Caballero-Suárez Nancy Patricia, Barrientos-Casarrubias Vania, Gutiérrez-Velilla Ester, González Avilés Lilian Margarita, Pérez-López Luis Daniel, Alvarado-De la Barrera Claudia, Ávila-Ríos Santiago, Mora-Gallegos Janella
Centro de Investigación en Enfermedades Infecciosas (CIENI), Instituto Nacional de Enfermedades Respiratorias "Ismael Cosío Villegas" (INER), Mexico City, Mexico.
Programa de Maestría en Psicología, Universidad Nacional Autónoma de México (UNAM), Mexico City, Mexico.
J Multidiscip Healthc. 2023 Nov 7;16:3319-3331. doi: 10.2147/JMDH.S434448. eCollection 2023.
This study aimed to assess the level of anxiety and depression in relatives of critically ill COVID-19 patients admitted to the intensive care unit (ICU), and to perform an exploratory pilot study on the implementation of telephone psychological interventions to reduce the initial levels of anxiety and depression in this population.
Family members of COVID-19 inpatients at ICU answered GAD-7, PHQ-9 and questions on socio-demographic data. A brief psychological intervention was applied via telephone based on the needs of the participants (with adequate adaptation, with symptoms of anxiety, depression, or both). After intervention, participants completed the Patient Global Impression of Change Scale.
A total of 1307 relatives were included (66.5% female), 34% and 29% had anxiety and depressive symptoms, respectively. These symptoms were associated with female gender, unemployment, and being the parent or partner of the patient. After intervention, 57.9% reported felt better, 31.3% a little better and 6.6% much better; and with emotional regulation techniques and psychoeducation, higher percentages of feeling better or much better were reported.
Brief interventions to reduce the psychological impact of inpatient family members could be effective but will need to be explored further in future studies.
本研究旨在评估入住重症监护病房（ICU）的新冠肺炎危重症患者亲属的焦虑和抑郁水平，并就实施电话心理干预以降低该人群的初始焦虑和抑郁水平开展一项探索性试点研究。
ICU中新冠肺炎住院患者的家属回答广泛性焦虑障碍量表（GAD-7）、患者健康问卷（PHQ-9）以及社会人口统计学数据相关问题。根据参与者的需求（针对有焦虑、抑郁或两者兼有的症状进行适当调整）通过电话进行简短的心理干预。干预后，参与者完成患者总体变化印象量表。
共纳入1307名亲属（66.5%为女性），分别有34%和29%的人有焦虑和抑郁症状。这些症状与女性性别、失业以及是患者的父母或伴侣有关。干预后，57.9%的人报告感觉好转，31.3%的人感觉稍有好转，6.6%的人感觉明显好转；采用情绪调节技巧和心理教育后，报告感觉好转或明显好转的比例更高。
减少住院患者家属心理影响的简短干预可能有效，但未来研究还需进一步探索。
