发展和验证决策需要规模的替代患者在考虑在重症监护室的侵入性手术时
Wan-Na Sun1,2, Su-Ying Fang3
1Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
一个新的尺度,代孕决定需求尺度 (SDNS),有效地衡量了代孕母亲对重症患者的侵入性手术做出决定的需求. 研究结果强调了教育和患者关系如何影响代孕优先事项.
科学领域:
- 关键护理医学 关键护理医学
- 生物伦理学生物伦理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 重症监护室 (ICU) 患者经常需要代理人做决定,特别是在侵入性手术方面,未满足的代理人需求可能会导致冲突.
- 现有的评估工具并没有专门解决在侵袭性手术决策过程中代孕母亲的独特需求,这表明需要专门的工具.
研究的目的:
- 开发和验证代孕决定需求量表 (SDNS) 以评估涉及到为重症患者进行侵入性手术的决定的代孕者的需求.
- 评估新开发的SDNS的可靠性和有效性.
主要方法:
- SDNS的开发涉及文献审查和评估项目的专家改进.
- 采用了方便采样的横截面研究.
- 探索性因子分析,已知组分析和克伦巴赫α被用于评估构造有效性和内部一致性可靠性.
主要成果:
- SDNS实现了高专家内容有效性指数 (0.93-1).
- 100名代孕的16项SDNS的探索性因子分析揭示了三个因素 (信息需求,支持需求,诉求需求) 解释了70.13%的差异.
- 更高的教育水平和成为患者的孩子与优先考虑信息,支持和诉讼需求有显著的关联.
结论:
- SDNS是一个可靠和有效的工具,用于评估ICU代理医生的关于侵入性手术的决策需求.
- 代孕决定优先级受到教育背景和与患者的关系等因素的影响.
- 临床实践应纳入应对确定代孕需求的策略,包括明确的沟通和足够的决策时间.
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