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全麻髋关节置换术后苏醒期患者家属迁移应激水平及其相关影响因素分析OA

Analysis of relocation anxiety levels and related influencing factors in family members of patients undergoing general anesthesia and hip arthroplasty during recovery period

中文摘要英文摘要

目的 探讨全身麻醉(全麻)髋关节置换术后苏醒期患者家属迁移应激水平及其相关影响因素.方法 选取2021年4月—2022年10月在南昌市洪都中医院行全麻髋关节置换术苏醒期的108例患者,使用ICU转出患者家属应激压力评估量表评价患者家属迁移应激水平,调查患者及家属相关资料,分析全麻髋关节置换术后苏醒期患者家属迁移应激水平的相关影响因素.结果 108例全麻髋关节置换术后苏醒期患者家属迁移应激得分为(56.35±5.86)分,家属迁移应激水平中等;经多元线性回归分析显示,患者麻醉重症监护室(AICU)住院时间≥24 h、女性、文化水平初中及以下、消极应对是全麻髋关节置换术后苏醒期患者家属迁移应激水平升高的危险因素(P<0.05).结论 全麻髋关节置换术后苏醒期患者家属迁移应激水平中等,受患者AICU住院时间、家属性别、文化水平、应对方式因素影响.

Objective To analyze the levels of relocation anxiety and its related influencing factors in the family members of patients during the recovery period after hip arthroplasty under general anesthesia.Methods From April 2021 to October 2022,108 patients in Nanchang Hongdu Traditional Chinese Medicine Hospital undergoing total hip arthroplasty under general anesthesia were selected.The levels of relocation anxiety in their families were evaluated using the ICU transferred out patient family stress assessment scale,and the relevant data of the patients and their families were investigated.The relevant factors affecting the levels of relocation anxiety in their families during the recovery period after total hip arthroplasty under general anesthesia were analyzed.Results The relocation anxiety score of 108 patients'family members during the recovery period after hip arthroplasty under general anesthesia was(56.35±5.86),with a moderate level.Multiple linear regression analysis showed that patients'AICU hospitalization time≥24 hours,women,education level of junior high school or below and negative coping were the influencing factors for the level of relocation anxiety of family members of patients during the recovery period after hip replacement under general anesthesia(P<0.05).Conclusions The level of relocation anxiety in family members of patients undergoing general anesthesia and hip arthroplasty during the recovery period is moderate,which is influenced by factors such as length of patients'stay in AICU,family members'gender,educational level and coping styles.

李娜;戴玲;蔡娟

南昌市洪都中医院麻醉一科(江西南昌 330000)南昌市洪都中医院手术一科(江西南昌 330000)南昌市洪都中医院手术二科(江西南昌 330000)

髋关节置换术;全麻;苏醒期;家属;迁移应激;影响因素

hip arthroplasty;general anesthesia;recovery period;family members;relocation anxiety;influence factor

《广州医药》 2024 (002)

141-145 / 5

10.3969/j.issn.1000-8535.2024.02.007

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