结核性脑膜炎患者入住急诊重症监护室后其家属的心理需求评估

对2016年4月至2017年5月入住新疆维吾尔自治区胸科医院急诊重症监护室、确诊为重症结核性脑膜炎(tuberculous meningitis, TBM)的62例患者的97名家属在患者入院时、治疗期间、出院前实施心理需求评估。患者家属存在严重的心理应激反应100.0%(97/97)的家属希望陪伴在患者身边]、对知晓疾病相关知识的需求较高81.4% (79/97)的家属希望提供此类疾病相关的健康教育资料、100.0%(97/97)的家属希望了解出院后的注意事项]、存在强烈的社会经济支持需求97.9%(95/97)担心经济困难会中断治疗]及渴望被关注的心理需求100.0%(97/97)的家属希望医生能详细耐心说明患者的病情及预后]。医护人员应该重视入住监护室重症TBM患者家属的心理需求,通过个体化、有针对性的干预措施满足重症患者家属的需求。

Assessment on psychological needs of patient’s relatives after patients with tuberculous meningitis admitted to emergency intensive care unit

The assessment on the psychological needs were conducted to 97 family relatives of 62 patients, who were admitted to the Emergency Intensive Care Unit (EICU) of Xinjiang Chest Hospital from April 2016 to May 2017 and diagnosed as tuberculous meningitis (TBM), when the patients had just been hospitalized, during the treatment and before they were discharged from the hospital. The results showed that the patients’ relatives all had serious psychological stress responses (100.0% (97/97) family members wanted to accompany the patients); the proportion of the patients’ relatives who wanted to know the knowledge of the disease was quite high (81.4% (79/97) of the family members expected to get some health education materials related to the disease while 100.0% (97/97) of the family members wanted to know the attentions after the patients were discharge from the hospital); the needs on social and economic supports were obvious in the patients’ relatives (97.9% (95/97) of them worried that the treatment of the patient might be disrupted due to financial barriers); the patients’ relatives had strong psychological needs to be concerned (100.0% (97/97) of the family members of the patients wanted the clinical doctors to be able to explain clearly and patiently about the patient’s conditions and prognosis). Medical staff should pay more attention to the psychological needs of the family members of the patients with severe TBM who were admitted to the ICU, and try to meet the needs of the severe patients’ relatives through the individualized and targeted interventions.