河南医学研究2024,Vol.33Issue(4) :644-649.DOI:10.3969/j.issn.1004-437X.2024.04.016

ICU转出非小细胞肺癌合并肺部感染患者家属迁移应激水平现状及影响因素分析

Current Level of Migration Stress in Families of Patients with Non-small Cell Lung Cancer Co-infected with Lung Infection Transferred from ICU and Factors Influencing

赵勇 张丹 罗珊珊
河南医学研究2024,Vol.33Issue(4) :644-649.DOI:10.3969/j.issn.1004-437X.2024.04.016

ICU转出非小细胞肺癌合并肺部感染患者家属迁移应激水平现状及影响因素分析

Current Level of Migration Stress in Families of Patients with Non-small Cell Lung Cancer Co-infected with Lung Infection Transferred from ICU and Factors Influencing

赵勇 1张丹 1罗珊珊1
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作者信息

  • 1. 郑州大学附属肿瘤医院(河南省肿瘤医院)呼吸内科,河南郑州 450008
  • 折叠

摘要

目的 分析ICU转出非小细胞肺癌(NSCLC)合并肺部感染患者家属迁移应激水平现状,并分析其影响因素.方法 选取2021年1月至2023年1月就诊于本院ICU的162例NSCLC合并肺部感染患者及家属为研究对象,以迁移应激量表(FRSS)评估家属迁移应激水平,以简易应对方式量表(SCSQ)评估应对方式,以家庭照顾者照顾能力测量表(FCTI)评估照护能力.采用单因素、多因素分析家属迁移应激水平影响因素.结果 ICU转出NSCLC合并肺部感染患者家属迁移应激评分为(36.44±8.02)分,处于高水平;logistic回归分析显示,患者化疗时间(OR=6.671,95%CI:1.352~32.912)、病理分期(OR=10.802,95%CI:4.236~27.547)、ICU 治疗时间(OR=23.700,95%CI:6.352~88.426)、家属性别(OR=12.659,95%CI:4.255~37.928)是家属出现高水平迁移应激的相关危险因素,家庭人均月收入(OR=1.883,95%CI:0.203~0.916)、家属应对方式(OR=3.464,95%CI:0.057~0.826)、家属照护能力(OR=0.649,95%CI:0.367~0.835)是家属出现高水平迁移应激的相关保护因素(P<0.05).结论 ICU转出NSCLC合并肺部感染患者家属迁移应激水平处于高水平,受照护者性别、家庭人均月收入、患者病理分期、家属应对方式等因素影响,临床在关注患者身心健康的同时可根据本研究分析加强对患者家属的针对性护理,以全面提升护理质量.

Abstract

Objective To analyze the current level of migration stress in families of patients with non-small cell lung cancer(NSCLC)co-infected with lung infection,and to analyze the influencing factors.Methods One hundred and sixty-two patients with NSCLC co-infected with lung infection and their families who visited the hospital from January 2021 to January 2023 were selected for the study,and the migration stress level of the families was assessed by family relocation stress scale(FRSS),the coping style was assessed by simplified coping style questionnaire(SCSQ),and the caregiving capacity was assessed by family caregiver task inventory(FCTI).Factors influencing the level of migration stress in families were analyzed using univariate and multifactorial analyses.Results The level of migration stress score of families of patients transferred out of the ICU with NSCLC co-infected with lung infection was(36.44±8.02),which was at a high level.Logistic regression analysis showed that patient chemotherapy duration(OR=6.671,95%CI:1.352-32.912),pathological stage(OR=10.802,95%CI:4.236-27.547),ICU treatment duration(OR=23.700,95%CI:6.352-88.426),family gender(OR=12.659,95%CI:4.255-37.928)were risk factors associated with high levels of migration stress in family members,and monthly per capita household income(OR=1.883,95%CI:0.203-0.916),family coping style(OR=3.464,95%CI:0.057-0.826),and family caregiving ability(OR=0.649,95%CI:0.367-0.835)were associated protective factors for high levels of migration stress in family members(P<0.05).Conclusion The level of migration stress among family members of patients with NSCLC co-infected with lung infection transferred out of ICU was at a high level,influenced by the gender of the caregiver,per capita monthly household income,pathological stage of the patient,and the coping style of the family,etc.The clinic can strengthen the targeted care for the patient's family members according to the analysis of this study while paying attention to the physical and mental health of the patient,in order to improve the quality of care in a comprehensive manner.

关键词

非小细胞肺癌/肺部感染/家属迁移应激水平/身心健康

Key words

non-small cell lung cancer/lung infection/family migration stress levels/physical and mental health

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出版年

2024
河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
参考文献量17
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