机械通气患者家属替代决策困境体验的质性研究

doi:10.3761/j.issn.2096-7446.2023.11.002

Abstract

Abstract: Objective To explore the experiences of surrogate decision-making dilemma among mechanically ventilated patients' family members,and to provide a guidance for improving the decision quality and satisfaction of proxy decision-makers. Methods From May 2020 to October 2020,semi-structured interviews were conducted with family surrogate decision-makers of mechanically ventilated patients in ICU of a tertiary care hospital in Hunan Province. The interview data were coded,categorized,interpreted,and analyzed by Colaizzi phenomenological analysis. Results The following three themes are obtained from the analysis: diverse types of decision-making behavior,complex inner activities of decision-making, multi-dimensional decision-making challenges. Conclusion It is necessary to pay attention to and identify the dilemmas and needs of family surrogate decision-makers for mechanically ventilated patients,enhance communication and trust between medical staff and surrogate decision-makers,and optimize psychological support and coping strategies for family surrogate decision-makers,so as to improve the decision-making ability and satisfaction of surrogate decision-makers.

Key words: Intensive Care Units, Mechanical Ventilated, Surrogate Decision-Making, Qualitative Research, Critical Care Nursing

TANG Li, YU Xiaoyan, WANG Huaqin, LI Jinxiu. Qualitative research on experience of the dilemma of surrogate decision-making among mechanical ventilation patients' family members[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(11): 973-977.

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Qualitative research on experience of the dilemma of surrogate decision-making among mechanical ventilation patients' family members

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