重症监护病房环境应激源对焦虑和抑郁的影响。
The effects of environmental stressors in intensive care unit on anxiety and depression.
机构信息
Hamidiye Faculty of Nursing, University of Health Sciences Turkey, Istanbul, Turkey.
Marmara University Pendik Training and Research Hospital, Istanbul, Turkey.
出版信息
Nurs Crit Care. 2022 Jan;27(1):113-119. doi: 10.1111/nicc.12553. Epub 2020 Sep 20.
BACKGROUND
Physical and emotional conditions of patients treated in an intensive care unit (ICU) may be adversely affected by environmental stressors.
AIMS AND OBJECTIVES
The aim of this study was to investigate the relationship between patients' anxiety and depression levels and environmental stressors in the ICU.
DESIGN
This was a descriptive cross-sectional study.
METHODS
The study was conducted between June 2018 and April 2019 with 150 patients treated in the ICUs of a training and research hospital. Patient information form and ICU environmental stressors and hospital anxiety and depression scales were used for data collection. Descriptive statistics, t-test, one-way analysis of variance, and Pearson's correlation coefficient were used to evaluate the data.
RESULTS
The mean hospital anxiety score of the patients in ICUs was 11.1 ± 2.7, and 77.3% of patients were at risk for anxiety (10-point cut-off). The mean hospital depression score was 10.6 ± 3.3, and 94% of patients were at risk for depression (7-point cut-off). The mean score of environmental stressors was 123.9 ± 13.1. A moderate positive correlation between hospital anxiety and hospital depression (r = .63, P < .001) and a weak negative correlation between environmental stressors and hospital anxiety (r = -.24, P = .003) were found. However, no significant correlation between environmental stressors and hospital depression was found (r = -.13, P = .12).
CONCLUSION
According to this study, the environmental stressors in the ICU were high, and the patients were at risk of anxiety and depression. The depression levels of the patients increased along with their anxiety levels. As environmental stressors increased, hospital anxiety levels of the patients decreased. However, there was no significant relationship between environmental stressors and patients' hospital depression levels.
RELEVANCE TO CLINICAL PRACTICE
Environmental stressors in ICUs are high, and the patients in the ICUs are at risk of anxiety and depression.
背景
在重症监护病房（ICU）接受治疗的患者的身体和情绪状况可能会受到环境应激源的不利影响。
目的和目标
本研究旨在调查 ICU 患者焦虑和抑郁水平与环境应激源之间的关系。
设计
这是一项描述性的横断面研究。
方法
该研究于 2018 年 6 月至 2019 年 4 月在一家培训和研究医院的 ICU 中进行，共纳入 150 名患者。使用患者信息表、ICU 环境应激源和医院焦虑抑郁量表收集数据。采用描述性统计、t 检验、单因素方差分析和 Pearson 相关系数评估数据。
结果
ICU 患者的平均医院焦虑评分（HAS）为 11.1±2.7，77.3%的患者有焦虑风险（10 分界限）。平均医院抑郁评分（HDS）为 10.6±3.3，94%的患者有抑郁风险（7 分界限）。环境应激源的平均得分为 123.9±13.1。医院焦虑和医院抑郁之间存在中度正相关（r=.63，P<.001），环境应激源与医院焦虑之间存在弱负相关（r=-.24，P=.003）。然而，环境应激源与医院抑郁之间没有显著相关性（r=-.13，P=.12）。
结论
根据本研究，ICU 的环境应激源较高，患者有焦虑和抑郁的风险。随着患者焦虑水平的升高，其抑郁水平也随之升高。随着环境应激源的增加，患者的医院焦虑水平降低。然而，环境应激源与患者的医院抑郁水平之间没有显著的关系。
临床意义
ICU 中的环境应激源较高，ICU 中的患者有焦虑和抑郁的风险。
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