Current status and influencing factors of decision conflicts among family members of Neurosurgical Intensive Care Unit patients
10.3760/cma.j.cn115682-20241010-05532
- VernacularTitle:神经外科重症患者家属决策冲突现状及其影响因素分析
- Author:
Miao LI
1
;
Yiming ZHAN
;
Weixin CAI
;
Lijie XU
;
Yuan YUAN
;
Ran ZHANG
Author Information
1. 首都医科大学附属北京天坛医院护理部，北京 100070
- Publication Type:Journal Article
- Keywords:
Neurosurgery;
Critical care nursing;
Family;
Decision conflict;
Decision readiness
- From:
Chinese Journal of Modern Nursing
2025;31(6):718-723
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of decision conflicts among family members of Neurosurgical Intensive Care Unit patients and its influencing factors, so as to provide a reference for meeting the decision needs of family members of Neurosurgical Intensive Care Unit patients.Methods:Convenience sampling was used to select 150 family members of Neurosurgical Intensive Care Unit patients from Beijing Tiantan Hospital affiliated with Capital Medical University from March to May 2024 for the study. General Information Questionnaire, Decisional Conflict Scale, Control Preference Scale, Preparation Decision Making, and Impact of Event Scale were used to survey the study participants. Multiple linear regression was used to analyze the factors influencing decision conflicts among family members of Neurosurgical Intensive Care Unit patients.Results:A total of 150 questionnaires were distributed, six questionnaires whose answers showed obvious patterns were excluded, 144 valid questionnaires were recovered, and the effective recovery rate of the questionnaires was 96.0% (144/150) . The total score of the Decisional Conflict Scale of family members of Neurosurgical Intensive Care Unit patients was (34.95±9.99) . Multiple linear regression analysis showed that decision readiness and impact of events were influencing factors of decision conflicts among family members of Neurosurgical Intensive Care Unit patients, and the difference was statistically significant ( P<0.05) . Conclusions:There are certain decision conflicts among family members of Neurosurgical Intensive Care Unit patients. Healthcare professionals should pay attention to family members' decision readiness and the impact of events, and develop targeted decision interventions to reduce decision conflicts of family members in order to promote a smooth medical decision process.
