【摘要】 目的 提高ICU患者照顾者出科准备度水平、降低其应激压力及患者应激障碍发生率。方法 将60例ICU患者按入院时间段分为对照组与干预组各30例。对照组对患者照顾者实施ICU常规健康教育及心理支持等干预；干预组采用叙事教育干预，包括成立叙事教育小组、制作短视频、建立交流平台等，由专人负责实施与质控。结果 干预组患者照顾者出科准备度水平显著高于对照组、应激压力得分及患者创伤后应激障碍发生率显著低于对照组(均P<0.05)。结论 叙事教育干预可有效提高ICU患者照顾者转出准备度水平、降低其转科应激压力及患者创伤后应激障碍发生率。更多还原

【Abstract】 Objective To improve transition readiness and alleviate stress of family caregivers of ICU patients, and to reduce the incidence of post-traumatic stress disorders(PTSD) in patients. Methods Sixty critical care patients were chronologically assigned to control or intervention groups, with 30 in each. The control group was given usual health education and psychological support, whereas the intervention group received narrative education, including forming a narrative education team, making short-form videos, establishing a communication platform, etc. The intervention was implemented and monitored by a designated nurse. Results The intervention group reported significantly higher level of transition readiness and milder stress compared with the controls(both P<0.05). The incidence of PTSD in patients in the intervention group was significantly lower than that in the control group(P<0.05). Conclusion Narrative education can effectively improve family members′ readiness for transition from ICU to general ward and alleviate their relocation stress, as well as reduce the incidence of PTSD in patients.更多还原