重症监护病房患者的尊严现状及影响因素分析OA

Objective To explore the current status and influencing factors of dignity among patients in the intensive care unit(ICU).Methods A cross-sectional study was conducted on 240 patients admitted to the ICU of our hospital from April to October 2023.General data were recorded,and the Hospital Anxiety and Depression Scale(HADS),and the Patient Dignity Inventory(PDI)were used for assessment.The current status of dignity among ICU patients and its relationship with clinical characteristics were analyzed.Pearson correlation analysis was used to examine the correlation between ICU patient dignity and anxiety/depression emotions.Multiple linear regression analysis was performed to identify factors influencing ICU patient dignity.Results The total PDI score of the 240 patients was(70.48±10.67)points,with moderate to severe loss of dignity accounting for over 75.58%.Statistically significant differences in PDI scores were observed among patients of different ages,educational levels,family monthly per capita income,living arrangements,primary caregivers,family relationships,and length of ICU stay(P<0.05).Correlation analysis showed that the total PDI score and its dimensions were positively correlated with the total HADS score,anxiety score,and depression score(P<0.05).Multiple linear regression revealed that advanced age,non-family member as the primary caregiver,average family relationships,and longer ICU stay were risk factors for loss of dignity in ICU patients,while high educational level was a protective factor(P<0.05).Conclusions Loss of dignity is common among ICU patients,and its occurrence is closely related to patient age,primary caregiver,family relationships,length of ICU stay,anxiety/depression,and educational level.Close attention should be paid to this issue,and active intervention should be implemented.