Chiang Vico Chung Lim, Chien Wai Tong, Wong Ho Ting, Lee Rainbow Lai Ping, Ha Juana, Leung Sharron Shuk Kam, Wong Daniel Fu Keung
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
School of Nursing, Hong Kong Baptist Hospital, Hong Kong, China.
Int J Environ Res Public Health. 2016 Sep 28;13(10):962. doi: 10.3390/ijerph13100962.
Having a loved one in the intensive care unit (ICU) is a stressful event, which may cause a high level of anxiety to the family members. This could threaten their wellbeing and ability to support the patients in, or after discharge from, the ICU. To investigate the outcomes of a brief cognitive-behavioral psycho-education program (B-CBE) to manage stress and anxiety of the main family caregivers (MFCs), a pragmatic quasi-experimental study involving 45 participants (treatment group: 24; control group: 21) was conducted in an ICU. The Depression and Anxiety Stress Scale and the Critical Care Family Need Inventory were used to evaluate the primary outcomes on stress and anxiety, and satisfaction with family needs. The treatment group reported significantly better improvement in the information satisfaction score compared to the control group ( < 0.05; ² = 0.09). Overall main effects were observed on the stress ( < 0.01; ² = 0.20), anxiety ( < 0.01; ² = 0.18), depression ( < 0.05; ² = 0.13), support satisfaction ( < 0.05; ² = 0.13), and comfort satisfaction ( < 0.05; ² = 0.11) scores. The experience of this study suggest that MFCs are in great need of additional support like B-CBE to manage their stress and anxiety. Given the brevity of B-CBE, it is practical for critical care nurses to deliver and MFCs to take within the industrious context of an ICU. More studies are needed to investigate these types of brief psychological interventions.
在重症监护病房(ICU)中有亲人是一件压力很大的事情,这可能会给家庭成员带来高度焦虑。这可能会威胁到他们的幸福以及在患者住院期间或出院后给予支持的能力。为了调查一项简短的认知行为心理教育计划(B-CBE)对主要家庭照顾者(MFC)压力和焦虑的管理效果,在一个ICU中进行了一项涉及45名参与者的务实准实验研究(治疗组:24名;对照组:21名)。使用抑郁、焦虑和压力量表以及重症监护家庭需求问卷来评估压力、焦虑以及对家庭需求满意度的主要结果。与对照组相比,治疗组在信息满意度得分上有显著更好的改善(<0.05;²=0.09)。在压力(<0.01;²=0.20)、焦虑(<0.01;²=0.18)、抑郁(<0.05;²=0.13)、支持满意度(<0.05;²=0.13)和舒适满意度(<0.05;²=0.11)得分上观察到总体主要效应。本研究的经验表明,MFC非常需要像B-CBE这样的额外支持来管理他们的压力和焦虑。鉴于B-CBE的简短性,对于重症监护护士来说在忙碌的ICU环境中实施以及MFC接受都是可行的。需要更多研究来调查这类简短的心理干预措施。