Lewis Chrystal L, Taylor Jessica Z
University of Missouri, St. Louis, United States.
Intensive Crit Care Nurs. 2017 Dec;43:129-135. doi: 10.1016/j.iccn.2017.09.008. Epub 2017 Oct 16.
To determine if current levels of anxiety, depression and acute stress disorder symptoms differ significantly among family members of intensive-care-unit patients depending upon previous intensive-care experience.
This study used a prospective, descriptive study design.
Family members (N=127) from patients admitted within a 72-hour timeframe to the medical, surgical, cardiac and neurological intensive care units were recruited from waiting rooms at a medium-sized community hospital in the Southeastern United States.
Participants completed the Hospital Anxiety and Depression Scale, the Impact of Events Scale-Revised, the Acute Stress Disorder Scale and a demographic questionnaire.
A multivariate analysis revealed that family members of intensive-care-unit patients with a prior intensive-care experience within the past two years (n=56) were significantly more likely to report anxiety, depression and acute stress symptoms, Λ=0.92, F [4122]=2.70, p=0.034, partial η=0.08, observed power=0.74.
Results of this study show that family members' psychological distress is higher with previous familial or personal intensive-care experience. Nurses need to assess for psychological distress in ICU family members and identify those who could benefit from additional support services provided in collaboration with multidisciplinary support professionals.
根据以往重症监护经验，确定重症监护病房患者家庭成员目前的焦虑、抑郁和急性应激障碍症状水平是否存在显著差异。
本研究采用前瞻性描述性研究设计。
在美国东南部一家中型社区医院的候诊室招募了在72小时内入住内科、外科、心脏科和神经科重症监护病房患者的家庭成员（N = 127）。
参与者完成医院焦虑抑郁量表、事件影响量表修订版、急性应激障碍量表和一份人口统计学调查问卷。
多变量分析显示，在过去两年内有过重症监护经验的重症监护病房患者的家庭成员（n = 56）更有可能报告焦虑、抑郁和急性应激症状，Λ = 0.92，F[4,122] = 2.70，p = 0.034，偏η = 0.08，观察效能 = 0.74。
本研究结果表明，有过家族或个人重症监护经验的家庭成员心理困扰更高。护士需要评估重症监护病房患者家属的心理困扰，并确定那些可以从与多学科支持专业人员合作提供的额外支持服务中受益的人。
