Posttraumatic stress symptoms in families of cancer patients admitted to the intensive care unit: a longitudinal study.
Posttraumatic stress symptoms in families of cancer patients admitted to the intensive care unit: a longitudinal study.
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DOI：
10.1186/s40560-016-0162-3
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发表时间：
2016
影响因子：
7.1
通讯作者：
Kamibeppu K
中科院分区：
文献类型：
--
作者：
Komachi MH;Kamibeppu K
ICU中的癌症患者家属经常会经历严重的压力。了解他们的经历对于在这一困难时期提供以家庭为中心的护理非常重要。对于住进ICU的癌症患者家属的经历，我们知之甚少。本研究评估了入住ICU的癌症患者家属中创伤后应激症状（PTSS）的患病率。我们在一家教学和高级治疗医院进行了纵向研究。研究对象为23名ICU患者的23名家属。家庭成员提供患者的人口统计学数据、电子病历，并完成事件影响量表修订版（IES-R）、流行病学研究中心抑郁量表（CES-D）和状态-特质焦虑量表X（STAI-状态，特质）。平均IES-R总分、IES-R再体验评分、IES-R回避评分和STAI状态评分在ICU入院24 h内和3个月后差异显著。复发癌患者家属的IES-R评分显著高于初治癌患者家属（t = 2.63，p = 0.029）。对于双因素方差分析，时间点与IES-R评分显著相关（F = 1.751，p = 0.011，df = [1]）。入住ICU的复发性癌症患者的家属在入院后24小时内会出现严重的PTSS。重要的是要为这些患者的家人提供适当的精神支持。
Families of cancer patients in the ICU often experience severe stress. Understanding their experience is important for providing family-centered care during this difficult period. Little is known about the experience of families of cancer patients admitted to the ICU. This study evaluated the prevalence of posttraumatic stress symptoms (PTSS) among families of cancer patients admitted to the ICU. We carried out a longitudinal study at a teaching and advanced treatment hospital. Participants were 23 family members of 23 ICU patients. Family members provided demographic data, electronic medical records of patients, and completed the Impact of Event Scale-Revised (IES-R), the Center for Epidemiologic Studies Depression Scale (CES-D), and the State-Trait Anxiety Inventory Form X (STAI-state, trait). Mean total IES-R total score, IES-R re-experience score, IES-R avoidance score, and STAI-state score within 24 h of ICU admission and 3 months later differed significantly. The IES-R score of families of patients with recurrent cancer was significantly higher than the score of families of patients with an original cancer diagnosis (t = 2.63, p = 0.029). For two-way analysis of variance, time point was significantly associated with IES-R score (F = 1.751, p = 0.011, df = [1]). Families of recurrent cancer patients admitted to the ICU experience serious PTSS within 24 h of admission. It is important that appropriate psychiatric support be provided to family members of these patients.