Research in classification and influencing factors of post-intensive care syndrome in family members of critically ill children
10.3760/cma.j.cn211501-20231001-00664
- VernacularTitle:危重症患儿家属ICU后综合征的潜在类别分析及影响因素研究
- Author:
Huawen ZHENG
1
;
Jinyan LI
;
Suping LI
Author Information
1. 中山大学附属第一医院PICU，广州 510080
- Keywords:
Intensive care unit;
Child;
Family member;
Post-intensive care syndrome;
Latent profile analysis
- From:
Chinese Journal of Practical Nursing
2024;40(24):1871-1878
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the classification and influencing factors of post-intensive care syndrome in family members of critically ill children, so as to provide reference for developing targeted intervention strategies.Methods:Using cross-sectional survey methods, the family members of critically ill children from January 2022 to June 2023 in the First Affiliated Hospital of Sun Yat-sen University were selected as research objects by convenience sampling method. The general information questionnaire, Pittsburgh Sleep Quality Index(PSQI), Fatigue Assessment Instrument(FAI), Hospital Anxiety and Depression Scale(HADS), and Impact of Event Scale-Revised(IES-R) were used for investigation, respectively.Results:Finally, 131 family members of critically ill children were included in the present study, 37 males, 94 females, aged 28-67 (39.47 ± 8.55) years. The incidence of PICS-F were 77.9% (102/131), the scores of PSQI, FAI, anxiety, depression and IES-R were (7.95 ± 3.39), (3.42 ± 1.34), (14.02 ± 5.47), (14.10 ± 5.54), (39.14 ± 7.92) points, respectively. The types of PICS-F in respondents were divided into four subtypes: sleep disturbance type were 42 cases accounting for 32.1%, stress disturbance type were 17 cases accounting for 13.0%, PICS-F high risk type were 40 cases accounting for 30.5%, PICS-F low risk type were 32 cases accounting for 24.4%. The length of ICU hospitalization was a common influencing factor for sleep disturbance type ( OR=0.103, 95% CI 0.020-0.520), stress disturbance type ( OR=0.073,95% CI 0.011-0.467), and PICS-F high risk type ( OR=0.115, 95% CI 0.022-0.589), all P<0.05. The per monthly income was a common risk factor for sleep disturbance type ( OR=5.510, 95% CI 1.193-5.445) and PICS-F high risk type ( OR=9.302, 95% CI 1.435-2.306), both P<0.05; the relationship with children was a specific risk factor for sleep disturbance type ( OR=0.083, 95% CI 0.009-0.734, P<0.05); the APACHEⅡscore was a specific risk factor for PICS-F high risk type ( OR=0.091, 95% CI 0.014-0.586, P<0.05). Conclusions:There are four latent profiles of PICS-F in family members of critically ill children, medical staff should establish targeted interventions according to the characteristics of different PICS-F classes.
