【摘要】 目的 探讨川崎病合并冠脉损伤患儿父母的决策冲突现状及影响因素。方法 选取2020年11月-2023年11月我院收治的230例川崎病患儿的父母作为研究对象，其中52例合并冠脉损伤患儿的父母设为观察组，178例未合并冠脉损伤患儿的父母设为对照组。采用自行设计的一般资料问卷、决策冲突量表(DCS)、领悟社会支持量表(PSSS)进行调查。采用Pearson相关分析川崎病合并冠脉损伤患儿父母决策冲突与领悟社会支持的相关性，采用多元逐步回归分析川崎病合并冠脉损伤患儿父母决策冲突的影响因素。结果 观察组DCS各维度及总得分明显高于对照组(P<0.05),PSSS各维度及总得分明显低于对照组(P<0.05); Pearson相关分析结果显示，川崎病合并冠脉损伤患儿父母决策冲突与领悟社会支持呈负相关(P<0.05);多元逐步回归分析结果显示，川崎病合并冠脉损伤患儿父母文化程度、婚姻状况、工作状况、家庭月收入及领悟社会支持是决策冲突的影响因素(P<0.05)。结论 川崎病合并冠脉损伤患儿父母的决策冲突处于较高程度，医护人员应加强关注，采取针对性措施降低患儿父母决策冲突程度。更多还原

【Abstract】 Objective To investigate the status quo and influencing factors of decision conflict in parents of children with Kawasaki disease complicated with coronary artery injury. Methods Parents of 230 children diagnosed with Kawasaki disease admitted to our Hospital from November 2020 to November 2023 were selected as research objects. There were 52 cases with coronary artery injury(the observation group) and 178 cases without coronary artery injury(the control group). Self-designed general data sheet, decision conflict scale(DCS) and perceptive social support scale(PSSS) were used to conduct a questionnaire survey on the study subjects. The parents of children with or without coronary artery injury were compared. Pearson correlation was used to analyze the correlation between DCS and PSSS of the parents of parents whose children had Kawasaki disease complicated with coronary artery injury, and multiple stepwise regression was performed to analyze the influencing factors of DCS of the parents whose children had Kawasaki disease complicated with coronary artery injury.Results The scores of DCS and PSSS in the observation group were significantly higher than those in the control group(P<0.05), and the scores of PSSS were significantly lower(P<0.05); Pearson correlation analysis showed that DCS scores of parents whose children had Kawasaki disease complicated with coronary artery injury were negatively correlated with PSSS scores(P<0.05); The results of multiple stepwise regression analysis showed that parents’ education level, marital status, working status, family monthly income and PSSS score of parents whose children had Kawasaki disease complicated with coronary artery injury were all factors influencing decision conflict(P<0.05). Conclusions Parents of children with Kawasaki disease complicated with coronary artery injury are in a high degree of decision-making conflict. Medical staff should pay more attention to it and take targeted measures to help reduce the degree of decision-making conflict.更多还原