护理学报 ›› 2024, Vol. 31 ›› Issue (14): 43-46.doi: 10.16460/j.issn1008-9969.2024.14.043
信息支持在家属ICU后综合征心理干预中的应用进展
杨霞1, 江智霞2, 徐楠1, 陈青青1, 张芳1,2, 曹明伟1
- 1.遵义医科大学 护理学院,贵州 遵义 563000;
2.贵州护理职业技术学院,贵州 贵阳 550000
摘要： 目的 对国内外信息支持方式在家属ICU后综合征心理干预中的应用进行综述,以提供临床实践参考。方法 检索国内外相关文献,对家属ICU后综合征相关内容,及信息支持方式在家属中的应用现状进行综述。结果 深入探讨家属ICU后综合征的主要症状及其影响因素的同时,医务人员积极采取多元化的信息支持策略,包括面对面沟通、书面形式、家庭会议以及利用远程信息沟通等形式,旨在有效缓解家属的心理健康问题。结论 信息缺失为家属ICU后综合征的高危险因素,为家属提供信息支持至关重要,但目前缺少干预的实证研究,有待开展。
中图分类号:
- R47-05
| [1] Watland S, Solberg Nes L, Hanson E, et al.The caregiver pathway, a model for the systematic and individualized follow-up of family caregivers at intensive care units: development study[J]. JMIR Form Res, 2023,7:e46299. DOI:10.2196/46299. [2] Davidson JE, Jones C, Bienvenu OJ.Family response to critical illness: Postintensive Care Syndrome-Family[J]. Crit Care Med,2012,40(2):618-624. DOI:10.1097/CCM.0b013e318236ebf9. [3] Johanna JSA, Eskes AM, Johanna MP, et al.The effects of intensive care unit-initiated transitional care interventions on elements of Post-Intensive Care Syndrome: a systematic review and Meta-analysis[J]. Aust Crit Care, 2022,35(3):309-320.DOI: 10.1016/j.aucc.2021.04.010. [4] 李洁,张斯秀,徐翠荣.以家庭为中心的护理对ICU患者家属满意度影响的研究进展[J]. 护理学报,2021,28(9):19-21.DOI:10.16460/j.issn1008-9969.2021.09.019 [5] 梁慧,王建宁,张艺,等. ICU患者家属信息需求质性研究的Meta整合[J]. 中华急危重症护理杂志,2023, 4(10):943-950.DOI: 10.3761/j.issn.2096-7446.2023.10.016. [6] 林琪,曾莉,任君红,等. ICU患者家属沟通管理的研究进展[J]. 中华护理杂志,2020,55(2):294-298.DOI: 10.3761/j.issn.0254-1769.2020.02.024. [7] Johnson CC, Suchyta MR, Darowski ES, et al.Psychological sequelae in family caregivers of critically III Intensive Care Unit patients. A systematic review[J]. Ann Am Thorac Soc,2019,16(7):894-909.DOI:10.1513/AnnalsATS.201808-540SR. [8] Wen FH, Chou WC, Huang CC, et al.ICU bereaved surrogates' comorbid sychological-distress states and their associations with prolonged grief disorder[J]. Crit Care Lond Engl,2022,26(1):102.DOI: 10.1186/s13054-022-03981-7. [9] Li CC, Feng TH. Anxiety, Depression,Posttraumatic Stress Disorders in critically Ill patients[J]. Hu Li Za Zhi,2020,67(3):23-29.DOI: 10.6224/JN.202006_67(3).04. [10] Sanderson EAM, Humphreys S, Walker F, et al.Risk factors for complicated grief among family members bereaved in intensive care unit settings: a systematic review[J]. PLoS One,2022,17(3):e0264971.DOI:10.1371/journal.pone.0264971. [11] Kentish-Barnes N, Chaize M, Seegers V, et al.Complicated grief after death of a relative in the intensive care unit[J]. Eur Respir J,2015,45(5):1341-1352.DOI:10.1183/09031936.00160014. [12] 万娜,常鑫儿,张春艳,等.ICU后门诊的建立与运行实践[J].中国护理管理, 2021, 21(4):566-569.DOI:10.3969/j.issn.1672-1756.2021.04.019. [13] 梁诗雨,张宇翔,邵乐文,等.基于多学科团队的ICU后门诊的研究进展[J]. 护理研究,2023,37(7):1222-1227.DOI:10.12102/j.issn.1009-6493.2023.07.019 . [14] 胡梨萍,朱晓丽,赵媛,等.国内外ICU后门诊发展现状及展望[J]. 护理学报,2023,30(21):34-38.DOI: 10.16460/j.issn1008-9969.2023.21.034. [15] Kosilek RP, Baumeister SE, Ittermann T, et al.The association of intensive care with utilization and costs of outpatient healthcare services and quality of life[J]. PLoS One,2019,14(9):e0222671.DOI: 10.1371/journal.pone.0222671. [16] 赵颖, 孙建华, 李真, 等. 患者家属ICU日记使用感受研究的Meta整合[J]. 