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论著·临床研究 | 更新时间:2024-08-05
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神经系统疾病危重症患者家属ICU后综合征发生现状及其影响因素
Current status of the occurrence of post⁃intensive care syndrome in family members of critically ill patients with nervous system diseases and its influencing factors

广西医学 页码:847-853

作者机构:杜金伟,在读硕士研究生,研究方向为神经危重症护理。

基金信息:辽宁省科学技术计划项目(2023012074⁃JH3/4600)

DOI:10.11675/j.issn.0253-4304.2024.06.11

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目的 分析神经系统疾病危重症患者家属ICU后综合征(PICS⁃F)发生现状及其影响因素。方法 选取204例神经外科ICU患者的家属作为研究对象。采用一般资料调查表、创伤后应激障碍量表⁃平民版、疲劳严重度量表、医院焦虑抑郁量表、匹兹堡睡眠质量指数进行调查,采用Logistic回归模型分析神经系统疾病危重症患者家属发生PICS⁃F的影响因素。结果 204例神经系统疾病危重症患者家属中,有146例(71.57%)患者家属发生PICS⁃F。Logistic回归分析结果显示,性别、文化程度、月收入、与患者的关系、患者ICU住院时长是神经系统疾病危重症患者家属发生PICS⁃F的影响因素(P<0.05)。结论 神经系统疾病危重症患者家属的PICS⁃F发生率高,性别、文化程度、月收入、与患者的关系、患者ICU住院时长是患者家属发生PICS⁃F的影响因素。临床医务人员应重点关注高风险患者家属的生理和心理健康问题,及时采取积极的干预措施,降低PICS⁃F的发生风险。

Objective To analyze the current status of the occurrence of post⁃intensive care syndrome⁃family (PICS⁃F) of critically ill patients with nervous system diseases and its influencing factors. Methods A total of 204 family members of patients admitted in neurosurgical ICU were selected as the research subjects. The general data inventory, Post⁃Traumatic Stress Disorder Checklist⁃Civilian, Fatigue Severity Scale, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index were used to perform investigation. The Logistic regression model was employed to analyze the influencing factors for family members of critically ill patients with nervous system diseases suffering from PICS⁃F. Results There were 146 (71.57%) family members suffering from PICS⁃F among 204 family members of critically ill patients with nervous system diseases. The results of Logistic regression analysis revealed that gender, educational level, monthly income, relationship with patients, and length of patients' ICU stays were the influencing factors for family members of critically ill patients with nervous system diseases suffering from PICS⁃F (P<0.05). Conclusion Family members of critically ill patients with nervous system diseases obtain a high incidence rate of PICS⁃F, and gender, educational level, monthly income, relationship with patients, length of patients' ICU stays are the influencing factors for family members of patients suffering from PICS⁃F. The clinical medical and nursing personnel should focus on the physical and mental health of high⁃risk family members of patients, take active intervention measures in time, and reduce the occurrence risk of PICS⁃F.

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