以联络护士为主导的转出方案对神经外科ICU患者家属转科应激的影响

Effect of liaison nurse-led relocation program on the relocation stress in family members of neurosurgery patients after ICU transfer

目的:探讨以联络护士为主导的转出方案对神经外科ICU患者家属转科应激的影响。方法:将90例神经外科ICU重症患者及家属按照随机数字表法分为研究组和对照组各45例,对照组给予常规转科护理,研究组实施基于联络护士为主导的转出方案。采用ICU转出患者家属应激压力评估量表、中文版家属照顾者照顾能力量表评价转出方案实施前后2组患者家属转科应激水平和家属照顾能力。结果:转出后,研究组家属转科分离焦虑、环境改变、护理模式改变、转科过程安全性、照顾能力自我效能得分以及转科应激总分分别为(15.20±2.42)、(7.14±1.63)、(7.68±2.12)、(7.10±1.73)、(8.25±1.94)、(49.69±6.96)分,对照组分别为(16.93±4.19)、(9.42±2.31)、(10.53±2.64)、(8.06±2.12)、(10.39±1.62)、(42.56±4.68)分,2组比较差异有统计学意义(t值为2.400~5.678,P<0.05)。转出后,研究组家属适应照顾角色、应变及提供协助、处理个人情绪、评估家人及社区资源、调整生活以满足照顾需求得分以及照顾能力总分分别为(4.16±0.66)、(5.28±0.73)、(3.51±0.65)、(3.99±0.83)、(4.52±1.07)、(21.46±1.73)分,对照组分别为(7.63±1.30)、(6.82±1.08)、(4.94±0.94)、(5.08±1.09)、(7.17±1.51)、(31.65±3.09)分,2组比较差异有统计学意义(t值为5.343~19.268,P<0.05)。结论:对神经外科ICU患者实施以联络护士为主导的转出方案能有效降低家属转科应激水平和提高家属照顾能力。

Objective To investigate the effect of liaison nurse-led relocation program on the relocation stress in family members of neurosurgery patients after ICU transfer.Methods A total of 90 neurosurgery patients and family members were randomly divided into study group(45 cases)and control group(45 cases).Participants in the control group received routine nursing,while the study group carried out liaison nurse-led relocation program.Family relocation stress scale and family caregiver task inventory-Chinses version was used to assessed relocation stress,care ability of the families before and after intervention.Results After intervention,the scores of separation anxiety,environmental changes,nursing model changes,the safety of transfer,self-efficacy of care ability and total relocation stress scores were 15.20±2.42,7.14±1.63,7.68±2.12,7.10±1.73,8.25±1.94 and 49.69±6.96 in the study group,those scores were 16.93±4.19,9.42±2.31,10.53±2.64,8.06±2.12,10.39±1.62 and 42.56±4.68 in the control group.The scores of separation anxiety,environmental changes,nursing model changes,the safety of transfer,self-efficacy of care ability and total relocation stress scores were lower in the study group compared to the control group(t value was 2.400-5.678,P<0.05).After intervention,the scores of FCTI such as care role,strain and provide assistance,handle personal emotions,assess family and community resources and adjust life to meet care needs and total scores were 4.16±0.66,5.28±0.73,3.51±0.65,3.99±0.83,4.52±1.07 and 21.46±1.73 in the study group,those scores were 7.63±1.30,6.82±1.08,4.94±0.94,5.08±1.09,7.17±1.51 and 31.65±3.09 in the control group.The scores of care role,strain and provide assistance,handle personal emotions,assess family and community resources and total FCTI scores significantly decreased in the study group compared to the control group(t value was 5.343-19.268,P<0.05).Conclusion The liaison nurse-led relocation program can effectively prevent the level of relocation stress and improve the care ability of family members of neurosurgery patients after ICU transfer.