摘要
目的探讨认知行为干预对ICU转出患者家属迁移应激及照顾者负担的影响。方法选取2017年3月~2018年9月于成都市第一人民医院重症医学科经治疗好转并转出的94例患者家属为研究对象,按随机数字表法分为干预组和对照组,各组47例。两组家属均接受常规转出护理,干预组在此基础上给予认知行为干预,分别于转出前和转出第1、5天采用ICU转出患者家属迁移应激量表、主要照顾者负担量表评估两组家属的迁移应激水平和负担水平。结果两组转出第1、5天的迁移应激水平评分比较,差异有统计学意义(P<0.05)。干预组转出第1、5天的迁移应激水平评分低于转出前,转出第5天的迁移应激水平评分低于转出第1天,差异有统计学意义(P<0.05)。对照组转出第5天的迁移应激水平评分低于转出前、转出第1天,差异有统计学意义(P<0.05)。两组转出第5天的主要照顾者负担水平评分比较,差异有统计学意义(P<0.05)。两组转出第5天的主要照顾者负担水平评分均高于转出前,差异有统计学意义(P<0.05)。结论认知行为干预可明显改善ICU转出患者家属的迁移应激水平和照顾者负担水平,具有积极的临床意义。
Objective To investigate effect of cognitive behavioral intervention on relocation stress and caregiver burden of family members of ICU transferred patients.Methods The family members of 94 patients admitted to the Chengdu First People′s Hospital from March 2017 to September 2018 and who had been treated and improved were selected as subjects.They were divided into intervention group and control group according to random number table method,each group of 47 cases.Both families was received routine transfer care,and cognitive behavior intervention was applied in intervention group on the basis of this.The relocation stress level and caregiver burden level of family members in two groups were assessed by ICU family relocation stress scale and main caregiver burden scale before transfer and on the 1st and 5th day after transfer.Results There was significant difference in relocation stress scores between two groups on the 1st and 5th day after transfer (P < 0.05).The relocation stress level score of intervention group on the 1st and 5th day of transfer was lower than that before transfer,and relocation stress level score of intervention group on the 5th day of transfer was lower than that on the 1st day of transfer,with statistical significance (P < 0.05).The relocation stress level score of control group on the 5th day after transfer was lower than that before transfer and on the 1st day after transfer,and the difference was statistically significant (P < 0.05).There was a significant difference in burden level of the main caregivers between two groups on the 5th day of transfer (P < 0.05).The burden level score of the main caregivers of two groups on the 5th day of transfer was higher than that before transfer,and the difference was statistically significant (P < 0.05).Conclusion Cognitive behavioral intervention can significantly improve relocation stress level and caregivers burden level of ICU patients′ family members,which has positive clinical significance.
作者
陈婧
石艳
郑洁
唐玲
曾敏
CHEN Jing;SHI Yan;ZHENG Jie;TANG Ling;ZENG Min(Department of Critical Care Medicine,Chengdu First People′s Hospital,Sichuan Province,Chengdu 610000,China)
出处
《中国医药导报》
CAS
2019年第22期185-188,共4页
China Medical Herald
基金
四川省科技支撑计划项目(20140152)
关键词
认知行为干预
ICU转出患者
迁移应激
照顾者负担
Cognitive behavioral intervention
Transferred patients from ICU
Relocation stress
Caregivers burden
