ICU肿瘤患者转出方案对家属迁移应激的影响研究
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摘要
目的制订ICU肿瘤患者转出方案,并探讨其对降低家属迁移应激水平的影响。方法选择符合纳入标准的52例ICU肿瘤患者家属,随机分成两组,试验组26例,对照组26例。试验组在常规护理的基础上,实施以ICU肿瘤患者和家属为中心、由迁移联络护士为主导的ICU肿瘤患者转出方案,对照组实施常规护理。采用基本情况调查表、家属迁移应激量表、状态焦虑量表、家属照顾能力量表调查ICU肿瘤患者转出方案实施前后ICU患者家属的迁移应激水平、焦虑程度及家属照顾能力。结果方案实施前,两组患者和家属基本情况、迁移应激水平、焦虑和照顾能力方面,差异无统计学意义(P>0.05)。方案实施后,两组家属迁移应激总分和各维度得分、焦虑程度、照顾能力量表总分和分量表得分的比较,差异有统计学意义(P<0.05)。结论实施ICU肿瘤患者转出方案能有效降低家属迁移应激的水平和焦虑程度,提高家属照顾能力。
Objective To establish an intervention program for transferring ICU cancer patients,and to explore its effects on relocation stress of the family members. Methods A total of 52 family members of cancer patients who met the inclusion and exclusion criteria were recruited and divided into the intervention group(26 cases)and the control group(26 cases) randomly. Participants in the intervention group received relocation intervention program in addition to routine nursing,while the control group received routine nursing. Basic information questionnaire,the Family Relocation Stress Scale(FRSS),the State Anxiety Inventory(SAI) and the Family Caregiver Task Inventory(FCTI) were used to investigate relocation stress,anxiety and care ability of the families before and after the intervention. Results Differences in basic information,relocation stress,anxiety and care ability of patients and their family members were not statistically significant between the intervention group and the control group before intervention(P>0.05). After the intervention,there were significant differences between two groups in the total score of relocation stress and subscales of relocation stress,the degree of anxiety,the score of family care ability scale and its subscales(P<0.05). Conclusion The relocation intervention program can effectively prevent the level of relocation stress,reduce anxiety and improve the care ability of family members of cancer patients after ICU transfer.
Objective To establish an intervention program for transferring ICU cancer patients,and to explore its effects on relocation stress of the family members. Methods A total of 52 family members of cancer patients who met the inclusion and exclusion criteria were recruited and divided into the intervention group(26 cases)and the control group(26 cases) randomly. Participants in the intervention group received relocation intervention program in addition to routine nursing,while the control group received routine nursing. Basic information questionnaire,the Family Relocation Stress Scale(FRSS),the State Anxiety Inventory(SAI) and the Family Caregiver Task Inventory(FCTI) were used to investigate relocation stress,anxiety and care ability of the families before and after the intervention. Results Differences in basic information,relocation stress,anxiety and care ability of patients and their family members were not statistically significant between the intervention group and the control group before intervention(P>0.05). After the intervention,there were significant differences between two groups in the total score of relocation stress and subscales of relocation stress,the degree of anxiety,the score of family care ability scale and its subscales(P<0.05). Conclusion The relocation intervention program can effectively prevent the level of relocation stress,reduce anxiety and improve the care ability of family members of cancer patients after ICU transfer.
引文
[1]李婷,赵琪珩,董雪.ICU转出患者家属迁移应激的预防及护理[J].中华护理杂志,2018,53(3):321-323.
[2]周松,王建宁,王婧,等.ICU转出患者家属迁移应激现状及其影响因素的研究[J].中华护理杂志,2017,52(8):911-915.
[3]Mallick MJ,Wipple TW.Validity of the nursing diagnosis of relocation stress syndrome[J].Nurs Res,2000,49(2):97-100.
[4]Leit BA.Transfer anxiety in critical care patients and their family members[J].Critical Care Nurse,1998,18(4):24-32.
[5]Caboyer W.Intensive care and beyond:improving the transitional experiences for critically ill patients and their families[J].Intensive Crit Care Nurs,2006,22(4):187-193.
[6]郭晓莉,柏涌海,浦方芳.危重患者家属需求的研究进展及对创建和谐护患关系的启示[J].解放军护理杂志,2017,34(6):51-54.
[7]Caboyer W,Talib L,Alcorn K,et al.The effect of an ICU liaison nurse on patients and family's anxiety prior to transfer to the ward:an intervention study[J].Intensive Crit Care Nurs,2007,23(6):362-369.
[8]中华医学会重症医学分会.中国重症患者转运指南(2010)(草案)[J].中国危重病急救医学,2010,22(6):328-330.