中国护理管理,2021,21(4):546-552.DOI: 10.3969/j.issn.1672-1756.2021.04.014. [17] 李晓婷, 廖金花, 黄珑,等. ICU日记法研究的文献计量学及可视化分析[J]. 护理学报,2022,29(16):26-32.DOI:10.16460/j.issn1008-9969.2022.16.026. [18] Mcilroy PA, King RS, Garrouste-Orgeas M, et al.The effect of ICU diaries on psychological outcomes and quality of life of survivors of critical Illness and their relatives: a systematic review and Meta-analysis[J].Crit Care Med,2019,47(2):273-279. DOI:10.1097/CCM.0000000000003547. [19] Barreto BB, Luz M, Rios MNDO, et al.The impact of intensive care unit diaries on patients' and relatives' outcomes: a systematic review and Meta-analysis[J]. Crit Care,2019,23(1):411.DOI: 10.1186/s13054-019-2678-0. [20] Nielsen AH, Angel S, Egerod I, et al.The effect of family-authored diaries on Posttraumatic Stress Disorder in intensive care unit patients and their relatives: a randomised controlled trial (DRIP-study)[J]. Aust Crit Care,2020,33(2):123-129.DOI: 10.1016/j.aucc.2019.01.004. [21] 苏涛, 江智霞, 吴琼, 等. ICU日记临床应用效果研究进展[J].护理学报,2018,25(9):35-38.DOI:10.16460/j.issn1008-9969.2018.09.035. [22] 张倩, 隋树杰. 应用宣教手册对ICU病人家属焦虑水平的影响[J]. 护理研究,2014,28(3):358-359.DOI: 10.3969/j.issn.1009-6493.2014.03.052. [23] Mistraletti G, Umbrello M, Mantovani ES, et al.A family information brochure and dedicated website to improve the ICU experience for patients' relatives: an Italian multicenter before-and-after study[J]. Intensive Care Med,2017,43(1):69-79.DOI: 10.1007/s00134-016-4592-0. [24] Goldberg R, Mays M, Halpern NA.Mitigating Post-Intensive Care Syndrome-Family: a new possibility[J]. Crit Care Med,2020,48(2):260-261.DOI:10.1097/CCM.0000000000004152. [25] Famirea Study Group, Kentish-Barnes N, Chevret S, et al.Effect of a condolence letter on grief symptoms among relatives of patients who died in the ICU: a randomized clinical trial[J]. Intensive Care Med,2017,43(4):473-484.DOI: 10.1007/s00134-016-4669-9. [26] Erikson A, Puntillo K, McAdam J. Family members' opinions about bereavement care after cardiac intensive care unit patients' deaths[J]. Nurs Crit Care,2019,24(4):209-221.DOI: 10.1111/nicc.12439. [27] Sayde GE, Stefanescu A, Conrad E, et al.Implementing an intensive care unit (ICU) diary program at a large academic medical center: results from a randomized control trial evaluating psychological morbidity associated with critical illness[J]. Gen Hosp Psychiatry,2020,66:96-102.DOI: 10.1016/j.genhosppsych.2020.06.017 [28] White DB, Angus DC, Shields AM, et al.A randomized trial of a family-support intervention in intensive care units[J]. N Engl J Med, 2018, 378(25):2365-2375. DOI:10.1056/NEJMoa1802637. [29] O'Donnell A, Buffo A, Campbell TC,et al. The critical care nurse communicator program: An integrated primary palliative care intervention[J]. Crit Care Nurs Clin North Am,2020,32(2):265-279.DOI: 10.1016/j.cnc.2020.02.008. [30] Carson SS, Cox CE, Wallenstein S, et al.Effect of palliative care-led meetings for families of patients with chronic critical illness: a randomized clinical trial[J].JAMA,2016,316(1):51.DOI: 10.1001/jama.2016.8474. [31] 董俊兰,江智霞,袁晓丽,等. 成人重症监护室病人随访研究进展[J]. 