中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
16期
28-32
,共5页
曹晓东%何瑛%黄云娟%朱亭立%许正红%黄琴红%陈静瑜%王俏英%浦敏华
曹曉東%何瑛%黃雲娟%硃亭立%許正紅%黃琴紅%陳靜瑜%王俏英%浦敏華
조효동%하영%황운연%주정립%허정홍%황금홍%진정유%왕초영%포민화
肺移植%ICU%环境%压力源%压力反应
肺移植%ICU%環境%壓力源%壓力反應
폐이식%ICU%배경%압력원%압력반응
Lung transplantation%ICU%Environment%Stressors%Stress response
目的 调查肺移植术后患者感知的ICU环境压力源与产生的压力反应,以便将可以控制的压力源降到最低点,减少对患者造成的不良影响.方法 采用一般资料调查表、ICU环境压力源量表、急性生理学及慢性健康状况评分、医院焦虑抑郁量表、医学应对问卷和匹兹堡睡眠质量指数量表对37例入我院心肺ICU治疗的肺移植术后患者进行调查.结果 肺移植患者ICU环境压力源量表总得分为(110.58±14.25)分,患者感知程度最大的5种压力源是“不能入睡”“疼痛”“想念家人”“口腔插管或气管切开插管”“被管道束缚”;面对压力源其多采取“回避”和“屈服”应对方式;患者焦虑、抑郁发生率分别为37.84％、32.43％,并存在严重的睡眠剥夺现象.结论 肺移植术后患者感知的ICU环境压力源及产生的压力反应程度较重,护理人员应采取有效措施降低这些压力源和压力反应,以利于患者早日康复.
目的 調查肺移植術後患者感知的ICU環境壓力源與產生的壓力反應,以便將可以控製的壓力源降到最低點,減少對患者造成的不良影響.方法 採用一般資料調查錶、ICU環境壓力源量錶、急性生理學及慢性健康狀況評分、醫院焦慮抑鬱量錶、醫學應對問捲和匹玆堡睡眠質量指數量錶對37例入我院心肺ICU治療的肺移植術後患者進行調查.結果 肺移植患者ICU環境壓力源量錶總得分為(110.58±14.25)分,患者感知程度最大的5種壓力源是“不能入睡”“疼痛”“想唸傢人”“口腔插管或氣管切開插管”“被管道束縳”;麵對壓力源其多採取“迴避”和“屈服”應對方式;患者焦慮、抑鬱髮生率分彆為37.84％、32.43％,併存在嚴重的睡眠剝奪現象.結論 肺移植術後患者感知的ICU環境壓力源及產生的壓力反應程度較重,護理人員應採取有效措施降低這些壓力源和壓力反應,以利于患者早日康複.
목적 조사폐이식술후환자감지적ICU배경압력원여산생적압력반응,이편장가이공제적압력원강도최저점,감소대환자조성적불량영향.방법 채용일반자료조사표、ICU배경압력원량표、급성생이학급만성건강상황평분、의원초필억욱량표、의학응대문권화필자보수면질량지수량표대37례입아원심폐ICU치료적폐이식술후환자진행조사.결과 폐이식환자ICU배경압력원량표총득분위(110.58±14.25)분,환자감지정도최대적5충압력원시“불능입수”“동통”“상념가인”“구강삽관혹기관절개삽관”“피관도속박”;면대압력원기다채취“회피”화“굴복”응대방식;환자초필、억욱발생솔분별위37.84％、32.43％,병존재엄중적수면박탈현상.결론 폐이식술후환자감지적ICU배경압력원급산생적압력반응정도교중,호리인원응채취유효조시강저저사압력원화압력반응,이리우환자조일강복.
Objective To survey the perception of environmental stressors in ICU and the stress response of patients after lung transplantation,then we can control the stressors to a minimum point and reduce the adverse impact on patients.Methods 37 patients after lung transplantation in ICU were surveyed using "General Information Survey","ICUESS","APACHE Ⅱ ","Hospital Anxiety and Depression Scale","MCMQ" and "PSQI".Results The total score of ICUESS was (110.58±14.25).The five most important stressors perceived by patients were "Can not sleep","Pain","Miss family","Having tubes in mouth or tracheotomy","Bound by the pipeline".Most patients used "evasive" and "surrender" coping style,the incidence of anxiety and depression were 37.84％ and 32.43％,and there was a serious sleep deprivation.Conclusions The perception of environmental stressors in ICU and the stress response of patients after lung transplantation were serious.In order to facilitate early rehabilitation of patients,nurses should take effective measures to reduce these stressors and stress response.
