Koulouras Vasilios, Konstanti Zoe, Lepida Dimitra, Papathanakos Georgios, Gouva Mary
University Hospital of Ioannina, Intensive Care Unit, 45500 Ioannina, Greece.
Research Laboratory Psychology of Patients, Families and Health Professionals, Higher Technological Educational Institution of Epirus, 4500 Ioannina, Greece.
Intensive Crit Care Nurs. 2017 Aug;41:84-89. doi: 10.1016/j.iccn.2017.03.011. Epub 2017 Apr 19.
To investigate the levels of internal and external shame among family members of critically ill patients.
RESEARCH METHODOLOGY/ DESIGN: This prospective study was conducted in 2012/2013 on family members of Intensive Care Unit patients using the Others As Shamer Scale and the Experiential Shame Scale questionnaires.
Greek university hospital.
Two hundred and twenty-three family members mean-aged (41.5±11.9) were studied, corresponding to 147 ICU patients. Out of these 223, 81 (36.3%) were men and 142 (63.7%) were women, while 79 (35.4%) lived with the patient. Family members who lived with the patient experienced higher internal and external shame compared to those who did not live with the patient (p=0.046 and p=0.028 respectively). Elementary and Junior High School graduates scored significantly higher than the other grades graduates in total Others As Shamer Scale, inferiority and emptiness scale (p<0.001).
Intensive Care Unit patients' family members are prone to shame feelings, especially when being of low educational level. Health professionals have to take into consideration the possible implications for the patients and their care.
调查重症患者家庭成员的内在羞耻感和外在羞耻感水平。
研究方法/设计：2012年至2013年，采用“他人作为羞耻者量表”和“体验羞耻感量表”问卷，对重症监护病房患者的家庭成员进行了这项前瞻性研究。
希腊大学医院。
对平均年龄为（41.5±11.9）岁的223名家庭成员进行了研究，这些家庭成员对应147名重症监护病房患者。在这223名家庭成员中，81名（36.3%）为男性，142名（63.7%）为女性，其中79名（35.4%）与患者同住。与未与患者同住的家庭成员相比，与患者同住的家庭成员的内在羞耻感和外在羞耻感更高（分别为p=0.046和p=0.028）。小学和初中毕业生在“他人作为羞耻者量表”总分、自卑感和空虚感量表上的得分显著高于其他年级毕业生（p<0.001）。
重症监护病房患者的家庭成员容易产生羞耻感，尤其是在教育水平较低时。卫生专业人员必须考虑到这可能对患者及其护理产生的影响。
