1.Department of Critical Care, Shanghai Sixth People’s Hospital, Shanghai 200233, China;
2.Department of General Surgery, Shanghai Sixth People’s Hospital, Shanghai 200233, China
Abstract:Objective To explore the influencing factors of visiting beliefs and attitudes of family members of patients in intensive care unit (ICU). Methods A total of 108 family members of ICU patients (one family member for each patient) in Shanghai Sixth People’s Hospital from December 2018 to December 2020 were selected. The beliefs and attitudes toward visitations in ICU questionnaire (BAVIQ) was used to evaluate the beliefs and attitudes of visiting of all family members of ICU patients, and related baseline data of family members of all patients were collected. BAVIQ scores of family members of patients with different data characteristics were compared, the related factors that might affect the visiting beliefs and attitudes of family members of ICU patients were analyzed. Results There were statistically significant differences in ICU of BAVIQ scores among the family members of patients with different education levels, satisfaction with visits, and self-rating anxiety scale scores (P < 0.05). After multiple linear regression analysis, education level of high school or below, dissatisfaction with visits, and heavier anxiety were the general influencing factors of visiting beliefs and attitudes of ICU family members of patients (P < 0.05). The regression equation was got: Y = 71.085+6.935X1+8.065X2+9.915X3. Conclusion Family members of ICU patients have general visiting beliefs and attitudes, which are affected by factors such as the lower education level of family members of patients, dissatisfaction with visiting and heavy anxiety.
钱海泳1 唐雯琦1 冯笑2 章左艳1 张丽1▲. 重症监护室患者家属探视信念与态度的影响因素[J]. 中国医药导报, 2022, 19(2): 51-54.
QIAN Haiyong1 TANG Wenqi1 FENG Xiao2 ZHANG Zuoyan1 ZHANG Li1▲. Influencing factors of visiting beliefs and attitudes of family members of patients in intensive care unit#br#. 中国医药导报, 2022, 19(2): 51-54.
[1] McIlroy PA,King RS,Garrouste-Orgeas M,et al. The Effect of ICU Diaries on Psychological Outcomes and Quality of Life of Survivors of Critical Illness and Their Relatives:A Systematic Review and Meta-Analysis [J]. Crit Care Med,2018,47(2):273-279.
[2] Jean-Louis F,Le Terrier C,Banydeen R,et al. Prevalence of Anxiety and Depression Symptomatology in Adolescents Faced With the Hospitalization of a Loved One in the ICU [J]. Crit Care Med,2018,46(4):e330-e333.
[3] 纪天亮,陈立,王新新,等.ICU患者家属心理问题研究进展[J].长春中医药大学学报,2019,35(2):385-388.
[4] 陈海萍,杨丹丹,马杰.以家庭为中心探视模式对重症监护病房综合征发生率的影响效果[J].中国药物与临床 2020, 20(7):1227-1229.
[5] Yusufov M,Leiter R,Poort H,et al. Family-Support Intervention in the ICU [J]. N Engl J Med,2018,379(12):1284.
[6] 吴颖,罗雯懿.护士与患儿照顾者对ICU探视信念与态度的调查研究[J].上海护理,2019,19(3):17-20.
[7] 杨立威,郑楠,李文涛,等.ICU探视信念与态度量表中文版的信效度检验[J].护理研究:上旬版,2017,31(7):813-815.
[8] 黄妹妹,陈杰.成人ICU患者家属满意度的研究进展[J].中国急救复苏与灾害医学杂志,2016,11(4):423-425.
[9] 段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[10] 周松,王建宁,王婧,等.ICU转出患者家属迁移应激现状及其影响因素的研究[J].中华护理杂志,2017,52(8):911-915.
[11] Steinberg DI. Review:Flexible vs restrictive ICU visiting policies reduce delirium and anxiety severity in patients [J]. Ann Intern Med,2018,169(4):JC23.
[12] Amass TH,Villa G,Omahony S,et al. Family Care Rituals in the ICU to Reduce Symptoms of Post-Traumatic Stress Disorder in Family Members—A Multicenter,Multinational,Before-and-After Intervention Trial [J]. Crit Care Med,2020,48(2):176-184.
[13] Kleinpell R,Zimmerman J,Vermoch KL,et al. Promoting Family Engagement in the ICU:Experience From a National Collaborative of 63 ICUs [J]. Crit Care Med,2019, 47(12):1692-1698.
[14] 罗红敏.针对ICU患者家属陪护的一项临床试验[J].中华危重病急救医学,2018,30(7):676.
[15] 李尊柱,李真,张媛媛,等.ICU护士与患者家属沟通现状与培训需求的调查分析[J].基础医学与临床,2020, 40(1):128-131.
[16] 张海燕,干雁群,沈新,等.ICU患者、家属及护士对陪护需求认知的差异性研究[J].中华全科医学,2018,16(9):1583-1585.
[17] 欧阳丹,蔡馨,閤玲莉.重症监护病房患者家属满意度调查[J].华南国防医学杂志,2016,30(5):344-346.
[18] 李玲玲.完善家属管理对提高重症监护室患者家属满意度的应用效果[J].解放军护理杂志,2018,35(5):63-65.
[19] Liput SA,Kane-Gill SL,Seybert AL,et al. A Review of the Perceptions of Healthcare Providers and Family Members Toward Family Involvement in Active Adult Patient Care in the ICU [J]. Crit Care Med,2016,44(6):1191-1197.
[20] 黄妹妹,杨冰香,胡芬,等.ICU患者家属满意度及影响因素的分析[J].中国急救复苏与灾害医学杂志,2017, 12(9):867-871.
[21] 臧圆,毕立清.微信视频沟通模式对ICU老年患者家属探视焦虑情绪及回访满意度的影响[J].实用预防医学,2020,27(4):473-475.
[22] 郑晓燕,李海艳,陈丽芳,等.人文关怀理念实施对lCU危重患者情绪管理及满意度的影响[J].中外医学研究,2020,18(25):104-106.
[23] 李杏崧,张莉,陈惠瑶,等.基于临床证据的深静脉血栓预防策略在成人ICU的应用[J].现代医院,2020,20(6):830-833,836.
[24] Beesley SJ,Hopkins RO,Holt-Lunstad J,et al. Acute Physiologic Stress and Subsequent Anxiety Among Family Members of ICU Patients [J]. Crit Care Med,2018,46(2):229-235.
[25] 邓春桃,袁秋影,钟春梅.改良早期预警MEWS评分联合SBAR沟通模式在ICU患者安全管理中的构建及应用[J].中国现代医生,2020,58(22):174-177.
[26] 叶玉芬,李杏崧,伍存娣.护理关怀理念改善ICU危重患者护理质量及满意度的效果[J].中国医药科学,2020, 10(2):149-151.
[27] 唐晓霞,周艳,朱博,等.ICU患者家属焦虑现状及影响因素分析[J].现代预防医学,2019,46(23):4323-4327.
[28] 孙岚,周鸣芳,吴忠娟,等.ICU内科患者直系家属心理状态的研究[J].中国医药导报,2015,12(29):43-46.
[29] 钱小丽,周玲华,王敏,等.约束决策轮及等级评估在ICU意识障碍患者中的应用效果[J].中国医药导报,2020, 17(7):189-192.
[30] 梅静.准护士岗前培训班对ICU护士综合素质的培养效果及对人才储备的影响[J].中国当代医药,2021,28(14):220-223.
[31] Azoulay E,Forel JM,Vinatier I,et al. Questions to improve family-staff communication in the ICU:a randomized controlled trial [J]. Intensive Care Med,2018,44(11):1879-1887.