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背景 ICU死亡病人与家庭成员心理症状负荷相关。本研究对家庭成员的心理学症状相关特性进行了识别。方法之前参加了某随机试验,11家医院,在ICU内或出ICU30h内呈濒死状态病人的家庭。本研究中,我们采用了跟踪调查方式,对这些家庭发生创伤后应激障碍和抑郁症状进行评估。结果包括PTSD(PTSD清单)和抑郁(病人健康问卷)症状测试。预示因子包括家庭成员精神卫生家族史,含做决策和人口统计学。结果完成了226个家庭调查。反应率,原始随机研究46%,本次研究82%。PTSD和抑郁发生率(95%CI)分别为14.0%(9.7%,19.3%)和18.4%(13.5%,24.1%)。相关家庭症状增加的特征包括:女性(PTSD,P=0.020;抑郁,P=0.005);熟悉病人持续期较短(PTSD,P=0.003;抑郁,P=0.040)。家庭成员做决策参数与他们真正做决策角色之间不一致(PTSD,P=0.005;抑郁,P=0.049)。抑郁症状与低受教育水平相关(P=0.002)。有心理症状的家庭成员更可能报告要看心理咨询师(PTSD,P<0.001;抑郁,P=0.003),病人ICU逗留期间,精神信息服务可能更有益(PTSD,P=0.024;抑郁,P=0.029)。结论ICU死亡病人家庭成员心理学症状有较高的流行性。了解症状特征有助于采取靶干预以减少这些症状。
Background ICU death patients and family members related to psychological symptoms load. This study identifies the psychological characteristics associated with family members. Methods Prior to participating in a randomized trial, 11 hospitals, families within the ICU or within 30 h of ICU were dying patients. In this study, we used a follow-up survey to assess the incidence of post-traumatic stress disorder and depression in these families. Results include PTSD (PTSD Checklist) and Depression (Patient Health Questionnaire) symptom testing. Predictors include a family history of mental health for family members, including decision making and demographics. As a result, 226 household surveys were completed. Response rate, 46% of original randomized study, 82% of this study. PTSD and depression (95% CI) were 14.0% (9.7%, 19.3%) and 18.4% (13.5%, 24.1%), respectively. Among the characteristics associated with increased family symptoms were women (PTSD, P = 0.020; depression, P = 0.005); familiar patients had shorter durations (PTSD, P = 0.003; depression, P = 0.040). Household members did not agree on the decision-making parameters with their true decision-making role (PTSD, P = 0.005; depression, P = 0.049). Depressive symptoms were associated with a low level of education (P = 0.002). Family members with psychiatric symptoms were more likely to report psychological counseling (PTSD, P <0.001; depression, P = 0.003). Mental information services may be more beneficial during patient ICU stay (PTSD, P = 0.024; depression, P = 0.029). Conclusion Psychological symptoms of family members of ICU death patients have a high prevalence. Understanding the symptoms helps to take target interventions to reduce these symptoms.