对维持生命治疗的看法和态度 沟通:医生和代孕母亲之间的比较
Yang Liang1,2, Zhen Ren1,2, Aixiang Song1,2
1Department of Emergency Medicine, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing 100191, China.
Healthcare (Basel, Switzerland)
|November 13, 2025
概括
中国的医生和代孕妇在维持生命治疗 (LST) 的共享决策 (SDM) 中存在显著差异. 解决这些沟通和优先级差距对于伦理LST决策至关重要.
科学领域:
- 医学伦理 医学伦理
- 临界护理医学 临界护理医学
- 卫生沟通健康沟通
背景情况:
- 维持生命治疗 (LST) 的有效共享决策 (SDM) 需要医生替代者对齐.
- 感知和沟通差异可能会阻碍伦理上合理的LST决策.
- 这项研究考察了中国重症监护室 (ICU) 设置中的SDM感知.
研究的目的:
- 为了比较医生和代孕母亲对LST的SDM的看法和态度.
- 在中国的背景下,发现决策过程和优先事项的差异.
主要方法:
- 在北京对325名代孕妇和351名医生进行的横截面调查的二次分析.
- 调查评估了决策的触发因素,首选模型,披露做法,决策能力和影响因素.
- 对分类数据进行了统计比较.
主要成果:
- 虽然这两组名义上都更喜欢SDM,但在沟通和优先事项方面发现了显著的差异.
- 医生早些时候就开始了LST讨论;然而,理解有所不同,代孕产妇的理解程度高于医生所感知的理解程度.
- 代理人更喜欢定量信息和决策支持,而医生优先考虑临床指标,代理人强调患者的年龄.
结论:
- 在中国医生和代孕产妇之间,关于LST的SDM存在显著的不一致.
- 沟通,信息期望和优先事项的差异需要适应环境的干预措施.
- 需要有结构的沟通工具和对文化敏感的培训,以改善协调并支持道德决策.
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