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

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