了解脆弱老年ICU患者家庭的决策动态:一种定性研究
Sayed Ibrahim Ali1, Mostafa Shaban2
1Department of Family and Community Medicine, College of Medicine, King Faisal University, Al Hofuf, Saudi Arabia.
Nursing in critical care
|November 18, 2025
概括
在ICU中的脆弱老年患者的家庭决策受到文化,人际关系和信仰的深刻影响. 对文化敏感的护理支持可以减轻家庭在这些复杂的选择中进行导航的负担.
科学领域:
- 医学伦理 医学伦理
- 老年医学 老年医学
- 卫生社会学 卫生社会学
背景情况:
- 在重症监护室 (ICU) 的脆弱老年患者的家属面临着艰难的决策.
- 预测的不确定性,文化期望和道德压力使这些代孕决定变得复杂,特别是在中东的环境中.
- 集体责任和宗教信仰极大地影响了中东家庭的选择.
研究的目的:
- 探索家庭的经验和ICU决策的导航对于脆弱的老年亲属.
- 确定影响这些决策的文化特色机制.
主要方法:
- 使用反射主题分析进行定性描述性研究.
- 与沙特阿拉伯的家庭决策者进行了十五次深入的阿拉伯语访谈.
- 通过备忘录,解释会议和审计跟踪,确保了严谨性.
主要成果:
- 三个主要主题出现了:决策负担 (情绪,道德矛盾,孤立),咨询家庭审议 (shūrā) (角色分配,谈判,家庭和) 和信仰驱动的接受 (tawakkul,祈祷,重塑死亡).
- 脆弱性 (临床脆弱性尺度≥5) 增加了不确定性,有时转移了对以舒适为中心的护理的偏好.
- 决策过程的特点是情绪,道德矛盾,依赖家庭咨询和信仰.
结论:
- 对于脆弱的老年ICU患者的家庭决策是文化嵌入,关系和精神介导的.
- 文化敏感,护士领导的支持,包括结构化的家庭会议和价值澄清辅助工具,可以减轻决策负担.
- 促进精神需求,使护理与家庭价值观保持一致,对于增强信任和改善结果至关重要.
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