Section Social, Economic and Organizational Psychology, Faculty of Social and Behavioral Sciences, Leiden University, Leiden, The Netherlands.
Department of Intensive Care Medicine, Gelre Hospital Apeldoorn, Apeldoorn, The Netherlands.
Chest. 2022 Jan;161(1):130-139. doi: 10.1016/j.chest.2021.06.033. Epub 2021 Jun 26.
The coping styles of the Sickness Insight in Coping Questionnaire (SICQ; positivism, redefinition, toughness, fighting spirit, nonacceptance) may affect the health and recovery of hospitalized critically ill patients.
Do the SICQ coping styles of hospitalized critically ill patients relate to the patients health-related quality of life (HRQoL) and recovery?
A prospective cohort study was conducted in a single university-affiliated Dutch hospital. Participants were critically ill adult patients admitted to a mixed medical-surgical ICU (start: n = 417; pre-ICU: n = 391; hospital discharge: n = 350; 3-month follow-up: n = 318; 6-month follow-up: n = 308; 12-month follow-up: n = 285). Coping was recorded with the SICQ pre-ICU and at discharge. HRQoL was measured with the SF-12 pre-ICU, at discharge, and 3, 6, and 12 months after discharge. Indicators of recovery were ICU and hospital length of stay, discharge disposition, and mortality. Correlation and regression analyses were used for data analysis.
Positivism (r = 0.28-0.51), fighting spirit (r = 0.14-0.35), and redefinition (r = 0.12-0.23) associated significantly (P < .05) with mental HRQoL after discharge. Furthermore, positivism associated positively (P < .01) with physical HRQoL (r = 0.17-0.26) after discharge. Increase in positivism (r = 0.13), redefinition (r = 0.13), and toughness (r = 0.13) across the period of hospitalization associated positively (P ≤ .05) with mental HRQoL at discharge. Pre-ICU positivism associated with hospital length of stay (ρ = -.21, P ≤ .05) and hazard for death (HR = 0.57, P < .01) and had a unidirectional effect on mental HRQoL (β = .30, P < .001).
SICQ coping is associated with long-term mental HRQoL, hospital length of stay, and hazard for death among hospitalized critically ill patients.
应对问卷（SICQ；积极、重新定义、坚韧、斗志、不接受）中的应对方式可能会影响住院危重症患者的健康和康复。
住院危重症患者的 SICQ 应对方式与患者的健康相关生活质量（HRQoL）和康复有关吗？
这是一项单中心荷兰大学附属医院前瞻性队列研究。参与者为入住混合内科-外科 ICU 的成年危重症患者（起始：n=417；入 ICU 前：n=391；出院时：n=350；3 个月随访：n=318；6 个月随访：n=308；12 个月随访：n=285）。入 ICU 前和出院时使用 SICQ 记录应对方式。入 ICU 前、出院时和出院后 3、6 和 12 个月使用 SF-12 测量 HRQoL。恢复的指标包括 ICU 和住院时间、出院去向和死亡率。采用相关和回归分析进行数据分析。
积极（r=0.28-0.51）、斗志（r=0.14-0.35）和重新定义（r=0.12-0.23）与出院后的心理 HRQoL 显著相关（P<0.05）。此外，积极与出院后的身体 HRQoL 呈正相关（P<0.01）（r=0.17-0.26）。住院期间积极（r=0.13）、重新定义（r=0.13）和坚韧（r=0.13）的增加与出院时的心理 HRQoL 呈正相关（P≤0.05）。入 ICU 前的积极与住院时间（ρ=-0.21，P≤0.05）和死亡风险（HR=0.57，P<0.01）相关，并对心理 HRQoL 产生单向影响（β=0.30，P<0.001）。
SICQ 应对方式与住院危重症患者的长期心理 HRQoL、住院时间和死亡风险相关。
