ICU患者家属发生焦虑的影响因素分析

Analysis on influence factors of anxiety occurrence in family members of ICU patients

目的探讨重症监护病房(ICU)患者家属发生焦虑的影响因素。方法 2014年9月至2015年9月采用随机抽样法选取该科191例重症患者家属,对其进行Zung焦虑自评量表(SAS)和自制《患者家属基本信息调查表》问卷调查。结果 (1)筛查出有焦虑症状患者家属121例,占63.35%,其中轻度68例(35.60%),中度40例(20.94%),重度13例(6.81%)。(2)性别、经济能力、文化程度与ICU患者家属焦虑程度相关(r=0.837、0.619、0.875,P=0.013 0、0.0010、0.000 7);(3)多分类logistic回归分析显示,性别、经济状况及文化程度对ICU患者家属焦虑程度均有影响(P<0.01),经济状况较好对ICU患者家属焦虑程度无影响(P=0.082)。结论在临床工作中,重症患者家属在患者入住ICU后,普遍有焦虑情绪,采取相应的心理护理干预能增强家属的信心,加强重症患者的家庭支持能力,从而体现"以人为本、无缝隙护理"的理念。

Objective To study the influence factors of anxiety occurrence in family members of ICU patients.Methods The random sampling method was adopted to extract191family members of ICU patients in the First Affiliated Hospital of Chongqing Medical University from September2014to September2015.They conducted the questionnaire survey by the Zung Self-rating Anxiety Scale(SAS)and self-made《Patient′s Family Members Basic Information Questionnaire》.Results(1)One hundred and twenty-one cases of family member had the anxiety symptom by screening,accounting for69.1%,among them,68cases(35.60%)were mild,40cases(20.94%)were moderate and13cases(6.80%)were severe.(2)The gender,economic ability and education level were correlated with the anxiety degree in the family members of ICU patients(r=0.837,0.619,0.875,P=0.0130,0.0010,0.0007);(3)the multi-classification Logistic regression analysis showed that the gender,economic status and culture level had the influence on the anxiety degree in the family members of ICU patients(P<0.01),while better economic condition had no influence on the degree of anxiety in the family members of ICU patients(F=0.082).Conclusion In clinical work,the family members generally have the anxiety emotion after the patients entering ICU,and adopting the corresponding nursing care intervention can enhance the confidence of family members,and strengthen the family supporting power in critical patients,thus embodies the concept of people-oriented and seamless nursing.