冠心病重症监护病房患者的重症监护经历与状态焦虑之间的关系

Esra Türker, E. Yazgan
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摘要

研究目的本研究旨在确定冠心病重症监护室住院患者的重症监护经历与状态焦虑之间的相关性。研究方法这项描述性横断面研究纳入了一家大学医院冠心病重症监护室的 192 名患者。研究人员使用患者信息表、重症监护体验量表(ICE)和斯皮尔伯格状态焦虑量表(STAI-I)收集数据。分析使用 SPSS 软件 25.0 版进行。描述性统计以计数、百分比、平均值和标准差的形式进行报告。P 值小于 0.05 即表示统计意义显著。结果参与者中有 38% 年龄在 65 岁及以上,76.6% 为男性,93.2% 已婚,63% 从急诊室进入重症监护室,88.5% 曾在重症监护室工作过。ICE和STAI-I的总分和分项得分均为中等。我们发现,STAI-I 总分与 ICE 总分之间存在微弱的正相关性(r= 0.320)。在重症监护室的悲观经历与 STAI-I 总分之间存在很强的正相关性(r=0.907)。此外,在重症监护室接受护理的满意度与经历记忆的子维度(对周围环境的认识、对护理的满意度、对经历的回忆)之间存在中等程度的负相关(r=0.252、r=-0.489、r=-0.496)。结论研究发现,重症监护室中的悲观经历会严重影响患者的焦虑状态。
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The Relationship Between Intensive Care Experience and State Anxiety in Patients Treated in Coronary Intensive Care Units
Objective: This study aimed to determine the correlation between the intensive care experience and the state anxiety of patients hospitalized in the coronary intensive care unit. Methods: This descriptive cross-sectional study included 192 patients from the coronary intensive care unit of a university hospital. Data were collected using a Patient Information Form, the Intensive Care Experience Scale (ICE), and the Spielberger State Anxiety Inventory (STAI-I). The analysis was conducted using SPSS software version 25.0. Descriptive statistics were reported as counts, percentages, means, and standard deviations. A p-value of less than 0.05 was considered to indicate statistical significance. Results: Among the participants, 38% were aged 65 and older, 76.6% were male, 93.2% were married, 63% were admitted to the intensive care unit from the emergency room, and 88.5% had prior experience in an intensive care unit. The total and sub-dimension scores of the ICE and STAI-I were moderate. We found a weak positive correlation between the STAI-I total score and the ICE total score (r= 0.320). There was a very strong positive correlation between pessimistic experiences in the intensive care unit and the STAI-I total score (r=0.907). Additionally, there was a moderate negative correlation between satisfaction with care received in the intensive care unit and the sub-dimensions of memory of experiences (Awareness of Surroundings, Satisfaction with the Care, Recollection of Experiences) (r=0.252, r=-0.489, r=-0.496). Conclusion: The study found that pessimistic experiences in the intensive care unit can significantly impact patients' state anxiety.
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