神经外科监护室转出脑出血患者家属迁移应激现状及影响因素  

Current status and influencing factors of migration stress in family members of patients with cerebral hemorrhage transferred from neurosurgical intensive care unit

作　　者：颜小凤 尹心红 谭修竹 冯静 YAN Xiaofeng;YIN Xinhong;TAN Xiuzhu;FENG Jing(School of Nursing,Hengyang Medical School,University of South China,Hu′nan Province,Hengyang421001,China)

机构地区：[1]南华大学衡阳医学院护理学院,湖南衡阳421001

出　　处：《中国当代医药》2022年第13期149-152,156,共5页China Modern Medicine

基　　金：湖南省研究生教学平台项目(湘教通[2019]370号248);湖南省社会科学成果评审委员会重点课题(XSP20ZDI007);湖南省普通高校教学改革研究项目(湘教通[2019]291号457);南华大学“医院管理研究与改革”课题(2018YY GL08)。

摘　　要：目的探讨神经外科监护室(NSICU)转出脑出血患者家属迁移应激现状及影响因素。方法选取2020年12月至2021年6月南华大学附属第一医院收治的97名NSICU转出脑出血患者家属作为研究对象,采用一般资料调查表、重症监护室(ICU)转出患者家属迁移应激量表分析NSICU转出脑出血患者家属迁移应激现状及影响因素。结果NSICU转出脑出血患者家属迁移应激总分为(46.10±4.50)分。3个维度的条目均分由高到低分别是对治疗条件和环境变化的认识[(2.80±0.29)分]、ICU转出的焦虑[(2.73±0.44)分]、对病人病情认识[(2.64±0.39)分]。单因素分析结果显示,不同性别、患者意识、ICU总治疗时间的患者家属的迁移应激总分比较,差异有统计学意义(P<0.05)。多元线性回归分析结果显示,家属性别(X_(1))、患者意识(X_(2))、ICU总治疗时间(X_(3))是患者家属迁移应激的独立危险因素(P<0.05)。方程为Y=37.797+2.294(X_(1))+0.676(X_(2))+1.449(X_(3))。结论NSICU转出脑出血患者家属存在中等水平的迁移应激,与家属性别、患者意识及ICU总治疗时间有关。Objective To investigate the status and influencing factors of migration stress in family members of patients with cerebral hemorrhage transferred from neurosurgical intensive care unit(NSICU).Methods A total of 97 family members of NSICU patients with intracerebral hemorrhage who were admitted to the First Affiliated Hospital of Nanhua University from December 2020 to June 2021 were selected as research subjects.The status and influencing factors of migration stress in family members of NSICU patients with intracerebral hemorrhage were analyzed by general data questionnaire and migration stress scale of family members of patients transferred from intensive care unit(ICU).Results The total migration stress score of NSICU transferred cerebral hemorrhage patients′families was(46.10±4.50)points.The average score of the three dimensions from high to low was the recognition of treatment conditions and environmental changes([2.80±0.29]points),anxiety of ICU transfer([2.73±0.44]points),and knowledge of patients′condition([2.64±0.39]points).Univariate analysis results showed that there was statistically significant difference in the migration stress scores of family members of patients with different gender,patient consciousness and total ICU treatment duration(P<0.05).Multiple liner regression analysis showed that gender of family members(X_(1)),patient consciousness(X_(2))and ICU treatment duration(X_(3))were independent risk factors for migration stress of family members(P<0.05).Equation was Y=37.797+2.294(X_(1))+0.676(X_(2))+1.449(X_(3)).Conclusion There is a moderate level of migration stress in the family members of patients with cerebral hemorrhage transferred from the neurosurgical care unit,which is related to the gender of the family members,the consciousness state of the patients and the total treatment time in ICU.

关 键 词：脑出血 神经外科监护室 家属 迁移应激 

分 类 号：R743.34[医药卫生—神经病学与精神病学]