Halm M A, Titler M G, Kleiber C, Johnson S K, Montgomery L A, Craft M J, Buckwalter K, Nicholson A, Megivern K
Clin Nurs Res. 1993 Nov;2(4):414-37. doi: 10.1177/105477389300200405.
This articles describes the behavioral responses of adult family members to critical illness and how these responses change over the course of the hospitalization. A convenience sample of 52 family members of patients in intensive units completed the Iowa ICU Family Scale, a self-report tool measuring sleep, eating, activity, family role, and support behaviors. Scales were completed by family members each day during the first week and then weekly throughout the patient's ICU stay. Family members reported sleeping less with a poorer quality of sleep, less nutritional intake, an increased use of cigarettes, alcohol, and over-the-counter and prescription medications, and spending more time talking, visiting the patient, and waiting. Stress was highest at the time of the ICU admission, began to plateau at Day 6, and then dropped considerably by Day 28. These findings suggest that crisis intervention is important during the early phase of caring for critically ill patients and their family members.
本文描述了成年家庭成员对危重病的行为反应，以及这些反应在住院期间如何变化。对重症监护病房52名患者的家庭成员进行了便利抽样，他们完成了爱荷华重症监护病房家庭量表，这是一种自我报告工具，用于测量睡眠、饮食、活动、家庭角色和支持行为。在第一周，家庭成员每天填写量表，然后在患者入住重症监护病房期间每周填写一次。家庭成员报告称，睡眠减少、睡眠质量变差、营养摄入减少、吸烟、饮酒以及使用非处方药和处方药的情况增加，并且花更多时间交谈、探望患者和等待。压力在入住重症监护病房时最高，在第6天开始趋于平稳，然后在第28天大幅下降。这些发现表明，在照顾危重病患者及其家庭成员的早期阶段，危机干预很重要。
