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代理决策者的状态焦虑与急性缺血性中风血栓溶解中的决策持续时间之间的关系
Caixia Yang1, Keke Ma1, Lina Guo1
1Neurology Department, The First Affiliated Hospital of Zhengzhou University, 1 Jianshe East Road, Zhengzhou City, 450000, Henan Province, China.
Scientific reports
|April 17, 2025
概括
代孕焦虑显著影响急性缺血性中风 (AIS) 血栓溶解的决策时间. 解决情绪因素可以减少延迟并改善治疗结果.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 心理学 心理学 心理学
背景情况:
- 静脉内血栓溶解对于急性缺血性中风 (AIS) 是至关重要的.
- 在中国,代孕妇的强制性知情同意可以推迟血栓溶解.
- 了解代孕决策对于及时治疗至关重要.
研究的目的:
- 探索代理人决策特征与AIS患者心理状态之间的关系.
- 在血栓溶解决策过程中确定影响代孕妇焦虑的因素.
主要方法:
- 383名AIS患者及其代孕母亲从一所大学医院招募.
- 代理人完成了对焦虑,控制偏好,医生信任和社会支持的验证秤.
- 用SPSS 26.0分析数据,包括相关性和回归分析.
主要成果:
- 替代体表现出中度至高状态焦虑 (平均得分为49.47±9.04).
- 18.2%的代孕母亲需要超过15分钟才能做出决定,更高的焦虑与更长的决策时间相关 (r=0.189,p<0.001).
- 社会人口统计学,心理,患者相关和决策因素影响了代孕焦虑 (所有p<0.05).
结论:
- 替代焦虑是影响AIS血栓溶解决策持续时间的重要因素.
- 医务人员应解决代用情绪状态,以加快知情同意并尽量减少治疗延迟.
- 改善决策过程可以提高治疗的及时性和患者的结果.
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