ICU转出脑卒中患者家属迁移应激的影响因素分析

The status and influencing factors of migration stress of family members of stroke patients transferred out from ICU

目的:分析脑卒中患者ICU转出时影响家属迁移应激水平的因素。方法:选择2019年12月至2021年12月ICU病房收治的脑卒中患者家属228名,采用家属迁移应激量表进行问卷调查,采用多元线性回归分析影响家属迁移应激的因素。结果:ICU转出脑卒中患者家属迁移应激总分为(54.04±10.35)分,迁移准备、家属压力、患者自护能力以及迁移满意度各维度得分分别为(18.18±5.36)分、(12.00±3.12)分、(17.76±3.81)分和(6.10±1.47)分。多元线性回归分析结果显示,患者首次入住ICU、入住ICU时长、家属年龄、与患者关系(夫妻)、家属文化程度(大专及以上)均是家属迁移应激的影响因素(P<0.05)。结论:ICU脑卒中患者转出ICU时家属迁移应激水平处于中等水平,受患者是否首次入住ICU、入住时长、家属年龄及文化程度等因素影响,护理人员应根据家属人群特点有针对性地采取干预措施降低其迁移应激水平。

Objective:To analyze the factors influencing migration stress level of family members of stroke patients who transferred out from ICU.Methods:A total of 228 family members of stroke patients admitted to the ICU ward from December 2019 to December 2021 were included.The family relocation stress scale was used to conduct a questionnaire survey.Multiple linear regression was used to analyze the factors affecting migration stress of family members.Results:The total score of migration stress of family members of stroke patients transferred out of ICU was 54.04±10.35,and the scores of migration preparation,family stress,patient self-care ability and migration satisfaction were 18.18±5.36,12.00±3.12,17.76±3.81 and 6.10±1.47,respectively.Multiple linear regression analysis showed that patients′first stay in ICU,duration of stay in ICU,the age of family members,family members′relationship with patient(couple),and family members′educational level(college degree or above)were significant influencing factors of family migration stress(P<0.05).Conclusion:The migration stress level of family members of stroke patients was at a moderate level when patients were transferred out of ICU.The migration stress level was affected by factors such as whether the patients admitted to the ICU for the first time,the duration of stay in the ICU,and the age and education level of family members.Nursing staff should take targeted intervention measures to reduce the migration stress level according to the characteristics of family members.