Division of Health Sciences, Graduate School of Health and Welfare Sciences, International University of Health and Welfare, 1-3-3 Minamiaoyama Aoyama 1-Chome Tower 4th and 5th floor, Minato-ku Tokyo, 107-0062 Japan.
Department of Family Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku Tokyo, 113-0033 Japan.
J Intensive Care. 2016 Jul 20;4:47. doi: 10.1186/s40560-016-0162-3. eCollection 2016.
Families of cancer patients in the ICU often experience severe stress. Understanding their experience is important for providing family-centered care during this difficult period. Little is known about the experience of families of cancer patients admitted to the ICU. This study evaluated the prevalence of posttraumatic stress symptoms (PTSS) among families of cancer patients admitted to the ICU.
We carried out a longitudinal study at a teaching and advanced treatment hospital. Participants were 23 family members of 23 ICU patients. Family members provided demographic data, electronic medical records of patients, and completed the Impact of Event Scale-Revised (IES-R), the Center for Epidemiologic Studies Depression Scale (CES-D), and the State-Trait Anxiety Inventory Form X (STAI-state, trait).
Mean total IES-R total score, IES-R re-experience score, IES-R avoidance score, and STAI-state score within 24 h of ICU admission and 3 months later differed significantly. The IES-R score of families of patients with recurrent cancer was significantly higher than the score of families of patients with an original cancer diagnosis (t = 2.63, p = 0.029). For two-way analysis of variance, time point was significantly associated with IES-R score (F = 1.751, p = 0.011, df = [1]).
Families of recurrent cancer patients admitted to the ICU experience serious PTSS within 24 h of admission. It is important that appropriate psychiatric support be provided to family members of these patients.
重症监护病房（ICU）癌症患者的家属通常会经历严重的压力。了解他们的经历对于在这个困难时期提供以家庭为中心的护理非常重要。然而，目前对于入住 ICU 的癌症患者家属的经历知之甚少。本研究评估了 ICU 收治的癌症患者家属的创伤后应激症状（PTSS）的发生率。
我们在一家教学和高级治疗医院进行了一项纵向研究。参与者为 23 名 ICU 患者的 23 名家属。家属提供人口统计学数据、患者电子病历，并完成创伤后应激量表修订版（IES-R）、流行病学研究中心抑郁量表（CES-D）和状态-特质焦虑问卷表 X（STAI-state，特质）。
入住 ICU 后 24 小时内和 3 个月后，IES-R 总分、IES-R 再体验得分、IES-R 回避得分和 STAI-state 得分的均值差异有统计学意义。复发性癌症患者家属的 IES-R 评分明显高于初发性癌症诊断患者家属的评分（t=2.63，p=0.029）。对于双因素方差分析，时间点与 IES-R 评分显著相关（F=1.751，p=0.011，df=[1]）。
入住 ICU 的复发性癌症患者家属在入院后 24 小时内经历严重的 PTSS。为这些患者的家属提供适当的精神支持非常重要。
