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心理创伤对ICU肿瘤患者康复的影响

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目的 探讨心理创伤对ICU肿瘤患者康复的影响.方法 2022年1-12月,选取豫北地区某三级甲等肿瘤专科医院ICU患者为研究对象,使用事件影响量表对患者心理状况进行评估,根据是否发生心理创伤分为心理创伤组(193例)与未发生心理创伤组(107例),比较两组患者ICU住院时间、并发症发生率、48 h重返ICU及患者满意度等指标,分析心理创伤对ICU肿瘤患者预后的影响.结果 300例ICU肿瘤患者中,有193例发生心理创伤,发生率为64.33%.创伤组心理创伤得分为(45.31±11.49)分,高于无心理创伤组(28.66±3.13)分,差异有统计学意义(P<0.05).心理创伤组ICU监护时间、并发症发生率、48 h重返ICU及低满意度均高于无心理创伤组,差异有统计学意义(P<0.05).经Pearson分析,心理创伤与患者ICU监护时间、并发症发生率及48 h重返ICU呈正相关,与患者的满意度呈负相关(P<0.05).结论 ICU肿瘤患者心理创伤与康复具有一定的相关性,ICU医务工作者应从不同的影响因素着手进行干预,减少患者的心理创伤,促进患者的康复,提高患者的生活质量.
Impact of Psychological Trauma on the Rehabilitation of ICU Cancer Patients
Objective To investigate the effect of psychological trauma on the prognosis of ICU cancer patients.Methods From January to December 2022,ICU patients in a tertiary cancer hospital in northern Henan were selected as the research subjects,and the psychological status of the patients was evaluated by the event impact scale,and the patients were divided into psychological trauma group(193 cases)and no psychological trauma group(107 cases)according to whether psychological trauma occurred,and the ICU length of stay,complication rate,48-hour return to ICU and patient satisfaction were compared between the two groups,and the impact of psychological trauma on the prognosis of ICU cancer patients was analyzed.Results Among the 300 ICU cancer patients,193 had psychological trauma,with an incidence rate of 64.33%.The score of psychological trauma in the study group was(45.31±11.49),which was higher than that in the control group(28.66±3.13),and the difference was statistically significant(P<0.05).The duration of ICU monitoring,complication rate,48-hour return to ICU and low satisfaction in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).Pearson analysis showed that psychological trauma was positively correlated with ICU monitoring time,complication rate and 48-hour return to ICU,and negatively correlated with patient satisfaction(P<0.05).Conclusion There is a certain correlation between psychological trauma and prognosis in ICU cancer patients,and ICU medical workers should intervene from different influencing factors to reduce patients'psychological trauma,promote patients'recovery,and improve patients'quality of life.

psychological traumaintensive care unitrehabilitationrelevance

刘佳欣、孙玉洁、刘玮、王雁军

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安阳市肿瘤医院重症医学科,河南安阳 455000

心理创伤 重症监护室 康复 相关性

河南省医学科技攻关计划联合共建项目

LHGJ20200814

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
年,卷(期):2024.33(11)