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1、解放军护理杂志March2011,28(3B)NursJChinPLA#15#外科ICU患者家属心理压力主要来源的质性研究12李丽,赵继军(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
2、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=中图分类号>R395.1=文献标志码>A=文章编号>1008-9993(2011)3B-0015-04QualitativeResearc
3、honMainStressorsofPatients'FamilyMemberswithPsychologicalProblemsinSurgicalICU12LILi,ZHAOJ-ijun(1.ICUofDepartmentofAnesthesiology,EasternHepatobiliarySurgeryHospital,SecondMilitaryMedicalUniversity,Shanghai200438,China;2.DepartmentofNursing,ChanghaiHosp-ital,SecondMilitary
4、MedicalUniversity,Shanghai200433)Correspondingauthor:ZHAOJ-ijun,E-mail:zhaojijun2000@yahoo.com=Abstract>ObjectiveToexplorethemainstressorsofthepatients'familymemberswithpsychologicalproblemsinsurgicalICU(SICU).MethodsBysom-istructuredinterview,12familymembersofSICUpa-tient
5、swereinvestigated.Thedatawereobtainedandanalyzedbymeansofcontentsanalysis.ResultsThemainstressorsoftheSICUfamilymembersofSICUpatientsincluded:worriesduetounsuccessfulrescuework(worriesaboutthedeteriorationofdisease/death,thelowqualityofmedicalcareandthepoorlong-termoutcome
6、ofthepatient),shortageofgoodcommunicationwithmedicalstaffandthefinancialburdenforrescuingthepatient.ConclusionThemedicalstaffshouldattachmoreimportancetoimprovingthequalityofmedicalandrescuesuccessrate.Then,theyshouldkeepeffectivecommunicationwiththepatient'sfamilymemberst
7、ointroducethepatient'sconditions,treatment,laboratoryresultsandbadprognosisintime.Nursesshouldcommunicateandinstructthefamilymembersinitiativelybyestablishingconsultingtelephone.Themedicalinsurancesystemshouldbeimplementedgraduallyandthesystemofmedicalsocialworkersshouldbe
8、promoted.Finally,patients'relativesaresuggestedtoprovidespiritandmaterialsupportforthemfo
