摘要
目的探讨ICU转出患者家属的迁移应激现状,以及社会比较倾向和家庭功能对迁移应激的影响。 方法应用方便抽样方法,选取2017年6月至2018年2月于西安交通大学第一附属医院重症医学科住院治疗的168名患者家属为研究对象。使用ICU转出患者家属迁移应激量表、爱荷华-荷兰社会比较倾向量表中文版和家庭亲密度和适应性量表进行调查。 结果 ICU患者家属迁移应激和社会比较倾向的得分分别为(58.47 ± 7.66)、(37.83 ± 9.11)分。实际家庭亲密度得分为(65.85 ± 7.83)分,高于国内常模(63.90 ± 8.00)分,差异有统计学意义(t=-2.067,P<0.05)。适应性不满意程度得分为(9.22 ± 4.41)分,明显高于常模(7.40 ± 5.30)分,差异有统计学意义(t=-3.093,P<0.05)。经分层逐步回归分析,ICU住院时间、文化程度、宗教信仰、社会比较倾向、实际家庭亲密度和家庭适应性不满意程度可影响ICU转出患者家属的迁移应激水平,且可解释总变异的53.0%。 结论医护人员应重视ICU转出患者家属的迁移应激,提供情感支持和有效的信息支持,引导家属正确认识患者的病情及预后,尊重家属的宗教信仰,充分发挥家庭的功能,帮助其快速地适应角色改变,降低迁移应激水平。
Objective To explore the relocation stress in families of patients transferred from ICU, and the influence of social comparison orientation and family function on it. MethodsThere were 168 participants recruited from Critical Medical Department of the First Affiliated Hospital of Xi′an Jiaotong University by convenience sampling method between June 2017 and February 2018. The ICU patients′ Family Relocation Stress Scale, Chinese version of the Iowa-Netherland Social Comparison Orientation Measure and Family Adaptation and Cohesion Evaluation Scale Ⅱ were used.ResultsThe score of relocation stress and social comparison orientation were 58.47±7.66 and 37.83±9.11. The score of family real cohesion was 65.85±7.83, which was higher than norms (t=-2.067, P<0.05). The score of dissatisfaction of adaptation was 9.22±4.41, which was higher than norms (t=-3.093, P<0.05). The results of regression analysis showed that the time of patient staying in ICU, education level, religion, social comparison orientation, family real cohesion and dissatisfaction of adaptation could influence relocation stress.ConclusionHealth professionals should pay attention to the relocation stress in families, provide emotional support and effective information support, guide family members to correctly understand the patients′ condition and prognosis, respect their religious beliefs, give full play to their family functions, help them adapt to the role changes quickly and reduce the level of relocation stress.
作者
马佳佳
韩娟
王敏娜
赵璇
田润
Ma Jiajia;Han Juan;Wang Minna;Zhao Xuan;Tian Run(Critical Medical Department,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)
出处
《中国实用护理杂志》
2019年第7期481-486,共6页
Chinese Journal of Practical Nursing
关键词
ICU转出患者家属
迁移应激
社会比较倾向
家庭亲密度
家庭适应性
Families of patients transferred from ICU
Relocation stress
Social comparison orientation
Family cohesion
Family adaptation
作者简介
通信作者:马佳佳,Email:majj1999@126.com,电话:029-85323186.
