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...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。展开更多
BACKGROUND The mental well-being of individuals with coronary heart disease(CHD)during the intensive care unit(ICU)transition period is a multifaceted and significant concern.In this phase,the individuals might encoun...BACKGROUND The mental well-being of individuals with coronary heart disease(CHD)during the intensive care unit(ICU)transition period is a multifaceted and significant concern.In this phase,the individuals might encounter psychological challenges like anxiety and depression,which can impede their recuperation and potentially have lasting effects on their health.AIM To investigate the correlation among psychological factors in CHD patients in the ICU transition period.METHODS A questionnaire survey was conducted with 119 patients admitted to the ICU after coronary artery bypass grafting between March and December 2023.Variations in Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD),Fear of Progression Questionnaire-Short Form(Fop-Q-SF),and Social Support Rating Scale(SSRS)were collected and analyzed among diverse populations.We used Pearson’s correlation analysis to examine the correlation.Multiple linear regression analysis was used to explore whether these indicators influenced depression and anxiety in the patients.RESULTS The total scores for anxiety,depression,fear of disease progression,and social support were(7.50±1.41)points,(8.38±1.62)points,(35.19±8.14)points,and(36.34±7.08)points,respectively(P<0.05).Multivariate regression analysis showed that both the level of disease progression and social support affected the level of postoperative depression and anxiety in patients.CONCLUSION The anxiety and depression levels were positively related to each dimension of phobia disease progression and negatively related to each dimension of social support among patients with CHD.展开更多
文摘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。
文摘BACKGROUND The mental well-being of individuals with coronary heart disease(CHD)during the intensive care unit(ICU)transition period is a multifaceted and significant concern.In this phase,the individuals might encounter psychological challenges like anxiety and depression,which can impede their recuperation and potentially have lasting effects on their health.AIM To investigate the correlation among psychological factors in CHD patients in the ICU transition period.METHODS A questionnaire survey was conducted with 119 patients admitted to the ICU after coronary artery bypass grafting between March and December 2023.Variations in Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD),Fear of Progression Questionnaire-Short Form(Fop-Q-SF),and Social Support Rating Scale(SSRS)were collected and analyzed among diverse populations.We used Pearson’s correlation analysis to examine the correlation.Multiple linear regression analysis was used to explore whether these indicators influenced depression and anxiety in the patients.RESULTS The total scores for anxiety,depression,fear of disease progression,and social support were(7.50±1.41)points,(8.38±1.62)points,(35.19±8.14)points,and(36.34±7.08)points,respectively(P<0.05).Multivariate regression analysis showed that both the level of disease progression and social support affected the level of postoperative depression and anxiety in patients.CONCLUSION The anxiety and depression levels were positively related to each dimension of phobia disease progression and negatively related to each dimension of social support among patients with CHD.
