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外科ICU患者家属心理压力主要来源的质性研究
引用本文:李丽,赵继军.外科ICU患者家属心理压力主要来源的质性研究[J].解放军护理杂志,2011,28(6).
作者姓名:李丽  赵继军
作者单位:1. 第二军医大学东方肝胆外科医院,麻醉科ICU,上海,200438
2. 第二军医大学长海医院,护理部,上海200433
摘    要:目的探讨ICU患者家属心理压力的主要来源.方法采用半结构式访谈的方法,收集12名ICU患者家属心理压力的主要来源,用质性研究内容分析法对资料进行分析.结果外科ICU患者家属心理压力的主要来源包括:担心患者救治不成功(担心患者病情恶化/死亡、担心医护质量差、担心患者的远期预后不佳)、与医护人员的有效沟通不足以及经济压力.结论医护人员应重视医疗护理质量,努力提高ICU患者的抢救成功率;与家属做到有效沟通,及时向其介绍患者的病情、治疗及检验结果,不良预后尽早告知,主动联系和指导患者家属,建立家属的咨询电话;另外,逐步落实医保制度、倡导医疗社会工作者制度、鼓励其亲友提供帮助等亦有助于缓解ICU患者家属的心理压力,促进其生理与心理适应.

关 键 词:压力  主要来源  外科ICU  患者家属  质性研究

Qualitative Research on Main Stressors of Patients' Family Members with Psychological Problems in Surgical ICU
LI Li,ZHAO Ji-jun.Qualitative Research on Main Stressors of Patients' Family Members with Psychological Problems in Surgical ICU[J].Nursing Journal of Chinese People's Liberation Army,2011,28(6).
Authors:LI Li  ZHAO Ji-jun
Institution:LI Li1,ZHAO Ji-jun2(1.ICU of Department of Anesthesiology,Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai 200438,China,2.Department of Nursing,Changhai Hospital,Shanghai 200433)
Abstract:Objective To explore the main stressors of the patients' family members with psychological problems in surgical ICU(SICU).Methods By somi-structured interview,12 family members of SICU patients were investigated.The data were obtained and analyzed by means of contents analysis.Results The main stressors of the SICU family members of SICU patients included:worries due to unsuccessful rescue work(worries about the deterioration of disease/death,the low quality of medical care and the poor long-term outcome of...
Keywords:stress  main stressor  surgical ICU(SICU)  family member  qualitative research  
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