多元组件沟通干预以支持重症患者的家庭成员:一项受控的前后研究
Eyleen Reifarth1,2, Boris Böll1, Sascha Köpke2
1Department I of Internal Medicine, Center of Integrated Oncology Aachen Bonn Cologne Dusseldorf (CIO), University Hospital Cologne, Cologne, Germany.
Critical care medicine
|May 19, 2025
概括
对重症监护室 (ICU) 患者家属的沟通干预改善了信息理解,但在出院90天后没有减少焦虑或抑郁症状. 这项研究强调了在重症监护期间需要为家庭提供多方面的支持.
科学领域:
- 医学沟通 医学沟通
- 临界护理医学 临界护理医学
- 心理支持 心理支持
背景情况:
- 强化护理病人的家庭成员往往对患者信息的理解不佳.
- 在ICU出院后的家庭中,焦虑和抑郁是常见的.
- 有效的沟通策略对于支持ICU患者的家属至关重要.
研究的目的:
- 评估沟通干预对ICU家庭成员信息理解的影响.
- 评估干预措施对焦虑和抑郁症症状的影响,在ICU出院后90天.
- 在这个人群中识别焦虑和抑郁症的危险因素.
主要方法:
- 控制的前后研究设计,涉及140名家庭成员.
- 干预包括沟通手册,员工技能培训和信息小册子.
- 通过采访收集的数据,使用医院焦虑和抑郁量表和理解问卷.
主要成果:
- 与对照组相比,干预组的信息理解明显改善 (44.3%与65.7%无法确定诊断,治疗或预后; p=0.011).
- 在90天后,群体之间没有观察到焦虑或抑郁症状的统计学上显著差异 (p > 0.268).
- 基线焦虑/抑郁,年龄,以及对入院原因的理解预测了90天的得分;高等教育与焦虑增加相关.
结论:
- 沟通干预有效地提高了家庭成员对患者信息的理解.
- 在ICU退院90天后,该干预措施并没有导致焦虑或抑郁症状的减少.
- 需要进一步的研究来解决ICU患者家属的心理痛苦.
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