目的 探讨急诊重症监护室(emergency intensive care unit，EICU)住院患者家属创伤后成长的影响因素及其与社会支持水平的相关性。方法 选择 2020 年 6 月—2023 年 6 月南通大学附属医院EICU 80 名住院患者的家属作为研究对象。采用创伤后成长评定量表以及社会支持评定量表评价EICU住院患者家属创伤后成长水平及社会支持水平。分析患者家属创伤后成长水平与社会支持水平的相关性，并对患者家属创伤后成长水平的影响因素进行单因素、多因素logistic回归分析。结果 80 名EICU住院患者家属创伤后成长水平评分为(60。53±13。02)分，其中得分最高维度为与他人关系，其次为个人力量。经单因素分析可见，患者家属不同性别、学历、与患者关系、急性生理学和慢性健康状况评价Ⅱ(acute physiology and chronic health evaluation Ⅱ，APACHE Ⅱ)评分的创伤后成长水平评分比较，差异有统计学意义(P＜0。05)。家属社会支持水平评分均低于国内常模(P＜0。05)。经Pearson相关性分析，EICU住院患者家属创伤后成长水平与社会支持水平呈正相关(P＜0。05)。经多因素分析可见，性别、学历、患者APACHE Ⅱ评分与社会支持水平是ICU住院患者家属创伤后成长的独立影响因素(P＜0。05)。结论 性别、学历、患者APACHE Ⅱ评分与社会支持水平是EICU住院患者家属创伤后成长的影响因素，临床应增强对患者家属关注度，积极鼓励家属缓解负面情绪，提升创伤后成长水平。
The Relationship and Impact of Post-Traumatic Growth and Social Support Among Family Members of EICU Patients
Objective To explore the influencing factors of post-traumatic growth of family members of hospitalized patients in the emergency intensive care unit(EICU)and their correlation with social support levels.Methods A total of 80 family members of EICU inpatients in Affiliated Hospital of Nantong University from June 2020 to June 2023 were selected as the research subjects.The general information questionnaire,post-traumatic growth assessment scale,and social support assessment scale were used to evaluate the post-traumatic growth level and social support level of EICU inpatient family members.The correlation between the post-traumatic growth level of patient family members and social support level was analyzed,and the influencing factors of the post-traumatic growth level of patient family members were univariate multivariate logistic regression analysis.Results The post-traumatic growth level score of the family members of 80 EICU inpatients was(60.53±13.02)points,with the highest scoring dimension being relationships with others,followed by personal strength.Through univariate analysis,it can be seen that the post-traumatic growth level score of the patient's family members with different gender,education,relationship with the patient,acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ)score was compared.The difference was statistically significant(P<0.05).The social support scores of the families of 80 EICU inpatients were lower than the domestic norm(P<0.05).According to Pearson correlation analysis,the level of post-traumatic growth of family members of EICU patients was positively correlated with the level of social support(P<0.05).Through multiple factor analysis,it can be seen that gender,education level,APACHE Ⅱ score of patients,and social support level are independent influencing factors for the post-traumatic growth of family members of EICU inpatients(P<0.05).Conclusion Gender,educational background,patient APACHE Ⅱ score and social support level are influencing factors for the post-traumatic growth of EICU inpatient family members.Clinical attention should be increased to the patient's family members,actively encouraging them to alleviate negative emotions and improving their post-traumatic growth level.
EICUpatient family membersposttraumatic growthsocial support levelcorrelationinfluence factor
万方数据
维普
