A Correlation Study Of Disease Uncertainty,Psychological Needs And Anxiety In Intensive Care Unit Patients Family Members

Objective:In this study,the family members of intensive care unit patients were investigated to understand the uncertainty,psychological needs and the anxiety;To discuss the differences between family members' disease uncertainty,psychological needs and anxiety in general demographic characteristics;In-depth analysis of the relationship between disease uncertainty,psychological needs and anxiety.For nurses to take effective intervention strategies to improve mental health level of patients'families,as well as laying a foundation for the feasible prevention family negative emotions and nurse dispute events.Method:This study used convenience sampling and 253 family members from intensive care unit patients was chosen in Yanbian university hospital,who met inclusion and exclusion criteria,a total of 260 questionnaires were distributed,256 were taken back,the recovery rate was 98.5 percent,3 questionnaires were invalid,finally a total of 253 questionnaires were valid,the effective rate was 98.8 percent.This study was investigated by using general condition questionnaire made one's own,patient's perception uncertainty in illness scale-family member compiled by Zhuang Lingli,critical care family need inventory compiled by Liu Hui,self-rating anxiety scale compiled by Zung,then inputted dates in an EXCEL table,then imported all dates into the SPSS software to do analysis,statistical methods include the statistical descriptive,t-test or nonparametric test,analysis of variance or nonparametric test,Pearson analysis or Pearman analysis and multiple linear regression analysis.Result:(1)For family members of 253 patients disease uncertainty score were 80?107,107,the score in medium degree,the average score was 88.58±6.31.Four dimensions scores range and average scores were:not clear(44?59 minutes,51.65±4.11),theres complexity(22?34 points and 25.05±3.56),the lack of information(8?14 points and 9.88±1.38),unpredictable(4?20 points,13.33±1.94).There were differences in family disease uncertainty with age various,the degree of education various,various professional,the place of residence various,the relationship with the patient various,the way of entering various,the monthly income various the payment method various.(2)For family members of 253 patients the psychological needs scores were 126?142,the score in medium degree,the average score was 135.75±4.07.Five dimensions score range and the average score were:gain support(37?44 points,41.20±2.00),close to the patients(31?36 points,33.80 ±1.24),access to information(22?26 points,23.90±0.67),condition guarantee(23?27 points,25.25±0.81),its comfortable(6?14 points,11.60 ± 1.37).There were differences in psychological needs with gender difference,age various,the degree of education various,the various professional,the relationship with the patient various,the way of entering various.(3)For family members of 253 patients the anxiety scores were 42?56,the score in medium degree,the average score was 53.63 ±3.07,two dimensions scores range and the average scores were:somatic anxiety(19?28 points,24.43 ±2.19)and mental anxiety(23?29 points,26.20 ±1.38).There were differences in anxiety with gender difference,age various,the degree of education various,the relationship with the patients various,the way of entering various,the monthly income various and the payment method various.(4)There are positively correlation between disease uncertainty and psychological needs of the family members;There are positively correlation between disease uncertainty and anxiety;There are both positively and negatively correlation between psychological needs and anxiety.(5)After multiple linear regression analysis in anxiety we can obtain that relationship with the patients,close to the patients,payment method,and the not clear dimension can enter regressions anxiety,order sequence according to the influence degree:relationship with the patients,payment method, close to the patients,not clear dimension.Conclusion:(1)The surveyed indicated that disease uncertainty at medium degree.There was differences in family disease uncertainty with age various,the degree of education various,the various professional,the place of residence various,the relationship with the patient various,the way of entering various,the monthly income various and the payment method various.(2)The surveyed indicated that psychological need at medium degree.There was differences in psychological needs with gender difference,age various,the degree of education various,the various professional,the relationship with the patient various,the way of entering various.(3)The surveyed indicated that patients anxiety at medium degree.There were differences in anxiety with gender difference,age various,the degree of education various,the relationship with the patients various,the way of entering varioust,the monthly income various and the payment method various.(4)There are positively correlation between disease uncertainty and psychological needs of the family members;There are positively correlation between disease uncertainty and anxiety;There are both positively and negatively correlation between psychological needs and anxiety.(5)After multiple linear regression analysis in anxiety we can obtain that relationship with the patient,payment method,close to the patients,and not clear dimensions can account for 33.9 percents amount of anxiety emotion.