EICU患者家属创伤后成长与社会支持的关系及影响

The Relationship and Impact of Post-Traumatic Growth and Social Support Among Family Members of EICU Patients

目的探讨急诊重症监护室(emergency intensive care unit,EICU)住院患者家属创伤后成长的影响因素及其与社会支持水平的相关性。方法选择2020年6月—2023年6月南通大学附属医院EICU 80名住院患者的家属作为研究对象。采用创伤后成长评定量表以及社会支持评定量表评价EICU住院患者家属创伤后成长水平及社会支持水平。分析患者家属创伤后成长水平与社会支持水平的相关性,并对患者家属创伤后成长水平的影响因素进行单因素、多因素logistic回归分析。结果80名EICU住院患者家属创伤后成长水平评分为(60.53±13.02)分,其中得分最高维度为与他人关系,其次为个人力量。经单因素分析可见,患者家属不同性别、学历、与患者关系、急性生理学和慢性健康状况评价Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)评分的创伤后成长水平评分比较,差异有统计学意义(P<0.05)。家属社会支持水平评分均低于国内常模(P<0.05)。经Pearson相关性分析,EICU住院患者家属创伤后成长水平与社会支持水平呈正相关(P<0.05)。经多因素分析可见,性别、学历、患者APACHEⅡ评分与社会支持水平是ICU住院患者家属创伤后成长的独立影响因素(P<0.05)。结论性别、学历、患者APACHEⅡ评分与社会支持水平是EICU住院患者家属创伤后成长的影响因素,临床应增强对患者家属关注度,积极鼓励家属缓解负面情绪,提升创伤后成长水平。

Objective To explore the influencing factors of post-traumatic growth of family members of hospitalized patients in the emer gency intensive care unit(EICU)and their correlation with social support levels.Methods A total of 80 family members of EICU inpatients in Affiliated Hospital of Nantong University from June 2020 to June 2023 were selected as the research subjects.The general information questionnaire,post-traumatic growth assessment scale,and social support assessment scale were used to evaluate the post-traumatic growth level and social support level of EICU inpatient family members.The correlation between the posttraumatic growth level of patient family members and social support level was analyzed,and the influencing factors of the post-traumatic growth level of patient family members were univariate multivariate logistic regression analysis.Results The post-traumatic growth level score of the family members of 80 EICU inpatients was(60.53±13.02)points,with the highest scoring dimension being relationships with others,followed by personal strength.Through univariate analysis,it can be seen that the post-traumatic growth level score of the patient's family members with different gender,education,relationship with the patient,acute physiology and chronic health evaluationⅡ(APACHEⅡ)score was compared.The difference was statistically significant(P<0.05).The social support scores of the families of 80 EICU inpatients were lower than the domestic norm(P<0.05).According to Pearson correlation analysis,the level of post-traumatic growth of family members of EICU patients was positively correlated with the level of social support(P<0.05).Through multiple factor analysis,it can be seen that gender,education level,APACHEⅡscore of patients,and social support level are independent influencing factors for the posttraumatic growth of family members of EICU inpatients(P<0.05).Conclusion Gender,educational background,patient APACHEⅡscore and social support level are influencing factors for the post-traumatic growth of EICU inpatient family members.Clinical attention should be increased to the patient's family members,actively encouraging them to alleviate negative emotions and improving their posttraumatic growth level.