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| Effect of cognitive behavioral intervention on relocation stress and caregiver burden of family members of ICU transferred patients |
| CHEN Jing SHI Yan ZHENG Jie TANG Ling ZENG Min |
| Department of Critical Care Medicine, Chengdu First People′s Hospital, Sichuan Province, Chengdu 610000, China |
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Abstract Objective To investigate effect of cognitive behavioral intervention on relocation stress and caregiver burden of family members of ICU transferred patients. Methods The family members of 94 patients admitted to the Chengdu First People′s Hospital from March 2017 to September 2018 and who had been treated and improved were selected as subjects. They were divided into intervention group and control group according to random number table method, each group of 47 cases. Both families was received routine transfer care, and cognitive behavior intervention was applied in intervention group on the basis of this. The relocation stress level and caregiver burden level of family members in two groups were assessed by ICU family relocation stress scale and main caregiver burden scale before transfer and on the 1st and 5th day after transfer. Results There was significant difference in relocation stress scores between two groups on the 1st and 5th day after transfer (P < 0.05). The relocation stress level score of intervention group on the 1st and 5th day of transfer was lower than that before transfer, and relocation stress level score of intervention group on the 5th day of transfer was lower than that on the 1st day of transfer, with statistical significance (P < 0.05). The relocation stress level score of control group on the 5th day after transfer was lower than that before transfer and on the 1st day after transfer, and the difference was statistically significant (P < 0.05). There was a significant difference in burden level of the main caregivers between two groups on the 5th day of transfer (P < 0.05). The burden level score of the main caregivers of two groups on the 5th day of transfer was higher than that before transfer, and the difference was statistically significant (P < 0.05). Conclusion Cognitive behavioral intervention can significantly improve relocation stress level and caregivers burden level of ICU patients′ family members, which has positive clinical significance.
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[1] McGonigal，Katharine S. The importance of sleep and the sensory environment to critically ill patients [J]. Intensive Care Nurs，1986，2（2）：73-83.
[2] Mallick MJ，Whipple TW. Validity of the nursing diagnosis of relocation stress syndrome [J]. Nurs Res，2000，49（2）：97-100.
[3] 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.
[4] 戚东静，姚建珍，戴俊芬，等.重型颅脑损伤患者转出ICU后家属迁移应激评估及影响因素的研究[J].中国现代医生，2018，56（28）：108-111.
[5] Cullinane JP，Plowright CI. Patients “and relatives” experiences of transfer from intensive care unit to wards [J]. Nurs Crit Care，2013，18（6）：289-296.
[6] 李佳.危重症患者家属焦虑情绪调查及干预措施[J].国医论坛，2017，32（5）：43.
[7] Oh HS，Lee S，Kim JS，et al. Clinical validity of a relocation stress scale for the families of patients transferred from intensive care units [J]. J Clin Nurs，2015， 24（13）：1805-1814.
[8] 张建凤，李志菊，王芳云，等.家庭访视对脑卒中患者照顾者照顾者负担及积极体验的影响研究[J].中华护理杂志，2017，52（7）：830-834.
[9] 王永华，邵圣文，庄一渝，等.ICU患者家属迁移应激现况调查[J].护士进修杂志，2018，33（23）：2173-2176，2207.
[10] Ryman FVM，Erisman JC，Darvey LM，et al. Health effects of the relocation of patients with dementia：a scoping review to inform medical and policy decision-making [J]. Gerontologist，2018.
[11] 李婷，赵琪珩，董雪.ICU转出患者家属迁移应激的预防及护理[J].中华护理杂志，2018，53（3）：321-323.
[12] 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.
[13] 李娜，关红.ICU患者家属疾病不确定感影响因素及干预策略的研究进展[J].中国医药导报，2017，14（18）：34-37，52.
[14] 周筱春，赵凯怡，李霞，等.认知行为干预对重型颅脑损伤患儿照顾者照顾者负担及应对方式的影响[J].护理学报，2018，25（17）：50-54.
[15] 杨瑾，白亚娟.家属ICU后综合征的研究现状及干预措施[J].护理研究，2017，31（21）：2582-2584.
[16] 聂晓琴，陈雪.护理关怀在ICU患者家属关爱中的应用价值[J].西部医学，2014，26（12）：1730-1732.
[17] 汪云芳，曾爱华，傅丽，等.联合心理干预对精神疾病患者家属心理状况影响的研究[J].中国当代医药，2018， 25（34）：167-170，191. |
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