心外科术后患者感知的ICU压力源及其影响因素的研究-国际精神病学杂志-CSCIED科技核心评价数据库-手机版

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心外科术后患者感知的ICU压力源及其影响因素的研究

Perception of environmental stressors in ICU of patients after cardiac surgery

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DOI
刊名	国际精神病学杂志 Journal of International Psychiatry
年，卷(期)	2019, 46(2)
作者	张园*,周晓彬,黄强,陈家伟,
作者单位	青岛市市立医院心外科 ; 青岛大学公共卫生学院流行病与卫生统计学系 ;
摘要	调查心外科术后患者感知的ICU压力源及其影响因素。方法使用立意抽样方法, 采用“ICU环境压力源量表” 对94例在青岛市市立医院进行心脏外科手术的患者进行术后ICU压力源的调查。结果心外科术后患者ICU环境压力源量表总得分为79.52±26.99分，“疼痛”、“害怕死亡”、 “ 鼻或（和）口腔插管”、“ 不能入睡”和“治疗费用上的担忧”是心外科患者感知程度最大的前5位的压力源，“听到电话铃声响”是感知程度最小的压力源。男性患者感知的压力程度高于女性（86.52±26.09 VS 60.00±19.35，P=0.001），受教育程度间和病种间压力源总分有差别（P<0.05），年龄、手术时间、插管时间、使用抗精神病药物和ICU停留时间与患者压力源没有关联。结论心外科术后患者感知的ICU环境压力源较重，了解患者压力源的来源和严重程度可以帮助护理人员应采取有效措施降低这些压力源对患者的影响，以利于患者早日康复。
Abstract	Objective To investigate stressors perceived by patients in ICU after cardiac surgery and their influence factors. Method 94 patients after in ICU after cardiac surgery were surveyed using “ICUESS”. Results The total score of ICUESS was (79.52±26.99). The five most important stressors perceived by patients were “Being in pain”，“ Being afraid of dying”，“ Having tubes in your nose or mouth”，“ Not able to sleep” and “ Having financial worries”.The item “Hearing the telephone ringing” was evaluated as as the least stressful. There were more higer stressors in male patients than female patients（86.52±26.09 VS 60.00±19.35，P=0.001）. Stressor was significant difference among type of illness and education level.Age, intubation time, surgery time,use of psychotropic medications and length of stay in ICU were not association with the stressors. Conclusion The perception of stressors in ICU after cardiac surgery were serious．In order to favor patients’ recovery，nurses should know stressors and take effective measures to reduce these stressors．
关键词	心脏外科；压力；重症监护；围手术期护理；
KeyWord	cardiac surgery；ICU；Stressors；nursing care；Perioperative Nursing
基金项目
页码	380-382

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张园*,周晓彬,黄强,陈家伟. 心外科术后患者感知的ICU压力源及其影响因素的研究 [J]. 国际精神病学杂志. 2019; 46; (2). 380 - 382.

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