[9]HyunSoo O,Lee S,Kim J,et al.Clinical validity of a Relocation Stress Scale for the families of patients transferred from intensive care units[J].J Clin Nurs,2015,24(13/14):1805-1814.
[10]Spielberger CD.State-trait anxiety inventory(form Y)[M].Redwood City,CA:Mind Garden,1983.
[11]Lee RLT,Mok ESB.Evaluation of the phsycometric properties of a modified Chinese version of the Caregivers Task Inventory[J].J Clin Nurs,2011,20(5/6):633-654.
[12]St-Louis L,Brault D.A clinical nurse specialist intervention to facilitate safe transfer from ICU[J].Clin Nurse Spec,2011,25(6):321-326.
[13]Tabanejad Z,Pazokian M,Ebadi A.A systematic review of the liaison nurse role on patient's outcomes after intensive care unit discharge[J].Int J Community Based Nurs Midwifery,2014,2(4):202-210.
[14]Alberto L,Zotárez,Ca觡ete魣A,et al.A description of the ICUliaison nurse role in Argentina[J].Intensive Crit Care Nurs,2014,30(1):31-37.
[15]罗丹,周立.ICU患者转出过渡护理的国外研究现状[J].解放军护理杂志,2010,27(6):445-447.
[16]Caboyer W,Kendall E,Kendall M,et al.Transfer out of intensive care:a qualitative exploration of patient and family perceptions[J].Aust Crit Care,2005,18(4):138-141,143-145.
[17]Linton S,Grant C,Pellegrini J.Supporting families through discharge from PICU to the ward:the development and evaluation of a discharge information brochure for families[J].Intensive Crit Care Nurs,2008,24(6):329-337.
[2]周松,王建宁,王婧,等.ICU转出患者家属迁移应激现状及其影响因素的研究[J].中华护理杂志,2017,52(8):911-915.
[3]Mallick MJ,Wipple TW.Validity of the nursing diagnosis of relocation stress syndrome[J].Nurs Res,2000,49(2):97-100.
[4]Leit BA.Transfer anxiety in critical care patients and their family members[J].Critical Care Nurse,1998,18(4):24-32.
[5]Caboyer W.Intensive care and beyond:improving the transitional experiences for critically ill patients and their families[J].Intensive Crit Care Nurs,2006,22(4):187-193.
[6]郭晓莉,柏涌海,浦方芳.危重患者家属需求的研究进展及对创建和谐护患关系的启示[J].解放军护理杂志,2017,34(6):51-54.
[7]Caboyer W,Talib L,Alcorn K,et al.The effect of an ICU liaison nurse on patients and family's anxiety prior to transfer to the ward:an intervention study[J].Intensive Crit Care Nurs,2007,23(6):362-369.
[8]中华医学会重症医学分会.中国重症患者转运指南(2010)(草案)[J].中国危重病急救医学,2010,22(6):328-330.
[9]HyunSoo O,Lee S,Kim J,et al.Clinical validity of a Relocation Stress Scale for the families of patients transferred from intensive care units[J].J Clin Nurs,2015,24(13/14):1805-1814.
[10]Spielberger CD.State-trait anxiety inventory(form Y)[M].Redwood City,CA:Mind Garden,1983.
[11]Lee RLT,Mok ESB.Evaluation of the phsycometric properties of a modified Chinese version of the Caregivers Task Inventory[J].J Clin Nurs,2011,20(5/6):633-654.
[12]St-Louis L,Brault D.A clinical nurse specialist intervention to facilitate safe transfer from ICU[J].Clin Nurse Spec,2011,25(6):321-326.
[13]Tabanejad Z,Pazokian M,Ebadi A.A systematic review of the liaison nurse role on patient's outcomes after intensive care unit discharge[J].Int J Community Based Nurs Midwifery,2014,2(4):202-210.
[14]Alberto L,Zotárez,Ca觡ete魣A,et al.A description of the ICUliaison nurse role in Argentina[J].Intensive Crit Care Nurs,2014,30(1):31-37.
[15]罗丹,周立.ICU患者转出过渡护理的国外研究现状[J].解放军护理杂志,2010,27(6):445-447.
[16]Caboyer W,Kendall E,Kendall M,et al.Transfer out of intensive care:a qualitative exploration of patient and family perceptions[J].Aust Crit Care,2005,18(4):138-141,143-145.
[17]Linton S,Grant C,Pellegrini J.Supporting families through discharge from PICU to the ward:the development and evaluation of a discharge information brochure for families[J].Intensive Crit Care Nurs,2008,24(6):329-337.