Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan, ROC.
Department of Nursing, Hungkuang University, Taichung, Taiwan, ROC.
Intensive Crit Care Nurs. 2018 Dec;49:37-43. doi: 10.1016/j.iccn.2018.05.002. Epub 2018 Jun 22.
To explore the associations between stress, sleep disturbances, fatigue severity and social support among primary family caregivers in intensive care units during the early period of ICU hospitalisation.
Cross-sectional, descriptive correlational study.
Intensive Care Units in a teaching hospital in Taiwan.
Perceived stress (Impact of Events Scale-Revised), sleep disturbances (General Sleep Disturbance Scale), fatigue severity (Lee's Fatigue Scale), social support (Norbeck Social Support Questionnaire) and one open-ended question.
The primary family caregivers (N = 87) were distressed and experienced poor sleep quality and fatigue during the early period of ICU hospitalisation. Primary family caregivers have various social support needs but being updated on the patients' prognosis was at the top of the list. Perceived ICU hospitalisation stress was the only significant predictor for fatigue while age along with perceived event stress were the significant predictors for sleep disturbances.
Stress-coping interventions are needed to reduce stress-related symptoms for the primary family caregivers. Social supports did not buffer stress in this study, which calls for further research to explore the culture variance and quality of social support.
探讨 ICU 住院早期重症监护病房初级家庭照顾者的压力、睡眠障碍、疲劳严重程度和社会支持之间的关系。
横断面描述相关性研究。
中国台湾一家教学医院的重症监护病房。
感知压力（事件影响量表修订版）、睡眠障碍（一般睡眠障碍量表）、疲劳严重程度（李疲劳量表）、社会支持（诺贝克社会支持问卷）和一个开放式问题。
初级家庭照顾者（N=87）在 ICU 住院早期感到焦虑，睡眠质量差，疲劳。初级家庭照顾者有各种社会支持需求，但最需要的是了解患者的预后。感知 ICU 住院压力是疲劳的唯一显著预测因素，而年龄和感知事件压力是睡眠障碍的显著预测因素。
需要进行压力应对干预，以减轻初级家庭照顾者的压力相关症状。在这项研究中，社会支持并没有缓冲压力，这需要进一步研究来探索文化差异和社会支持的质量。
