赋能心理护理对ICU患者家属心理压力及应对方式的影响

Influence of empowerment-based psychological nursing on psychological stress and coping style of ICU patients’ families

目的探讨赋能心理护理对ICU患者家属心理压力及应对方式的影响。方法选取2017年1月—12月ICU重症患者家属120例,随机分为观察组和对照组,各60例。对照组行常规心理护理,观察组在对照组基础上实施赋能心理护理,比较2组干预前后自我效能感量表(GSES)、特质性应对方式量表(TCSQ)及中文版知觉心理压力量表(CPSS)评分。结果干预后,观察组自我效能评分、积极应对方式评分均高于对照组(P<0.05),而消极应对方式评分低于对照组(P<0.01)。干预后,观察组CPSS量表紧张感、失控感及心理压力总评分均低于对照组(P<0.01)。结论赋能心理干预能有效提高ICU重症患者家属自我效能,使家属能积极面对患者病情,减轻患者家属心理负担。

Objective To investigate the effect of empowerment-based psychological nursing on psychological stress and coping style of ICU patients' families. Methods Totally 120 family caregivers of ICU patients were assigned to the observation group and the control group, with 60 cases in each group. All family caregivers received routine psychological care, and those in the observation group were given an empowerment-based psychological intervention. All family caregivers were investigate by the General Self-efficacy Scale (GSES), Trait Cooping Style Questionnaire(TCSQ) and Chinese Perceived Stress Scale (CPSS). Results Family caregivers in the observation group achieved higher scores in GSES, higher positive coping style of TCSQ and lower negative coping style of TCSQ compared with those in the control group ( P <0.05). The scores of sense of tension, sense of out of control and total score of CPSS were lower in the observation group than those in the control group ( P <0.01). Conclusion The empowerment-based psychological nursing is potentially effective to improve the positive coping style and relieve the psychological stress of ICU patients' families.