心理社会护理在重症监护病房创伤治疗中的作用。
Role of psychosocial care on ICU trauma.
作者信息
Chivukula Usha, Hariharan Meena, Rana Suvashisa, Thomas Marlyn, Swain Sunayana
机构信息
Department for Health Psychology, University of Hyderabad, Hyderabad, Andhra Pradesh, India.
出版信息
Indian J Psychol Med. 2014 Jul;36(3):312-6. doi: 10.4103/0253-7176.135388.
CONTEXT
Patients treated in intensive care units (ICU) though receive the best medical attention are found to suffer from trauma typically attributed to the ICU environment. Biopsychosocial approach in ICUs is found to minimize ICU trauma.
AIMS
This study investigates the role of psychosocial care on patients in ICU after coronary artery bypass graft (CABG).
SETTINGS AND DESIGN
The study included 250 post-operative CABG patients from five corporate hospitals. The combination of between subject and correlation design was used.
MATERIALS AND METHODS
The ICU psychosocial care scale (ICUPCS) and ICU trauma scale (ICUTS) were used to measure the psychosocial care and trauma.
STATISTICAL ANALYSIS
ANOVA and simple and multiple regression were applied.
RESULTS
Hospitals significantly differed in psychosocial care provided in ICUs. Higher the psychosocial care in ICU, lower was the ICU trauma experienced and vice versa. Psychosocial care was a significant major predictor of ICU trauma.
CONCLUSIONS
The study suggests emphasis on psychosocial aspects in ICU care for optimizing prognosis.
背景
在重症监护病房（ICU）接受治疗的患者，尽管得到了最好的医疗护理，但仍被发现遭受通常归因于ICU环境的创伤。在ICU中采用生物心理社会方法可将ICU创伤降至最低。
目的
本研究调查心理社会护理对冠状动脉搭桥术（CABG）后入住ICU患者的作用。
设置与设计
该研究纳入了来自五家企业医院的250名CABG术后患者。采用了组间设计和相关性设计相结合的方法。
材料与方法
使用ICU心理社会护理量表（ICUPCS）和ICU创伤量表（ICUTS）来测量心理社会护理和创伤情况。
统计分析
应用方差分析以及简单和多元回归分析。
结果
各医院在ICU提供的心理社会护理方面存在显著差异。ICU中的心理社会护理越高，患者经历的ICU创伤就越低，反之亦然。心理社会护理是ICU创伤的一个重要主要预测因素。
结论
该研究表明，在ICU护理中强调心理社会方面对于优化预后具有重要意义。
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