ICU临终患者家属预期性悲伤现状及其影响因素的横断面研究  

Status quo of anticipatory grief of the families of terminally ill patients in ICU and the influencing factor:a cross-sectional study

作　　者：郭红艳[1] 李永刚 王玉英[3] Guo Hongyan;Li Yonggang;Wang Yuying(Respiratory and critical care unit,Peking University First Hospital,Beijing,100034;Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing,100037;Miyun Hospital,Peking University First Hospital,Beijing,1001500,China)

机构地区：[1]北京大学第一医院呼吸和危重症医学科,北京100034 [2]中国医学科学院阜外医院,北京100037 [3]北京大学第一医院密云院区护理部,北京101500

出　　处：《现代临床护理》2022年第1期21-27,共7页Modern Clinical Nursing

摘　　要：目的探讨ICU临终患者家属的预期性悲伤现状及其影响因素,为制定ICU家属预期性悲伤干预措施提供参考依据。方法采用便利抽样法,2020年1月至12月在北京市某三级甲等综合医院ICU临终患者中选取家属160名,采用一般资料调查表、预期性悲伤量表(anticipatory grief scale,AGS)、中文版多伦多述情障碍量表-20(twenty-item Toronto alexithymia scale,Tas-20)、McGill生存质量量表(McGill quality of life questionnaire,MQOL)进行调查。结果共145名患者家属完成研究;ICU临终患者家属预期性悲伤得分为(87.37±8.31)分,述情障碍得分为(56.62±7.73)分,患者生存质量得分为(43.56±7.69)分;ICU临终患者家属预期性悲伤与述情障碍得分呈正相关(r=0.411,P<0.001),与患者生存质量呈负相关(r=-0.366,P<0.001)。多元回归分析结果显示,家属性别、年龄、与患者的关系、述情障碍和患者生存质量是ICU临终患者家属预期性悲伤的主要影响因素(均P<0.05),共解释方程变异的65.7%。结论ICU临终患者家属的预期性悲伤处于较高水平,ICU医护人员需关注重点人群,有针对性开展临终关怀干预,以帮助患者家属顺利度过困难时期,促进其身心健康。Objective To investigate the current status of anticipatory grief of the families of the terminally ill patients in ICU and its influencing factor so as to provide references for intervention of the grief.Methods The convenience sampling was used to select 160 family members of the terminally ill patients staying in ICU from a general hospital in Beijing during January to December,2020,for the survey that was inclusive of the Anticipatory Grief Scale(AGS),the Twenty-item Toronto Alexithymia Scale(Tas-20),McGill Quality of Life Questionnaire(MQOL).Results A total of 145 family members completed the survey.The scores of the anticipatory grief,alexithymia and quality of life were 87.37±8.31,56.62±7.73 and 43.56±7.69,respectively.The anticipatory grief was positively correlated with the alexithymia(r=0.411,P<0.001)and negatively with the quality of life(-0.366,P<0.001).By multivariate regression analysis,the main influencing factors of the anticipatory grief were the gender,age of the family members,the relation with the patients and the quality of life(all P<0.05),with an explained variance of 65.7%.Conclusions The anticipator grief is at a higher level.Medical staff work in ICU should pay attentions to the key patients,perform palliative care pertinently to help the family members through the hard times,and therefore to improve the physical and mental health of the family members.

关 键 词：预期性悲伤 述情障碍 生存质量 重症监护病房 临终 家属 横断面研究 

分 类 号：R47[医药卫生—护理学]