ICU转出患者家属迁移应激与抗逆力的相关性研究

Correlation research of relocation stress and resilience in families of patients transferred from ICU

目的 调查ICU转出患者家属迁移应激和抗逆力水平现状,并分析两者间的相关性。方法 便利抽取河南省某三甲医院ICU转出患者家属200名,具体的调查工具为“ICU转出患者家属的迁移应激量表和抗逆力量表”,ICU转出患者家属迁移应激的影响因素的分析方法为相关性分析和多元线性回归分析。结果 ICU转出患者家属迁移应激总得分为(31.73±6.60)分,抗逆力总得分为(63.09±8.30)分,抗逆力总得分及各维度得分与家属迁移应激水平均呈负相关(P<0.001),影响ICU转出患者家属迁移应激水平的因素为照顾者文化程度、宗教信仰、ICU治疗时间及抗逆力总分。结论 ICU转出患者家属迁移应激处于中等水平,与抗逆力呈负相关。临床中应更加关注评估低学历、无宗教信仰、患者ICU治疗治疗时间长及抗逆力低的照顾者的迁移应激水平,以做到早期有效干预,降低其迁移应激水平。

Objective To investigate the current situation of relocation stress and resilience in the families of patients transferred from ICU, and analyze the correlation between them. Methods It was convenient to select 200 family members of patients transferred out of ICU from a third Class A hospital in Henan Province. The specific investigation tool was "Migration stress scale and stress resistance scale of family members transferred out of ICU". Correlation analysis and multiple linear regression analysis were used to analyze the influencing factors of migration stress of family members transferred out of ICU. Results The total score of families’ relocation stress was(31.73±6.60), The total score of resilience was(63.09±8.30). The total resilience score and all dimension scores were negatively correlated with the families’ relocation stress level. The factors that affected the families’ relocation stress level were educational level, religious belief, duration of ICU treatment and total resilience score(P<0.001). Conclusion The families’ relocation stress level was moderate, and was negatively correlated with resilience.In clinical practice, more attention should be paid to assessing the relocation stress level of families with low education, no religious belief, long ICU treatment time and low resilience level, so as to achieve early and effective intervention and reduce their relocation stress level.