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重症监护病房患者家属的应对策略。

Coping strategies of family members of intensive care unit patients.

机构信息

School of Nursing, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.

School of Nursing, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.

出版信息

Intensive Crit Care Nurs. 2021 Apr;63:102980. doi: 10.1016/j.iccn.2020.102980. Epub 2020 Dec 17.

Abstract

OBJECTIVE

To analyse the coping strategies of family members of patients admitted to intensive care units.

DESIGN

A cross-sectional study developed with 70 relatives of patients admitted to the intensive care unit.

SETTING

An adult intensive care unit at a university hospital in Brazil.

MAIN OUTCOME MEASURES

Coping strategies were identified by the Folkman and Lazarus Inventory of Coping Strategies and statistically compared to the sociodemographic data of family members and patients' clinical data.

RESULTS

Coping strategies focused on emotion were the most used, especially those attributed to the escape-avoidance factor. There was a significant association (p < 0.05) between women and the use of adaptive strategies focused on the problem; less education and lower income with maladaptive strategies focused on emotion; second-degree relatives and the positive reassessment factor; participants involved in religious activities and the social support factor. Regarding the clinical variables, patients admitted to the intensive care unit for more than seven days showed an association (p < 0.05) with the social support factor.

CONCLUSION

Family members used adaptive coping strategies more focused on emotion. Additionally, the lower the educational and economic levels, the greater the use of maladaptive strategies focused on emotion.

摘要

目的

分析重症监护病房患者家属的应对策略。

设计

横断面研究,纳入 70 名重症监护病房患者的家属。

地点

巴西一所大学医院的成人重症监护病房。

主要观察指标

采用 Folkman 和 Lazarus 应对策略量表识别应对策略,并与家属的社会人口学数据和患者的临床数据进行统计学比较。

结果

专注于情绪的应对策略最常用,尤其是归因于逃避因素的策略。女性与专注于问题的适应性策略的使用呈显著相关(p<0.05);教育程度较低和收入较低与专注于情绪的适应性策略相关;二级亲属与积极重新评估因素相关;参与宗教活动的人与社会支持因素相关。关于临床变量,在重症监护病房住院超过 7 天的患者与社会支持因素呈显著相关(p<0.05)。

结论

患者家属使用的应对策略更多地专注于情绪,且教育和经济水平越低,越倾向于使用专注于情绪的适应性策略。

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