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目的:分析整合照护模式护理方案对于多发伤重症患者ICU转出后其照顾者的迁移应激程度以及心理一致感水平的影响。方法:选择2017年1月至2019年10月柳州市工人医院重症医学科收治的102例多发伤重症患者的照顾者,患者均具备ICU转出指征,应用随机数字表法将102名照顾者分成对照组及观察组,每组51名,对照组ICU转出过程给予常规护理方案,观察组ICU转出过程实施整合照护模式护理方案。ICU转出前后对2组照顾者的迁移应激、心理一致感程度分别应用照顾者迁应激量表(FRSS)、心理一致感量表(SOCS)进行评价。结果:观察组转出后FRSS中迁移准备维度评分(17.51 ± 3.46)分、迁移满意度维度评分(4.81 ± 0.48)分、照顾者压力维度评分(11.69 ± 1.82)分以及FRSS总评分(49.91 ± 4.51)分,高于对照组的(13.61 ± 2.83)、(3.32 ± 0.53)、(9.42 ± 2.17)、(39.25 ± 4.01)分,差异有统计学意义(n t值为5.12 ~ 7.64,均n P<0.05)。观察组转出后SOCS中可控制感维度评分(29.58 ± 4.96)分、可理解感维度评分(24.07 ± 2.72)分、意义感维度评分(22.04 ± 3.64)分以及SOCS总评分(75.52 ± 6.80)分,高于对照组的(24.34 ± 4.13)、(20.50 ± 2.99)、(17.19 ± 3.96)、(64.80 ± 6.12)分,差异有统计学意义(n t值为4.51 ~ 7.01,均n P<0.05)。n 结论:针对多发伤重症患者ICU转出采用整合照护模式护理方案,能明显降低照顾者迁移应激程度并提高照顾者的心理一致感水平。“,”Objective:To analyze the effect of integrated care model on relocation stress and sense of coherence in caregivers of severe multiple injuries patients after ICU transfer.Methods:From January 2017 to October 2019, 102 caregivers of severe multiple injuries patients in ICU of Liuzhou Worker′s Hospital were selected and divided into control group and observation group by random digits table method,with 51 cases in each group. In the process of ICU transfer the control group received routine nursing, while the observation group carried out integrated care model based on the control group scheme. Before and after ICU transfer, the degree of relocation stress and sense of coherence of caregivers in two groups were evaluated by Family Relocation Stress Scale (FRSS) and Sense of Coherence Scale (SOCS) respectively.Results:The scores of migration preparation dimension, migration satisfaction dimension,caregiver stress dimension and the total scores of FRSS were 17.51 ± 3.46, 4.81 ± 0.48, 11.69 ± 1.82 and 49.91 ± 4.51 in the observation group, which were significantly higher than those in the control group after transfer (13.61 ± 2.83, 3.32 ± 0.53, 9.42 ± 2.17, 39.25 ± 4.01)(n t values were 5.12-7.64, all n P<0.05). The scores of manage ability dimension, comprehensibility dimension, meaningfulness dimension and the total scores of SOCS were 29.58 ± 4.96, 24.07 ± 2.72, 22.04 ± 3.64 and 75.52 ± 6.80 in the observation group, which were significantly higher than those in the control group (24.34 ± 4.13, 20.50 ± 2.99, 17.19 ± 3.96, 64.80 ± 6.12) after transfer (n t values were 4.51-7.01, all n P<0.05).n Conclusions:The integrated care model can significantly alleviate relocation stress and promote sense of coherence in caregivers of severemultiple injuriespatients after ICU transfer.