ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (8): 938-944.doi: 10.3761/j.issn.2096-7446.2025.08.006

• 重症护理服务质量提升专题 • 上一篇    下一篇

ICU患者家属创伤后应激障碍影响因素的Meta分析

汪依佳(), 潘爱红(), 刘芮, 陈倩, 王铖琛   

  1. 230032 合肥市 安徽医科大学护理学院(汪依佳,潘爱红,刘芮);安徽医科大学第一附属医院麻醉科(陈倩);安徽中医药大学护理学院(王铖琛)
  • 收稿日期:2024-10-08 出版日期:2025-08-10 发布日期:2025-08-12
  • 通讯作者: 潘爱红,E-mail:281851862@qq.com
  • 作者简介:汪依佳:女,本科(硕士在读),护士,E-mail:18258259600@163.com
  • 基金资助:
    2025年度安徽医科大学护理学院研究生青苗培育项目(Hlqm12025075)

Risk factors for post-traumatic stress disorders in family members of intensive care unit patients:a meta-analysis

WANG Yijia(), PAN Aihong(), LIU Rui, CHEN Qian, WANG Chengchen   

  • Received:2024-10-08 Online:2025-08-10 Published:2025-08-12

摘要:

目的 通过Meta分析探讨ICU患者家属发生创伤后应激障碍(post-traumatic stress disorder,PTSD)的影响因素。方法 检索Cochrane Library、Embase、PubMed、Web of Science、中国知网、万方数据库、维普数据库,从建库至2024年7月10日,关于ICU患者家属创伤后应激障碍影响因素的队列研究、病例对照研究和横断面研究。由2名研究者独立进行文献筛选、质量评价和数据提取,采用RevMan 5.4软件进行Meta分析。结果 共纳入13篇文献,包括2 746名ICU患者家属。Meta分析结果显示,家属性别(OR=2.64)、与患者关系(OR=1.30)、既往心理问题史(OR=3.72)、ICU住院时间(OR=1.07)、家属文化程度(OR=1.36)、家属就业状况(OR=0.26)、社会支持水平(OR=0.81)是ICU患者家属PTSD的影响因素。结论 ICU患者家属PTSD多受不可改变或难改变因素影响,建议医护人员依据这些因素早期识别高危人群,并及时干预,以预防PTSD。

关键词: 重症监护病房, 创伤后应激障碍, 危险因素, Meta分析, 循证护理学

Abstract:

Objective To explore the risk factors for post-traumatic stress disorder(PTSD) in family members of ICU patients through a meta-analysis. Methods A search was conducted in the Cochrane Library,Embase,PubMed,Web of Science,CNKI,Wanfang,and VIP Database for cohort studies,case-control studies,and cross-sectional studies on the risk factors of PTSD in ICU patients’ family members from the inception of the databases to July 10,2024. Two researchers independently performed literature screening,quality assessment,and data extraction. The meta-analysis was conducted using RevMan 5.4 software. Results 13 studies were included,including 2746 family members of ICU patients. The meta-analysis results indicated that family member’s gender(OR=2.64),relationship to the patient(OR=1.30),history of prior psychological issues(OR=3.72),ICU length of stay(OR=1.07),educational level of the family member(OR=1.36),employment status of family members(OR=0.26) and level of social support(OR=0.81) were factors influencing PTSD in ICU patients’ family members. Conclusion PTSD in family members of ICU patients is predominantly influenced by non-modifiable or challenging-to-modify factors. It is therefore recommended that healthcare professionals identify high-risk groups at an early stage based on these factors and intervene promptly to prevent PTSD.

Key words: Intensive Care Unit, Post-Traumatic Stress Disorder, Risk Factors, Meta Analysis, Evidence-Based Nursing