护理研究,2023,37(19):3510-3513.DOI: 10.12102/j.issn.1009-6493.2023.19.017. [32] Xiao K, Yeung JC, Bolger JC.The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review[J]. Eur J Surg Oncol J Eur Soc Surg Oncol Br Assoc Surg Oncol,2023,49(1):9-15.DOI: 10.1016/j.ejso.2022.08.037. [33] Cherak SJ, Rosgen BK, Amarbayan M, et al.Impact of social media interventions and tools among informal caregivers of critically ill patients after patient admission to the intensive care unit: a scoping review[J]. PLoS One,2020,15(9):e0238803. DOI:10.1371/journal.pone.0238803. [34] Hoffmann M, Taibinger M, Holl AK, et al.Online information for relatives of critically ill patients: pilot test of the usability of an ICU families website[J]. Med Klin Intensivmed Notfallmedizin,2019,114(2):166-172.DOI: 10.1007/s00063-018-0467-1. [35] Hoffmann M, Jeitziner MM, Riedl R, et al.Effects of an online information tool on Post-Traumatic Stress Disorder in relatives of intensive care unit patients: a multicenter double-blind, randomized, placebo-controlled trial (ICU-Families-Study)[J]. Intensive Care Med,2023, 49(11):1317-1326.DOI: 10.1007/s00134-023-07215-4. [36] 刘小会, 高绘明, 钟明利, 等. 重症监护后综合征患者的干预研究进展[J]. 护理学报,2023,30(21):29-34.DOI:10.16460/j.issn1008-9969.2023.21.029. [37] Zante B, Camenisch SA, Schefold JC.Interventions in Post-Intensive Care Syndrome-family: a systematic literature review[J]. Crit Care Med,2020,48(9):e835-e840.DOI: 10.1097/CCM.0000000000004450. [38] Cairns PL, Buck HG, Kip KE, et al.Stress management intervention to prevent Post-Intensive Care Syndrome-Family in patients' spouses[J]. Am [J] Crit Care Off Publ Am Assoc Crit-Care Nurse, 2019, 28(6):471-476. DOI:10.4037/ajcc2019668. [39] Petrinec AB, Wilk C, Hughes JW, et al.Self-care mental health App intervention for Post-Intensive Care Syndrome-Family: a randomized pilot study[J]. Am [J] Crit Care Off Publ Am Assoc Crit-Care Nurses,2023,32(6):440-448.DOI: 10.4037/ajcc2023800. |
| [1] | 贺芳, 温秀兰, 林艳, 孙黎, 王晓杰, 余欣, 刘会, 郭晓萍, 周艳. 基于移动医疗的新生儿护理线上咨询门诊的建立与实施[J]. 护理学报, 2024, 31(9): 20-23. |
| [2] | 方雅婷, 王岩, 王哲芸, 余云, 徐婷婷. 经口气管插管患者口腔功能减退的研究进展[J]. 护理学报, 2024, 31(9): 28-31. |
| [3] | 陈洁, 孟庆童, 刘惊今, 吴艳妮. 基于指南的慢性心力衰竭患者运动康复科普手册研制[J]. 护理学报, 2024, 31(9): 36-41. |
| [4] | 符路路, 解艺璇, 王玥, 魏巍, 张传英, 朱宇. 新生儿操作性疼痛听觉刺激干预的证据总结[J]. 护理学报, 2024, 31(9): 42-47. |
| [5] | 陈杰, 赖静, 王城阅, 徐良英, 晏娟, 罗雪. 基于三维质量结构理论的ICU护理人文关怀质量评价指标体系的构建[J]. 护理学报, 2024, 31(9): 54-59. |
| [6] | 叶香, 黎楷, 黄敏, 张倩, 李际敏, 刘荣珍, 孟敏, 朱少玉, 谢翠华. 对成年2型糖尿病患者基于移动APP+家属共管血糖的研究[J]. 护理学报, 2024, 31(9): 60-65. |
| [7] | 慕晓莹, 周芬, 樊英怡, 袁婷, 王玉玺, 吕云鹏, 荣红国. 基于离散选择实验的“互联网+手法排乳”患者偏好研究[J]. 护理学报, 2024, 31(9): 72-78. |
| [8] | 何娇, 刘义兰, 官春燕, 韩燕红, 陈睿, 胡德英. 基于泰勒原理的医院护理人文关怀培训课程体系的构建[J]. 护理学报, 2024, 31(8): 13-17. |
| [9] | 陆国涛, 马子雪, 张芳, 周航, 徐静艳, 杨红丽. 叙事治疗文件在叙事护理中的应用及展望[J]. 护理学报, 2024, 31(8): 23-26. |
| [10] | 陈思齐, 刘宁, 侯晓敏, 卢舒颖. 机器人胃癌手术围术期加速康复外科护理的最佳证据总结[J]. 护理学报, 2024, 31(8): 31-36. |
| [11] | 纪锐婷, 林丹娜, 刘小成, 李婷婷, 谢映梅, 胡冰, 应文娟. 早产儿初乳口腔免疫疗法的最佳证据总结[J]. 护理学报, 2024, 31(8): 37-42. |
| [12] | 张小莉, 杨鑫玉, 肖宇, 刘春燕, 张璐, 伍晓琴, 黄月霖, 傅静. 晚期癌症患者代理决策者安宁疗护决策后悔研究的范围综述[J]. 护理学报, 2024, 31(8): 49-54. |
| [13] | 莫然, 常晓未, 马芳芳, 顾晴. 18例肿瘤患者并发危重度免疫检查点抑制剂相关心肌炎的护理[J]. 护理学报, 2024, 31(8): 60-62. |
| [14] | 白雅萍, 施婧. 共享决策在心脏瓣膜病介入治疗患者中的应用研究进展[J]. 护理学报, 2024, 31(7): 32-35. |
| [15] | 周毅峰, 杨继平, 胡正中, 袁浩. 肝癌切除手术患者目标导向性血糖监测的证据总结[J]. 护理学报, 2024, 31(7): 46-50. |
|