Status and influencing factors of expectation of decision-makers participation in medical decision-making for emergency criti-cally ill patients substitution
Objective To understand the current situation and influencing factors of the expectation of alternative decision-makers for emergency critically ill patients to participate in medical decision-making,providing reference for improving the medical experience of emer-gency critically ill patients and their families,and enhancing their ability to participate in medical decision-making.Methods A convenience sampling method was employed to select 226 family members of emergency critically ill patients in a tertiary grade A hospital in Guangxi from October 2022 to June 2023 as the subjects of the study.Analyze the current situation and influencing factors of their participation in medical decision-making expectations through a questionnaire survey on general information,coping strategies,and decision-making tendencies.The general information questionnaire,Decision-making tendency and Simple coping styles were used for survey.Results The total score of ex-pectation of decision-makers participation in medical decision-making was(50.10±5.10).Pearson correlation analysis showed that the ex-pectation of decision-makers participation was positively correlated with positive coping styles and negatively correlated with negative coping styles(P<0.05).Multiple linear regression analysis showed that education level,relationship with patients,disease types and understanding doctor's consultation content were influencing factors of expectation of participation in medical decision-making(P<0.05).Conclusion The expectation of decision-makers participation in medical decision-making is high,and are influenced by multiplc factors.The high level of e-mergency critically ill patients substitution with high education level,offspring position,acute diseases and understanding about doctor's con-sultation content have a high expectation of decision-makers participation in medical decision-making.Personalized decision assistance can help medical staffs improve willingness of decision-making participation and quality of decision-making.
emergency critically illfamily member of patientparticipation in medical decision-makingexpectation of medical deci-sion-making