叙事教育对ICU患者照顾者出科准备度与应激压力及患者应激障碍的影响  

Impact of narrative education on transition readiness and stress of caregivers and post-traumatic stress disorder of ICU patients

作　　者：戴力维 王磊[1] 杨婷[1] 宋艳[1] 刘浩[1] Dai Liwei;Wang Lei;Yang Ting;Song Yan;Liu Hao(Department of Critical Care Medicine,First Affiliated Hospital of Harbin Medical University,Harbin 150007,China)

机构地区：[1]哈尔滨医科大学附属第一医院重症医学科,黑龙江哈尔滨150007

出　　处：《护理学杂志》2023年第4期91-95,共5页Journal of Nursing Science

摘　　要：目的提高ICU患者照顾者出科准备度水平、降低其应激压力及患者应激障碍发生率。方法将60例ICU患者按入院时间段分为对照组与干预组各30例。对照组对患者照顾者实施ICU常规健康教育及心理支持等干预;干预组采用叙事教育干预,包括成立叙事教育小组、制作短视频、建立交流平台等,由专人负责实施与质控。结果干预组患者照顾者出科准备度水平显著高于对照组、应激压力得分及患者创伤后应激障碍发生率显著低于对照组(均P<0.05)。结论叙事教育干预可有效提高ICU患者照顾者转出准备度水平、降低其转科应激压力及患者创伤后应激障碍发生率。Objective To improve transition readiness and alleviate stress of family caregivers of ICU patients, and to reduce the incidence of post-traumatic stress disorders(PTSD) in patients. Methods Sixty critical care patients were chronologically assigned to control or intervention groups, with 30 in each. The control group was given usual health education and psychological support, whereas the intervention group received narrative education, including forming a narrative education team, making short-form videos, establishing a communication platform, etc. The intervention was implemented and monitored by a designated nurse. Results The intervention group reported significantly higher level of transition readiness and milder stress compared with the controls(both P<0.05). The incidence of PTSD in patients in the intervention group was significantly lower than that in the control group(P<0.05). Conclusion Narrative education can effectively improve family members′ readiness for transition from ICU to general ward and alleviate their relocation stress, as well as reduce the incidence of PTSD in patients.

关 键 词：重症患者 重症监护病房 家属 主要照顾者 叙事教育 准备度 应激压力 

分 类 号：R473[医药卫生—护理学] G479[医药卫生—临床医学]