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护理干预对降低重症监护患者家庭压力的效果:一项整合性回顾。

Nursing Interventions to Reduce Stress in Families of Critical Care Patients: An Integrative Review.

机构信息

Valérie Lebel is a professor, Department of Nursing, Université du Québec en Outaouais, Quebec, Canada.

Sylvie Charette is a professor, Department of Nursing, Université du Québec en Outaouais.

出版信息

Crit Care Nurse. 2021 Feb 1;41(1):32-44. doi: 10.4037/ccn2021188.

DOI:10.4037/ccn2021188
PMID:33560437
Abstract

BACKGROUND

Having a family member admitted to an intensive care unit is a stressful experience that may lead to psychological symptoms including depression, anxiety, and posttraumatic stress disorder.

OBJECTIVE

To better understand the phenomenon of stress experienced by families of intensive care unit patients and identify nursing interventions that may help reduce it.

METHODS

An integrative literature review was performed to identify principal stressors for families of patients receiving care in neonatal, pediatric, and adult intensive care units and recommended nursing interventions.

RESULTS

The principal stressors in the 3 types of intensive care units were change in parental role or family dynamics, appearance and behavior of the patient, the care setting, and communication with the health care staff. Nursing interventions should focus on valuing the role of family members in patient care, improving communication, and providing accurate information.

CLINICAL RELEVANCE

Family members of intensive care patients will benefit from nursing interventions that adequately acknowledge and address the stress they experience.

CONCLUSION

Nurses play a crucial role in helping to reduce the stress experienced by family members of intensive care unit patients.

摘要

背景

有家庭成员被送进重症监护病房是一种压力很大的经历,可能会导致包括抑郁、焦虑和创伤后应激障碍在内的心理症状。

目的

更好地了解重症监护病房患者家属所经历的压力现象,并确定可能有助于减轻压力的护理干预措施。

方法

进行了一次综合文献回顾,以确定在新生儿、儿科和成人重症监护病房接受护理的患者家属的主要压力源,并提出了护理干预措施。

结果

3 种重症监护病房的主要压力源是父母角色或家庭动态的改变、患者的外貌和行为、护理环境以及与医护人员的沟通。护理干预措施应侧重于重视家庭成员在患者护理中的作用、改善沟通和提供准确信息。

临床意义

重症监护病房患者的家属将受益于充分承认和处理他们所经历的压力的护理干预措施。

结论

护士在帮助减轻重症监护病房患者家属的压力方面发挥着至关重要的作用。

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