摘要
分析ICU患者家属焦虑、抑郁在领悟社会支持与疲劳的中介作用,为缓解其疲劳状况提供理论参考。选2020年10月—2021年4月在江南大学附属医院接受治疗的223例ICU患者家属为研究对象,采用自制的一般资料调查表、领悟社会支持量表(PSSS)、广泛性焦虑量表(GAD-7)、患者健康问卷抑郁量表(PHQ-9)和疲劳评定量表(FAI)进行调查。223例ICU患者家属中,155例有疲劳状态,发生率为69.51%。比较ICU患者家属在性别、年龄、教育程度、与患者的关系、居住地、付费方式和人均月收入等方面疲劳总得分,差异有统计学意义(P<0.05)。焦虑、抑郁、疲劳与领悟社会支持呈负相关(r值分别为-0.353、-0.276、-0.416,均P<0.01),抑郁、疲劳与焦虑呈正相关(r值分别为0.808、0.703,均P<0.01),疲劳与抑郁呈正相关(r=0.665,P<0.01)。焦虑、抑郁在领悟社会支持与疲劳间起部分中介作用,总间接效应量为52.64%。对社会支持水平及焦虑、抑郁状态进行综合干预有助于改善ICU患者家属的疲劳状态。
To analyze the mediating role of anxiety and depression in perceived social support and fatigue in ICU patients′families,and to provide a theoretical evidence for alleviating their fatigue status.A total of 223 family members of ICU patients who received treatment at the Affiliated Hospital of Jiangnan University from October 2020 to April 2021 were selected as the study subjects.The general data questionnaire,perceived social support scale(PSSS),generalized anxiety disorder scale(GAD-7),patient health questionnaire(PHQ-9)and fatigue assessment instrument(FAI)were used to conduct a survey.Among 223 family members of ICU patients,155(69.51%)had fatigue problems.There were statistically significant differences in total fatigue scores of ICU patients′family members in terms of gender,age,education level,relationship with patients,residence,payment method and per capita monthly income(P<0.05).Anxiety,depression and fatigue were negatively correlated with perceived social support(r are-0.353,-0.276 and-0.416,respectively,all P<0.01).Depression and fatigue were positively correlated with anxiety(r are 0.808 and 0.703,respectively,all P<0.01),and fatigue was also positively correlated with depression(r=0.665,P<0.01).Anxiety and depression had a partial mediating effect on perceived social support and fatigue,and the total indirect effect size was 52.64%.Comprehensive intervention on the level of social support,anxiety and depression is helpful to improve the fatigue status of ICU patients′family members.
作者
方婷婷
陈丹丹
王寅
陆海林
杜鹏飞
胡雯晴
姜东辉
Fang Tingting;Chen Dandan;Wang Yin;Lu Hailin;Du Pengfei;Hu Wenqing;Jiang Donghui(Intensive Care Unit,Affiliated Hospital of Jiangnan University,Wuxi 214125,China;Wuxi Medical College,Jiangnan University,Wuxi 214122,China)
出处
《中华内科杂志》
CAS
CSCD
北大核心
2022年第3期317-320,共4页
Chinese Journal of Internal Medicine
基金
江苏省中医药管理局一般项目(YB2020105)
无锡市卫生健康委员会科技成果与适宜技术推广项目(T201913)
江南大学公共卫生研究项目(JUPH201810)。
关键词
家属
疲劳
焦虑
抑郁
领悟社会支持
Family members
Fatigue
Anxiety
Depression
Perceived social support
