肝移植术后患者亲属心理需求的调查分析

Research on psychological needs of the relatives of patients after liver transplantation

目的:为保证肝移植术后患者得到优质的家庭支持;了解患者亲属的心理需求,为其提供心理调适及对策。方法:便利抽样法抽取2016年2月至2016年6月在天津市第一中心医院器官移植重症病房(transplantation intensive care unit,ICU)治疗的50例行肝移植手术的患者亲属为对象,采用中文版"危重患者家属需求量表"(critical care family needs inventory,CCFNI)对其进行问卷调查。结果:患者亲属对于五项领域需求排序依次为"病情保证领域"、"获得支持领域"、"获取信息领域"、"接近患者领域"、"自身的舒适度",平均分排序分别为(3.65±0.27)分、(3.28±0.25)分、(3.17±0.43)分、(2.78±0.65)分、(2.53±0.42)分。患者亲属认为最重要的项目排在前两位的是:"保证患者得到最佳的救治"和"医护人员能如实回答我的问题",皆属于"病情保证领域",平均分分别为(3.93±0.37)分、(3.73±0.41)分,差异具有统计学意义(P<0.05)。结论 :医护人员应重视和协调肝移植术后患者亲属的心理需求,减少其身心结构所受损伤,以帮助患者家庭应对移植手术的危机状态,保证顺利移植。

Objective： To understand the psychological needs of relatives of liver transplantation patients in order to ensure the high-quality family support for critically ill patients. Methods： By convenience sampling, 50 adult relatives of critically ill patients in organ transplantation intensive care units were enrolled to complete the Chinese version of Critical Care Family Needs Inventory（CCFNI）. Results： For both the importance level of the needs of the family members,the score of condition assurance（3.65 ±0.27） was the highest,The second of the four fields：respectively support area（3.28 ±0.25） and sufficiency in information（3.17 ±0.43）,access to the patients（2.78 ±0.65） and comfort（2.53±0.42）.Relatives said that some of the most important projects ：to ensure that patients receive the best treatment（3.93±0.37）and staff can answer their question（3.73±0.41）（P0.05）.Conclusion： Nursing staff should assess the objective demand of relatives of patients and ensure their mental and physical structure away from damage, create a harmonious doctor-patient relationship and successful transplantation.