心脏外科ICU患者家属心理状况调查及干预对策的研究

Research of mental disorder in family members of patients and intervention strategies in cardiovascular surgical ICU

目的调查入住心脏外科ICU患者家属的心理状况，分析可能的相关因素，提出预防及干预措施。方法采用症状自评量表（SCL-90）对人住心脏外科ICU的100名患者家属进行问卷调查，对所得数据进行统计和分析。结果本组100名患者家属SCL-90所得总均分为（173．46±0．87）分，高于国内常模的总分（160．00±0．87）分，差异有统计学意义（t=2．500，P〈0．05），患者家属普遍存在焦虑、抑郁、躯体化等心理，差异有统计学意义（t分别为2．298、2．522、3．128、2．801、6．379，P〈0．05或P〈0．01）。结论入住心脏外科ICU的患者家属存在焦虑、抑郁、躯体化等心理问题，ICU护士在工作中应加强对入住ICU患者家属的心理支持、信息支持和社会支持。

Objective To investigate the mental state of ICU patients＇ families, analyze related factors, research on prevention and intervention measures. Methods 100 families in cardiac surgery ICU were investigated by questionnaire （ SCL-90）, and SPSS 15.0 software was used in data entry, statistics and analysis. Results In this survey, 100 cases samples according to the total proceeds are divided into SCL-90 （ 173.46 ±0. 87）, higher than the national norm of （ 160.00 ± 0.87）, the difference was statistically significant （t=2. 500,P 〈 0. 05 ）. Study objects were prevalence in anxiety, depression, somatization, etc. the difference was statistically significant （t = 2. 298,2. 522,3. 128,2. 801,6. 379 ; P 〈0. 05 or P 〈 0.01 ）. Conclusions Family members of ICU patients outside were in anxiety, depression, somatization, and other psychological problems. Heart-ICU nurse at work should be strengthened in ICU patients＇ relatives of psychological support, information support and community support.