摘要危重症患者是指病情严重,随时可能危及生命的患者。重症监护病房(intensive care unit,ICU)所收治的均为急危重症患者,而危重疾病和入住ICU是一种严重的应激,一方面患者病情凶险,家属承受着即将失去亲人的心理压力;另一方面入住ICU给往往给患者家属造成沉重的经济负担。因而家属往往较患者承担着更加沉重的精神压力和心理压力。
1Hickman RL Jr,Douglas SL.Impact of chronic critical illness on the psychological outcomes of family members[J].AACN Adv Crit Care,2010,21(1):80-91.
2Rittman M,Hinojosa MS,Findley K.Subjective sleep,burden,depression,and general health among caregivers of veterans poststroke[J].J Neurosci Nurs,2009,41(1):39-52.
3Little A,Ethier C,Ayas N,et al.A patient survey of sleep quality in the intensive care unit[J].Minerva Anesthesiol,2012,78(4):406-414.
5Day A,Haj-Bakri S,Lubchansky S,et al.Sleep,anxiety and fatigue in family members of patients admitted to the intensive care unit:a questionnaire study[J].Crit Care,2013,17(3):91-98.
7Mc Adam JL,Puntillo K.Symptoms experienced by family members of patients in intensive care units[J].Am J Crit Care,2009,18(3):200-209.
8Pochard F,Darmon M,Fassier T,et al.Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death:a prospective multicenter study[J].J Crit Care,2005,20(1):90-96.
9Frazier A,Frazier H,Warren NA.A discussion of family-centered care within the pediatric intensive care unit[J].Crit Care Nurs Q,2010,33(1):82-86.