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目的针对医院重症监护患者家属心理问题,合理制订并实施相应的安抚管理对策。方法将自2011年1月-2014年12月医院重症监护室治疗患者的116位家属作为调查对象,采用症状自评量表(SCL-90)对家属心理状况进行评价,并对其各项症状因子进行评价,同时与常模进行比较。根据家属性别、年龄分别将其分为甲组(男性66例)、乙组(50例)与丙组(46例,非老年者)、丁组(70例,老年者);对各组家属症状因子情况进行评价与比较。结果经调查发现,除恐惧和精神病性症状外,重症监护室患者家属其余各项SCL-90指标评分均明显高于国内常模,P<0.05;重症监护室患者家属SCL-90总分为(189.55±17.16)分明显高于国内常模总分(134.19±36.80)分,t=16.19,P<0.05)。结论当患者入院进入重症监护后,其家属极易出现强烈的心理问题。因此,临床医护人员在对重症监护室家属进行管理时要根据不同性别和年龄进行针对性干预,加强与其交流沟通,更好地改善其心理状态,以促使其配合医护人员工作。
Objective To solve the psychological problems of the family members of patients with intensive care in hospital and to make and implement the appropriate measures to appease management. Methods From January 2011 to December 2014, 116 family members of patients admitted to the intensive care unit of the hospital were enrolled in this study. Their psychological status was assessed by using the Self-rating Symptom Scale (SCL-90), and their symptoms Factor evaluation, at the same time compared with the norm. According to the family members’ gender and age, they were divided into group A (66 males), group B (group 50) and group C (group 46), group D (group 70) Symptoms and conditions were evaluated and compared. Results The survey found that in addition to fear and psychotic symptoms, SCL-90 scores of other families of patients in intensive care unit were significantly higher than that of the domestic norm (P <0.05). The SCL-90 scores of family members in intensive care unit were ( 189.55 ± 17.16) was significantly higher than the national norm (134.19 ± 36.80) points, t = 16.19, P <0.05). Conclusion When patients admitted to intensive care, their families are prone to strong psychological problems. Therefore, clinicians should take targeted intervention according to their sex and age when they are going to supervise the families of ICU, strengthen communication with them, and improve their psychological status so as to facilitate their work with medical staff.