摘要
目的调查ICU意识障碍(Doc)患者家属焦虑、抑郁情况及影响因素。方法选择2018年1~12月在我院ICU治疗的意识障碍患者60例的家属为调查对象。调查患者家属焦虑及抑郁情绪,分析影响患者家属焦虑抑郁的相关因素。结果(1)家属抑郁评分(13.2±3.5)分,家属焦虑评分平均(14.8±3.8)分。(2)单因素分析结果显示,家属年龄、职业、文化程度、与患者关系、月收入、工作状态、患者病程、昏迷时间、医疗费用来源是影响家属焦虑的相关因素(P<0.05)。多因素分析结果显示,家属年龄高、文化程度高、离退休、患者昏迷时间长是焦虑的保护因素(P<0.05)。(3)单因素分析结果显示,家属年龄、职业、文化程度、与患者关系、月收入、工作状态、患者病程、昏迷时间、医疗费用来源是影响患者抑郁的相关因素(P<0.05)。多因素分析结果显示,家属年龄高、文化程度高、公费医疗、昏迷时间长、月收入是家属抑郁的保护因素(P<0.05)。结论分析ICU意识障碍(Doc)患者家属焦虑、抑郁情况,年龄、文化程度、职业、月收入、工作状态、患者病程、昏迷时间、医疗费用来源等是影响家属焦虑抑郁情绪的相关因素。
Objective To investigate the anxiety,depression and influencing factors of family members of ICU patients with disturbance of consciousness(Doc).Methods A family of 60 patients with disturbance of consciousness who were treated in our hospital from January to December 2018 were selected as subjects.The anxiety and depression of the family members of the patients were investigated,and the related factors that affect the anxiety and depression of the family members were analyzed.Results(1)The family's depression score was(13.2±3.5)points,and anxiety score averaged(14.8±3.8)points.(2)Univariate analysis showed that family age,occupation,education level,relationship with patients,monthly income,working status,and patient’duration,coma time and medical expenses were the factors affecting family anxiety(P<0.05).Multivariate analysis showed that family members with older age,high level of education,retirement,and patients with coma for a long term were protective factors of anxiety(P<0.05).(3)Univariate analysis showed that family age,occupation,education level,relationship with patients,monthly income,working status,patient duration,coma time,and medical expenses were the relevant factors affecting patients'depression(P<0.05).Multivariate analysis showed that family members with older age,high level of education,public medical care,long coma,and monthly income were protective factors for family depression(P<0.05).Conclusion Analysis of anxiety and depression of family members of Doc patients in ICU.Age,education level,occupation,monthly income,working status,course of disease,coma time,source of medical expenses and so on are the related factors that affect the anxiety and depression of family members.
作者
苏彩燕
何玲君
崔可
SU Caiyan;HE Lingjun;CUI Ke(Department of Critical Care Medicine,Taizhou Hospital in Zhejiang Province,Linhai 317000,China;Department of Pediatrics,Taizhou Hospital in Zhejiang Province,Linhai 317000,China)
出处
《中国现代医生》
2020年第12期110-113,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2019PY091)。
关键词
ICU
意识障碍
焦虑
抑郁
ICU
Disturbance of consciousness
Anxiety
Depression
