护士带领的转移计划与患者亲属:减少重症监护室患者转移焦虑的影响
Yakup Akyüz1, Seda Er2, Şahin Bozok3
1Department of Surgical Nursing, Faculty of Nursing, Istanbul University, Istanbul, Turkey.
Nursing in critical care
|September 8, 2025
概括
一个由护士领导的转移计划,涉及患者的亲属显著减少了心血管手术患者从ICU转移到普通病房的焦虑. 这种方法提高了患者的福祉,并支持在关键转型期间的整体护理.
科学领域:
- 护理 护理 护理
- 患者护理 患者护理
- 心理健康 心理健康
背景情况:
- 从重症监护室 (ICU) 转移到普通病房的患者往往会引发严重的焦虑.
- 这种焦虑会对患者的康复和幸福感产生负面影响,并增加再接收风险.
研究的目的:
- 评估"护士领导的与患者亲属的转移计划"对焦虑和血液动力学参数的影响.
- 专注于在ICU期间接受心血管手术 (CVS) 的患者转移到普通病房.
主要方法:
- 一个单一的,非随机的准实验性研究,涉及150名CVS-ICU患者.
- 使用国家-海域焦虑清单 (STAI-I) 评估焦虑;转移前后记录的生命体征.
- 干预:由护士领导的转移,患者相对参与.
主要成果:
- 与对照组相比,干预组在转移前和转移后的状态焦虑得分明显较低 (p < 0.001).
- 该计划显著降低了焦虑水平,即使在控制了基线焦虑和ICU停留时间后.
- 虽然生命体征在群体内有所改善,但群体间的差异在临床上并不显著.
结论:
- 护士带领的转移计划与患者亲属有效地减少了患者在ICU转移至病房期间和之后的焦虑.
- 让亲属参与转移可以缓解焦虑,改善患者的过渡,支持整体护理.
- 这项计划可以整合到释放协议中,以提高结果和护理的连续性.
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