eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2025 , Vol. 6 >Issue 8: 915 - 922

DOI: https://doi.org/10.3761/j.issn.2096-7446.2025.08.003

Special Planning——Quality Improvment in Critical Care Services

The impact of the “secure-encourage-collaborate” transitional care on the migration stress of caregivers for critically ill oncology patients

  • CAI Zheyi ,
  • FENG Shuihua ,
  • CAI Yahong ,
  • ZOU Chan ,
  • LIANG Gaoke ,
  • LIU Lei ,
  • CHEN Qing
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  • Department of Critical Medicine，The First Hospital of Hunan University of Chinese Medicine，Changsha，410007，China

Received date: 2024-12-16

  Online published: 2025-08-12

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Abstract

Objective To evaluate the effect of “secure-encourage-collaborate” transitional care in coping with migration stress in caregivers of critically ill patients with tumor. Methods A non-randomized quasi experimental research design was adopted. 151 caregivers of critically ill patients with cancer transferred out of ICU from May 2023 to March 2024 were selected as the research objects. 76 caregivers of patients from November 2023 to March 2024 were selected as the experimental group，and the “secure-encourage-collaborate” transitional care was implemented. 75 patients’ caregivers from May to October 2023 were selected as the control group，and the routine nursing scheme was implemented. The anxiety，depression and ICU family migration stress levels of the caregivers in the two groups were compared after they were transferred to ICU（T0），the day they were transferred from ICU（T1），and 72 hours after transfer（T2）. The quality of nursing measures in the transition period，ICU return rate and average length of stay in the two groups were compared. The 72 h ICU return rate and average hospitalization days of the two groups were compared. Results 75 cases in the experimental group and 71 cases in the control group completed the study. The levels of depression，anxiety and ICU family migration stress of the two groups of caregivers at different time points was statistically significant（F=954.980，P<0.001，F=394.391，P<0.001，F=221.028，P<0.001）. The CTM scores of the two groups showed an upward trend，and the interaction at different time points was statistically significant（F=457.751，P<0.001）. The 72 h ICU return rate of the experimental group was 2.67%，which was lower than 9.86% of the control group，and the difference was statistically significant（t=5.245，P<0.05）. The average length of stay in the experimental group was（18.19 ± 2.17） d，which was significantly lower than （21.24 ± 1.95） d in the control group，and the difference was statistically significant（t=8.916，P<0.001）. Conclusion Implementing the “secure-encourage-collaborate” transition nursing for critically ill cancer patients can help reduce the occurrence of negative emotions such as anxiety，depression and migratory stress level among caregivers，improve the nursing safety and satisfaction of patients during the transitional period，and promote their disease recovery.

Key words： “Secure-Encourage-Collaborate” Model; Transitional Care; Severe Tumor; Caregivers; Relocation Stress

Cite this article

CAI Zheyi , FENG Shuihua , CAI Yahong , ZOU Chan , LIANG Gaoke , LIU Lei , CHEN Qing . The impact of the “secure-encourage-collaborate” transitional care on the migration stress of caregivers for critically ill oncology patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(8) : 915 -922 . DOI: 10.3761/j.issn.2096-7446.2025.08.003

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