重症监护病房出院患者生活质量及相关因素分析

A. Zaheri, Z. Sadat, M. Abasian, L. G. Afra, Mohammadsaleh Abdi, K. Joodaki, M. S. M. Sarcheshmeh
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引用次数: 2

摘要

背景:生活质量被认为是幸福感和生活满意度。医护人员的最终使命是改善患者的健康状况,提高患者的生活质量。本研究的目的是探讨不同因素对重症监护病房出院患者生活质量的影响。方法:采用便捷抽样方法,对2015年卡尚沙希德·贝赫什蒂医院重症监护病房收治的325例患者进行横断面研究。在患者出院1个月后,通过人口统计问卷、生活质量标准化问卷SF-36和创伤后应激障碍检查表(PCL)收集数据。所得资料采用t检验、单因素方差分析等统计检验进行分析。结果:入组患者男性185例(56.9%),女性140例(43.1%),平均年龄54±16.15岁。研究样本的生活质量平均总分为54.32±27.52分,PCL总分为43.99±19.94分。60岁以上、无业、长期住院、有5个以上子女、滥用药物、使用机械通气和创伤后应激障碍的患者生活质量平均得分较低;然而,有工作和受过高等教育的人的平均得分更高。本分析显示,患者的性别、重症监护病房类型、婚姻状况和因创伤入院与生活质量无关系。结论:重症监护病房出院患者生活质量平均得分较低。一些个人和医学特征,如年龄、药物滥用、长期住院、使用机械通气和创伤后应激障碍是降低生活质量的危险因素。护士可以识别和控制重症监护病房的危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of Life and Related Factors Among Patients Discharged from Critical Care Units
Background: Quality of life is considered as the sense of well-being and life satisfaction. The healthcare professionals’ final mission is health amelioration to increase the patients’ life quality. The aim of the present study was to examine the effect of different factors on the quality of life in patients discharged from critical care units. Methods: This cross-sectional study was performed in 325 patients admitted to critical care units of Kashan Shahid Beheshti hospital using a convenience sampling method in 2015. Data were gathered one month after patients’ discharge through a demographic questionnaire, the quality of life standardized ShortForm-36 (SF-36) questionnaire, and the post-traumatic stress disorder checklist (PCL). The obtained data were analyzed using statistical tests such as t-test and (one-way) ANOVA test. Results: The enrolled sample consisted of 185 (56.9%) males and 140 (43.1%) females with a mean age of 54 ± 16.15. The mean total score of life quality in the study sample was 54.32 ± 27.52 and the total score of PCL was 43.99 ± 19.94. The mean score of the life quality was lower among patients with features including over 60 years, unemployed, a long-term hospitalization, more than five children, drug abuse, using mechanical ventilation, and post-traumatic stress disorder; however, the mean score was higher in employed and highly educated people. This analysis indicated no relationship between quality of life and patient’s gender, type of critical care unit, marital status, and admission for trauma reason. Conclusion: The mean score of the quality of life of patients discharged from intensive care units is low. Some of the individual and medical features such as age, drug abuse, a long-term hospitalization, using mechanical ventilation, and post-traumatic stress disorder are risk factors that decrease the quality of life. Nurses can identify and control the risk factors in intensive care units.
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