ICU肿瘤患者转出方案对家属迁移应激的影响研究

doi:10.3761/j.issn.0254-1769.2019.02.011

中华护理杂志 ›› 2019, Vol. 54 ›› Issue (2): 224-229.DOI: 10.3761/j.issn.0254-1769.2019.02.011

ICU肿瘤患者转出方案对家属迁移应激的影响研究

赵静,陈蕾,李文莉,迟园园,衣香莉,强万敏()

300060 天津市国家肿瘤临床医学研究中心/天津市“肿瘤防治”重点实验室/天津市恶性肿瘤临床医学研究中心/天津医科大学肿瘤医院护理部

收稿日期:2018-06-28 出版日期:2019-02-15 发布日期:2019-02-12
通讯作者: 强万敏
作者简介:赵静：女,硕士,副主任护师,护理部副主任,E-mail：fusuicu@163.com
基金资助:
国家肿瘤临床医学研究中心培育项目(5-2-16)

The effect of the intervention program for relocation on relocation stress in family members of cancer patients transferred from ICU

ZHAO Jing,CHEN Lei,LI Wenli,CHI Yuanyuan,YI Xiangli,QIANG Wanmin()

Received:2018-06-28 Online:2019-02-15 Published:2019-02-12
Contact: Wanmin QIANG

摘要/Abstract

摘要：

目的制订ICU肿瘤患者转出方案,并探讨其对降低家属迁移应激水平的影响。方法选择符合纳入标准的52例ICU肿瘤患者家属,随机分成两组,试验组26例,对照组26例。试验组在常规护理的基础上,实施以ICU肿瘤患者和家属为中心、由迁移联络护士为主导的ICU肿瘤患者转出方案,对照组实施常规护理。采用基本情况调查表、家属迁移应激量表、状态焦虑量表、家属照顾能力量表调查ICU肿瘤患者转出方案实施前后ICU患者家属的迁移应激水平、焦虑程度及家属照顾能力。结果方案实施前,两组患者和家属基本情况、迁移应激水平、焦虑和照顾能力方面,差异无统计学意义（P>0.05）。方案实施后,两组家属迁移应激总分和各维度得分、焦虑程度、照顾能力量表总分和分量表得分的比较,差异有统计学意义（P<0.05）。结论实施ICU肿瘤患者转出方案能有效降低家属迁移应激的水平和焦虑程度,提高家属照顾能力。

关键词: 重症监护病房, 肿瘤, 家属, 迁移应激

Abstract:

Objective To establish an intervention program for transferring ICU cancer patients,and to explore its effects on relocation stress of the family members. Methods A total of 52 family members of cancer patients who met the inclusion and exclusion criteria were recruited and divided into the intervention group（26 cases）and the control group（26 cases） randomly. Participants in the intervention group received relocation intervention program in addition to routine nursing,while the control group received routine nursing. Basic information questionnaire,the Family Relocation Stress Scale（FRSS）,the State Anxiety Inventory（SAI） and the Family Caregiver Task Inventory（FCTI） were used to investigate relocation stress,anxiety and care ability of the families before and after the intervention. Results Differences in basic information,relocation stress,anxiety and care ability of patients and their family members were not statistically significant between the intervention group and the control group before intervention（P>0.05）. After the intervention,there were significant differences between two groups in the total score of relocation stress and subscales of relocation stress,the degree of anxiety,the score of family care ability scale and its subscales（P<0.05）. Conclusion The relocation intervention program can effectively prevent the level of relocation stress,reduce anxiety and improve the care ability of family members of cancer patients after ICU transfer.

Key words: Intensive Care Units, Carcinoma, Family Members, Relocation Stress

赵静,陈蕾,李文莉,迟园园,衣香莉,强万敏. ICU肿瘤患者转出方案对家属迁移应激的影响研究[J]. 中华护理杂志, 2019, 54(2): 224-229.

ZHAO Jing,CHEN Lei,LI Wenli,CHI Yuanyuan,YI Xiangli,QIANG Wanmin. The effect of the intervention program for relocation on relocation stress in family members of cancer patients transferred from ICU[J]. Chinese Journal of Nursing, 2019, 54(2): 224-229.

图/表 4

表1 两组患者一般资料的比较[例(百分比,%)]

表2 两组患者家属一般资料的比较[名(百分比,%)]

表3 方案实施前后两组患者家属迁移应激水平的比较(分,$\bar{x}$±s)

表4 方案实施前后两组患者家属照顾能力的比较(分,$\bar{x}$±s)

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ICU肿瘤患者转出方案对家属迁移应激的影响研究

The effect of the intervention program for relocation on relocation stress in family members of cancer patients transferred from ICU

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