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目的 调查ICU医护人员对重症患者开展家庭会议的认知、态度及临床实施情况.方法 采用问卷调查法对428名医院ICU的医护人员进行调查.结果 ICU医护人员对家庭会议的知晓率仅为25.4％(109/428);对重症患者开展家庭会议的态度欠积极,仅有38.17％(164/428)的医护人员选择必要或非常必要对重症患者开展家庭会议,仅有41.45％(177/428)的医护人员选择愿意或非常愿意参与重症患者的家庭会议,其中不同职业、最高学历及ICU工作年限对重症患者开展家庭会议的必要性得分差异有统计学意义(t=7.33,F=4.06、5.33,均P<0.01或0.05),不同职称及ICU工作年限对参与重症患者家庭会议的意愿得分差异有统计学意义(F=4.79、6.94,均P<0.05或0.01);重症患者的家庭会议在临床工作中开展率仅为8.18％(35/428).结论 家庭会议能够协助家属共同为患者进行临终治疗决策,但实际工作中医护人员的知晓率低、态度欠积极及开展困难而限制其临床实施.

Objective To investigate the cognition, attitudes and clinical practice of ICU medical staff on the family meeting for ICU patients. Methods The study used questionnaire to investigate 428 ICU medical staff and SPSS software to analyze data. Results The cognition of medical staff on the family meeting was 25.4％(109/428). The attitudes of medical staff on the family meeting were positive. Only 38.17％(164/428)medical staff selected necessary or very necessary to carry out the family meeting and only 41.45％(177/428)medical staff would to participate in family meeting. Different professional, the highest record of formal schooling and ICU working life had different attitude scores(t=7.33,F=4.06,5.33, P<0.01 or 0.05);different professional titles and ICU working life had different aspiration attitude scores (F=4.79,6.94,P<0.05 or 0.01). The rate of family meeting in clinical work was only 8.18％ (35/428). Conclusion Medical staff has low level of cognition and attitudes about family meeting on ICU patients, and still many difficulties in clinical implementation.