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| 急性缺血性脑卒中患者桥接治疗代理决策者决策延迟的影响因素研究 |
| Factors Influencing Delayed Decision-Making among Surrogate Decision-Makers in Acute Ischemic Stroke Patients Undergoing Bridging Therapy |
| 投稿时间：2024-11-04 修订日期：2025-01-20 |
| DOI： |
| 中文关键词: 急性缺血性脑卒中；桥接治疗；代理决策者；决策延迟 |
| 英文关键词: Acute ischaemic stroke; Bridging therapy; Surrogate decision maker; Delayed decision |
| 基金项目: |
| 作者 | 单位 | 邮编 | | 王爱民 | 青岛大学医学部护理学院 | 266000 | | 王宪苓 | 济宁市第一人民医院 | | | 胡丹青 | 青岛大学医学部护理学院 | | | 王爱敏* | 青岛大学医学部护理学院 | 266000 |
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| 中文摘要: |
| 目的 探讨急性缺血性脑卒中（Acute Ischemic Stroke, AIS）患者桥接治疗（bridging therapy, BT）代理决策者决策延迟的影响因素。方法 本研究采用便利抽样法招募研究对象，运用多种问卷调查工具（包括一般资料调查问卷、感知社会支持量表、特质应对方式问卷和维克森林医师信任量表等），探究代理决策者决策延迟的影响因素。结果 共收集有效问卷269份，其中代理决策延迟者139人（51.7%）。代理决策者年龄、性别、是否为本次医疗付费、维克森林信任分数以及患者月收入是代理决策延迟的独立影响因素（P＜0.05）。结论 大多数AIS患者的BT代理决策者存在决策延迟，医疗机构应针对代理决策延迟的危险因素当优化决策流程，医护人员应针对不同代理决策者的特征采用适当的沟通技巧提供决策辅助。 |
| 英文摘要: |
| Objective To investigate the factors influencing delayed decision-making among surrogate decision-makers for acute ischemic stroke (AIS) patients undergoing bridging therapy. Methods This study employed a convenience sampling method to recruit participants, using multiple questionnaire tools (including a general demographic questionnaire, perceived social support scale, trait coping style questionnaire, and Wake Forest Physician Trust Scale) to explore the factors influencing delayed decision-making among surrogate decision-makers. Results A total of 269 valid questionnaires were collected, of which 139 (51.7%) were delayed in proxy decision-making. Proxy decision maker's age, gender, whether or not they paid for this medical treatment, Wake Forest Trust Score, and patient's monthly income were independent influences on proxy decision-making delays (P < 0.05) Conclusion Most AIS patients' surrogate decision-makers experience delayed decision-making, and healthcare institutions should prioritize optimizing decision-making processes by addressing risk factors, while healthcare professionals should adopt tailored communication strategies to provide decision support for surrogate decision-makers with different characteristics. |
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