU患者家属决策冲突处于中等水平,且其影响因素为年龄、文化程度、月收入、Prep DM。

Objective To analyze the status quo and influencing factors of family decision conflict of patients in intensive care unit(ICU).Methods Convenience sampling method was used to select 193 family members of ICU patients in the First Affiliated Hospital of Wenzhou Medical University from April 2022 to April 2023 as the research objects.General situation questionnaire,decision conflict scale(DCS),and preparation decision making(Prep DM) scale were used for investigation.Single factor analysis and multiple linear regression were used to analyze the influencing factors of family decision conflict of ICU patients.Results A total of 193 questionnaires were sent out in this study,and 184 were effectively collected,with an effective recovery rate of 95.34%.The total DCS score of 184 family members of ICU patients was(33.17±6.09)points,indicating a moderate level of decision conflict.Univariate analysis showed that the total DCS score of family members with different age,education level,and monthly income had statistical significance(P<0.05).Correlation analysis showed that the total DCS score was negatively correlated with the total Prep DM scale score(r=-0.334,P<0.05).Multiple linear regression equation:DCS total score =45.061+1.145× age-2.989 × education-2.078 × monthly income-0.081 ×Prep DM scale total score(R~2=0.391,adjusted R~2=0.377,F=28.700,P < 0.05).Conclusion Family members of ICU patients has a moderate level of decision conflict,and the influencing factors are age,education level,monthly income,and Prep DM.