Scoping review of surrogate decision in stroke patients
10.3760/cma.j.cn211501-20240925-02643
- VernacularTitle:代理决策在卒中患者中应用的范围综述
- Author:
Yunyun MA
1
;
Zijuan JIANG
;
Ping LI
;
Ying FENG
;
Luoluo ZHANG
Author Information
1. 南京医科大学附属脑科医院脑血管病救治中心，南京 210029
- Publication Type:Journal Article
- Keywords:
Stroke;
Review;
Surrogate decision
- From:
Chinese Journal of Practical Nursing
2025;41(22):1756-1761
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To review the literature on surrogate decision making in stroke patients, and to clarify the application status of proxy decision making in stroke patients.Methods:Using the scope review guide as the methodological framework, studies on the application of surrogate decision in stroke patients, PubMed, Medline, CINAHL, Web of Science, Cochrane Library, CNKI, Wanfang, China Biology Medicine databases were searched from the database inception to January 12, 2024.Results:A total of 20 articles were included, including 12 cross-sectional studies, 6 qualitative studies, 1 cohort study, and 1 case report. At present, surrogate decision was mainly used in brain surgery, tube placement and comfort care. The agent had a complicated mood when making a decision and self-doubt after making a decision. Agency decision making was susceptible to demographic factors, disease-related factors, cultural factors, emotional and psychological factors and other factors. Although the outcomes of most proxy decisions were in line with patient preferences, there was a difference in the estimates of prognosis between agents and medical staff.Conclusions:Proxy decision making is widely used in the field of stroke, but the psychological burden of agents is heavy. Developing advance care planning for stroke patients and developing decision aids may help agents make the best decision.
