摘要
目的 了解住院期间加强护理病房(intensive car unit, ICU)重症急性胰腺炎(severe acute pancreatitis, SAP)患者家属迁移应激发生及其相关因素,为改善患者家属的迁移应激提供循证医学证据。方法 以2018年7月至2020年3月陆军军医大学第二附属医院消化内科ICU收治的SAP患者的主要陪伴家属110例作为前瞻性队列研究对象,由专业护理小组采用中文版ICU转出患者家属应激压力量表(Family Relocation Stress Scale, FRSS)分别在患者转入ICU前1天、转入后第1天、转入后第3天、ICU转出当天(接到转出通知当天)和出院前1天对患者家属进行迁移应激水平评估,同时收集患者及其家属相关情况。结果 110名SAP患者家属在患者住院期间的不同时间点的迁移应激水平存在明显波动(P<0.001)。患者转入后第1天家属迁移应激水平最高[得分为(51.27±7.98)],ICU转入后第3天降到较低水平[得分为(59.26±6.35)],但在ICU转出当天再次出现上升[得分为(55.32±8.31)],患者家属迁移应激水平在出院前1天降到住院期间的最低水平[得分为(63.32±6.05)]。而线性回归分析结果显示年龄、文化程度和家庭月收入是影响患者家属出院前1天迁移应激得分的相关因素(P<0.05)。结论 SAP患者家属在患者住院期间的迁移应激水平存在明显波动,年龄、文化程度和家庭月收入为出院前迁移应激水平得分的影响因素。有必要建立专科团队,在不同时间点开展综合性和个体化的医疗护理,包含心理辅导,以减少该类患者迁移应激的发生。
Objective To investigate the migration stress level and related factors of family members of ICU patients with severe acute pancreatitis(SAP) during hospitalization in order to provide evidence-based medical evidence for improving the migration stress of the family members. Methods From July 2018 to March 2020, 110 main family members of SAP patients admitted to the ICU of gastroenterological department of Second Affiliated Hospital were selected as the research objects. The Chinese version of Family Relocation Stress Scale(FRSS) was used by our professional nursing team to assess the migration stress level in the family members of the patients on the day before the patient was transferred to the ICU, the first and third days after transfer, and the day transferred out(the day when the transfer out notification was received), and the day before discharge. The relevant information of the patients and their families was collected. Results The relocation stress levels of 110 family members of SAP patients were fluctuated significantly at different time points during hospitalization(P<0.001). After the patients were transferred in, the relocation stress level of family members(51.27±7.98) was the highest on the first day, and decreased to a lower level(59.26±6.35) on the third day. However, the level was increased again on the day of ICU transfer out(55.32±8.31). The relocation stress level of the patient’s family members(63.32±6.05) was decreased to the lowest level on 1 day before discharge. The results of linear regression analysis showed that age, educational level and monthly family income were related factors affecting the relocation stress score of the patient’s family members in 1 day before discharge(P<0.05). Conclusion The relocation stress level of family members of SAP patients fluctuates significantly during hospitalization. Age, educational level and monthly family income are the influencing factors of relocation stress level score before discharge. It is necessary to establish a professional te
作者
张扬
潘乾广
涂芷涵
李丽
王翔宇
李春花
ZHANG Yang;PAN Qianguang;TU Zhihan;LI Li;WANG Xiangyu;LI Chunhua(Department of Gastroenterology,Second Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400037;ICU of Nephrological Department,First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400038;Department of Nutrition,Second Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400037)
出处
《陆军军医大学学报》
CAS
CSCD
北大核心
2022年第18期1900-1904,F0003,共6页
Journal of Army Medical University
基金
陆军军医大学临床护理研究项目(2018YLC12)
陆军军医大学临床医学科研人才培养计划(2018XLC2015)。
关键词
迁移应激
重症急性胰腺炎
ICU患者家属
因素
migratory stress
severe acute pancreatitis
family members of ICU patrents
factors
