护理研究

2022年7月, 36卷14期

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神经内科监护室过渡期病人家属需求现状及影响因素分析

范芳晋,冯灵,涂双燕,汪锐

引用本文: 范芳晋,冯灵,涂双燕,汪锐.神经内科监护室过渡期病人家属需求现状及影响因素分析[J].护理研究,2022,36(14):2503-2506

摘要: [目的]调查神经内科重症监护室(ICU)过渡期病人家属需求现状,并分析其影响因素。[方法]采用便利抽样法选择2021年10月—2021年11月我院116名神经内科ICU过渡期病人家属作为研究对象,采用家属一般资料调查表、ICU过渡期患者家属需求量表、ICU转出患者家属迁移应激量表、社会支持量表进行调查。[结果]神经内科ICU过渡期患者家属需求量表得分为(75.32±12.69)分,与ICU转出患者家属迁移应激量表总分呈正相关(<0.05),与社会支持量表总分呈负相关(<0.05)。多因素分析结果显示,文化程度、有无共同照顾者、迁移应激及社会支持水平为神经内科ICU过渡期病人家属需求的影响因素(均<0.05)。[结论]神经内科ICU过渡期病人家属需求水平较高,医护人员应针对病人家属文化程度、有无共同照顾者、迁移应激及社会支持水平进行个体化干预,从而降低家属需求水平。

关键词: 重症监护室;过渡期;家属;需求;迁移应激;社会支持;影响因素;护理


Analysis of status quo and influencing factors of family members needs of patients during transition period in neurology monitoring intensive care unit

FAN Fangjin,FENG Ling,TU Shuangyan,WANG Rui

Abstract [Objective]To investigate status quo of family members needs of patients during transition period in neurology monitoring intensive care unit(ICU),and analyze its influencing factors.[Methods]116 family members needs of patients during transition period in neurology monitoring ICU were selected with convenience sampling method as subjects from October 2021 to November 2021.Family members' general information questionnaire,scale for assessing needs of families of ICU patients during transitional period,Relocation Stress Scale for the Families of Patients Transferred from ICU and Social Support Rating Scale were used to investigate.[Results]The total score of scale for assessing needs of families of neurology monitoring ICU patients during transitional period was 75.32±12.69.It was positively correlated with total score of Relocation Stress Scale for the Families of Patients Transferred from ICU(<0.05),and it was negatively correlated with total score of Social Support Rating Scale(<0.05).The results of multi-factor analysis showed that educational level,had co-caregivers or not,relocation stress and the level of social support were influencing factors of family members needs of patients during transition period in neurology monitoring ICU(<0.05).[Conclusions]The needs level of family members needs of patients during transition period in neurology monitoring ICU is high.Medical staff should carry out individualized intervention according to educational level of patient's family members,have co⁃caregivers or not,relocation stress and the level of social support,so as to reduce demand level of family members.

Keywords intensive care unit;transition period;family members;needs;relocation stress;social support;influencing factors;nursing

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